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IRS499W2PR.xsl
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<?xml version="1.0" encoding="UTF-8"?>
<xsl:stylesheet xmlns:xsl="http://www.w3.org/1999/XSL/Transform" version="1.0">
<xsl:include href="PopulateTemplate.xsl"/>
<xsl:include href="AddHeader.xsl"/>
<xsl:include href="CommonPathRef.xsl"/>
<xsl:include href="AddOnTable.xsl"/>
<xsl:include href="IRS499W2PRStyle.xsl"/>
<xsl:output method="html" indent="yes"/>
<xsl:strip-space elements="*"/>
<xsl:param name="FormData" select="$RtnDoc/IRS499W2PR"/>
<xsl:template match="/">
<html lang="EN-US">
<head>
<title>
<xsl:call-template name="FormTitle">
<xsl:with-param name="RootElement" select="local-name($FormData)"/>
</xsl:call-template>
</title>
<!-- No Browser Caching -->
<meta http-equiv="Pragma" content="no-cache"/>
<meta http-equiv="Cache-Control" content="no-cache"/>
<meta http-equiv="Expires" content="0"/>
<!-- No Proxy Caching -->
<meta http-equiv="Cache-Control" content="private"/>
<!-- Define Character Set -->
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1"/>
<meta name="Description" content="IRS Form 499W2PR"/>
<script language="JavaScript" src="{$ScriptPath}/FormDisplay.js" type="text/javascript"/>
<xsl:call-template name="InitJS"/>
<style type="text/css">
<xsl:if test="not($Print) or $Print=''">
<xsl:call-template name="IRS499W2PRStyle"/>
<xsl:call-template name="AddOnStyle"/>
</xsl:if>
</style>
<xsl:call-template name="GlobalStylesForm"/>
</head>
<body class="styBodyClass">
<form name="FormW2">
<xsl:call-template name="DocumentHeaderLandscape"/>
<div style="width:256mm;">
<br/>
</div>
<!-- Big box covers entire form -->
<div style="width:255mm;border-bottom:1px solid black">
<div class="styGenericDiv" style="width:155mm;">
<div class="styGenericDiv" style="width:100%;height:16mm;border-right:0px solid black;">
<span style="width:34mm;">
Formulario
<br/>
<b>Form 499R-2/W-2PR</b>
<br/>
Rev. 09.12
</span>
<span style="width:120mm;text-align:center;padding-bottom:3mm;">
GOBIERNO DE PUERTO RICO - GOVERNMENT OF PUERTO RICO
<br/>
DEPARTAMENTO DE HACIENDA - DEPARTMENT OF THE TREASURY
</span>
<span style="width:34mm;font-family:OCR-A,courier;font-size:14pt;">
222
</span>
<span style="width:120 mm;font-size:8pt;font-weight:bold;text-align:center;padding-bottom:2mm;">
COMPROBANTE DE RETENCION - WITHHOLDING STATEMENT
</span>
</div>
<div class="styGenericDiv" style="width:105mm;
border-left:1px solid black;
border-right:1px solid black;
border-top:1px solid black;
">
<div class="styIRS499W2PRCell" style="height:13mm;">
1. Nombre - First Name
<br/>
<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/EmployeeName"/>
</xsl:call-template>
<span style="width:2mm;"/>
<xsl:call-template name="LinkToLeftoverDataTableInline">
<xsl:with-param name="Desc">Line 1 - Employee Name Control</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/EmployeeNameControl"/>
</xsl:call-template>
</div>
<div class="styIRS499W2PRCell" style="height:13mm;">
Apellido(s) - Surname(s)
<br/>
<br/>
</div>
<div class="styIRS499W2PRCell" style="height:19mm;">
Dirección Postal del Empleado - Employee's Mailing Address
<br/>
<br/>
<xsl:choose>
<xsl:when test="$FormData/EmployeeUSAddress">
<xsl:call-template name="PopulateUSAddressTemplate">
<xsl:with-param name="TargetNode" select="$FormData/EmployeeUSAddress"/>
</xsl:call-template>
</xsl:when>
<xsl:otherwise>
<td class="styTableCellText" style="width:58mm;">
<xsl:call-template name="PopulateForeignAddressTemplate">
<xsl:with-param name="TargetNode" select="$FormData/EmployeeForeignAddress"/>
</xsl:call-template>
</td>
</xsl:otherwise>
</xsl:choose>
</div>
<div class="styIRS499W2PRCell" style="height:30.8mm;">
2. Nombre y Dirección Postal del Patrono
<br/>
<span style="width:3.75mm"/>
Employer's Name and Mailing Address
<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/EmployerName/BusinessNameLine1"/>
</xsl:call-template>
<span style="width:2mm"/>
<xsl:call-template name="LinkToLeftoverDataTableInline">
<xsl:with-param name="Desc">Line 2 - Employer Name Control</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/EmployerNameControl"/>
</xsl:call-template>
<br/>
<xsl:if test="$FormData/EmployerName/BusinessNameLine2">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/EmployerName/BusinessNameLine2"/>
</xsl:call-template>
<br/>
</xsl:if>
<xsl:choose>
<xsl:when test="$FormData/EmployerUSAddress">
<xsl:call-template name="PopulateUSAddressTemplate">
<xsl:with-param name="TargetNode" select="$FormData/EmployerUSAddress"/>
</xsl:call-template>
</xsl:when>
<xsl:otherwise>
<td class="styTableCellText" style="width:58mm;">
<xsl:call-template name="PopulateForeignAddressTemplate">
<xsl:with-param name="MainForm">true</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/EmployerForeignAddress"/>
</xsl:call-template>
</td>
</xsl:otherwise>
</xsl:choose>
</div>
<div class="styIRS499W2PRCell" style="height:7mm;">
Número de Teléfono del Patrono
<br/>
Employer's Telephone Number<span style="width:2mm"/>
<xsl:call-template name="PopulatePhoneNumber">
<xsl:with-param name="TargetNode" select="$FormData/EmployerTelephoneNumber"/>
</xsl:call-template>
</div>
<div class="styIRS499W2PRCell" style="height:8.3mm;">
Fecha Cese de Operaciones:
<span style="width:2mm"/>
Día<span style="width:10.5mm"/>
Mes<span style="width:13.5mm"/>
Año
<br/>
Cease of Operations Date:
<span style="width:5mm"/>
Day
<span style="width:8mm;border-bottom:1px solid black;padding-left:2mm;">
<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/CeaseOperationsDate"/>
</xsl:call-template>
</span>
<span style="width:1mm"/>
Month
<span style="width:8mm;border-bottom:1px solid black;padding-left:2mm;">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/CeaseOperationsDate"/>
</xsl:call-template>
</span>
<span style="width:2mm"/>
Year
<span style="width:8mm;border-bottom:1px solid black;padding-left:1mm;">
<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/CeaseOperationsDate"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:18mm;border-bottom-width:0px;">
Número Control - Control Number
<br/>
<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/ControlNumber"/>
</xsl:call-template>
</div>
</div>
<div class="styGenericDiv" style="width:50mm;
border-right:0px solid black;
border-top:1px solid black;
">
<div class="styIRS499W2PRCell" style="height:10.4mm;">
3. Núm. Seguro Social<br/>
<span style="width:3.75mm"/>Social Security No.<br/>
<span style="width:100%;text-align:center">
<xsl:call-template name="PopulateSSN">
<xsl:with-param name="TargetNode" select="$FormData/SSN"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:10.4mm;">
4. Núm. de Ident. Patronal<br/>
<span style="width:3.75mm"/>Employer Ident. No. (EIN)<br/>
<span style="width:100%;text-align:center">
<xsl:call-template name="PopulateEIN">
<xsl:with-param name="TargetNode" select="$FormData/EIN"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:16.5mm;">
5. Fecha en que comenzó a recibir
<br/>
<span style="width:3.75mm"/>la pensión - Date on which you
<br/>
<span style="width:3.75mm"/>started to receive the pension
<br/>
Día<span style="width:9mm"/>
Mes<span style="width:9.5mm"/>
Año
<br/>
Day
<span style="width:6mm;border-bottom:1px solid black;padding-left:1mm;">
<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/PensionReceiptStartDate"/>
</xsl:call-template>
</span>
<span style="width:1mm"/>
Month
<span style="width:6mm;border-bottom:1px solid black;padding-left:1mm;">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/PensionReceiptStartDate"/>
</xsl:call-template>
</span>
<span style="width:0mm"/>
Year
<span style="width:8mm;border-bottom:1px solid black;padding-left:.5mm;">
<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/PensionReceiptStartDate"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:10.4mm;">
6. Costo de Pensión o Anualidad<br/>
<span style="width:3.75mm"/>Cost of Pension or Annuity<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/EmployeeContributionsAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:13.2mm;font-family:Arial;">
6A. Costo de cubierta de salud auspiciada<br/>
<span style="width:3.75mm"/>por el patrono - Cost of employer-<br/>
<span style="width:3.75mm"/>sponsored health coverage<br/>
<span style="width:48mm;text-align:right;font-family:Verdana;">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/EmplrSponsoredHealthCvrCostAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:10.4mm;">
6B. Donativos<br/>
<span style="width:3.75mm"/>Charitable Contributions<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/TotalCharitableContriAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:37.5mm;font-family:arial;font-size:8pt;font-weight:bold;text-align:center;border-bottom-width:0px;">
<span style="width:100%">Original</span>
<span style="width:100%">Envíe a: - Send to:</span>
<span style="width:100%">Social Security Adm.</span>
<span style="width:100%">Wilkes-Barre D.O.C.</span>
<span style="width:100%">Wilkes-Barre, PA 18769-0001</span>
<span style="height:8.5mm;width:24mm;padding-left:7mm;">
<span style="width:100%">Con la</span>
<span style="width:100%">With the</span>
</span>
<span style="height:8.5mm;width:24mm;">
W-3PR
</span>
<span style="width:24mm;padding-left:11mm;font-weight:normal;float:left;">
<span style="width:100%">Año:</span>
<span style="width:100%">Year:</span>
</span>
<span style="width:24mm;font-family:Arial Narrow;font-size:16pt;float:left;">
2012
<span style="width:2mm;"/>
<xsl:call-template name="LinkToLeftoverDataTableInline">
<xsl:with-param name="Desc">Bottom Center - Standard Or Non Standard Code</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/StandardOrNonStandardCd"/>
</xsl:call-template>
</span>
</div>
</div>
<div class="styGenericDiv" style="width:100%;height:7.5mm;border-left:1px solid black;border-top:1px solid black;text-align:center;">
<span style="font-weight:bold">
Fecha de radicación: 31 de enero - Filing date: January 31
</span>
<br/>
Instrucciones al dorso de Copia D - Instructions on back of Copy D
</div>
</div>
<!--END Left Half DIV-->
<div class="styGenericDiv" style="width:50mm;
border-right:1px solid black;
border-left:1px solid black;
border-top:1px solid black;
">
<div class="styIRS499W2PRCell" style="height:16mm;font-family:arial;font-weight:bold;padding-top:.5mm">
INFORMACION PARA EL DEPARTAMENTO DE HACIENDA
<br/>
<br/>
DEPARTMENT OF THE TREASURY INFORMATION
</div>
<div class="styIRS499W2PRCell" style="height:9mm;">
7. Sueldos - Wages
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/WagesAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:9mm;">
8. Comisiones - Commissions
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/CommissionsAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:9mm;">
9. Concesiones - Allowances
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/ExpenseAllowancesAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:9mm;">
10. Propinas - Tips
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/EmployeeTipsAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:9mm;">
11. Total = 7 + 8 + 9 + 10
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/TotalIncomeAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:11.5mm;">
12. <span style="font-size:6pt;">Gastos Reemb. y Beneficios Marginales</span>
<br/>
<span style="width:5.25mm"/><span style="font-family:arial;">Reimb. Expenses and Fringe Benefits</span>
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/EmployeeReimbursedExpenseAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:9mm;">
13. Cont. Retenida - Tax Withheld
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/WithholdingAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:11.5mm;">
14. <span style="font-family:arial;">Fondo de Retiro Gubernamental</span><br/>
<span style="font-family:arial;padding-left:5.25mm;">Governmental Retirement Fund</span><br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/RetirementFundAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:11.5mm;">
15. Aportaciones a Planes Cualific.
<br/>
<span style="width:5.25mm"/>Contributions to CODA PLANS
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/ContributionsToCODAPlansAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:11.5mm;">
16. Salarios bajo Ley 324-2004
<br/>
<span style="width:5.25mm"/>
Salaries under Act 324-2004
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/EmergOTSalariesPdUndACT324Amt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:16.9mm;font-family:Arial;border-bottom-width:0px;">
16A. Aportaciones al Programa Ahorra y<br/>
<span style="width:4.25mm"/>Duplica tu Dinero - Contributions to the<br/>
<span style="width:4.25mm"/><span style="font-family:Arial Narrow;">Save and Double your Money Program</span><br/>
<span style="width:48mm;text-align:right;font-family:Verdana;">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/SaveAndDoubleMonyProgContriAmt"/>
</xsl:call-template>
</span>
</div>
</div>
<div class="styGenericDiv" style="width:50mm;
border-right:1px solid black;
border-top:1px solid black;
">
<div class="styIRS499W2PRCell" style="height:16mm;font-family:arial;font-weight:bold;padding-top:.5mm">
INFORMACION PARA EL SEGURO SOCIAL
<br/>
<br/>
SOCIAL SECURITY INFORMATION
</div>
<div class="styIRS499W2PRCell" style="height:16.6mm;">
17. Total Sueldos Seguro Social
<br/>
<span style="width:5.25mm"/>Social Security Wages
<br/>
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/SocialSecurityWagesAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:16.6mm;">
18. Seguro Social Retenido
<br/>
<span style="width:5.25mm"/>Social Security Tax Withheld
<br/>
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/SocialSecurityTaxAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:16.6mm;">
19. Total Sueldos y Pro. Medicare
<br/>
<span style="width:5.25mm"/>Medicare Wages and Tips
<br/>
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/MedicareWagesAndTipsAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:16.8mm;">
20. Contrib. Medicare Retenida
<br/>
<span style="width:5.25mm"/>Medicare Tax Withheld
<br/>
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/MedicareTaxWithheldAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:16mm;">
21. Propinas Seguro Social
<br/>
<span style="width:5.25mm"/>Social Security Tips
<span style="width:48mm;text-align:right;padding-top:2mm;">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/SocialSecurityTipsAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:16.8mm;">
22. Seguro Social no Retenido en
<br/>
<span style="width:5.25mm"/>Propinas - Uncollected Social
<br/>
<span style="width:5.25mm"/>Security Tax on Tips
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/UncollectedSocSecTaxOnTipsAmt"/>
</xsl:call-template>
</span>
</div>
<div class="styIRS499W2PRCell" style="height:17.3mm;border-bottom-width:0px">
23. Contrib. Medicare no Retenida
<br/>
<span style="width:5.25mm"/>
en Propinas - Uncollected
<br/>
<span style="width:5.25mm"/>
Medicare Tax on Tips
<br/>
<span style="width:48mm;text-align:right">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/UncollectedMedcrTaxOnTipsAmt"/>
</xsl:call-template>
</span>
</div>
</div>
</div>
<div class="pageEnd"><br/></div>
<div class="styLeftOverTitleLineLandscape" id="LeftoverData">
<div class="styLeftOverTitle" style="float:left">
Additional Data
</div>
<div class="styLeftOverButtonContainerLandscape" style="width:auto;float:right;">
<input class="styLeftoverTableBtn" type="button" TabIndex="1" value="Return to Form" onclick="javascript:returnToWriteInImage();"/>
</div>
</div>
<!-- Additional Data Table -->
<table class="styLeftOverTblLandscape">
<xsl:call-template name="PopulateCommonLeftoverLandscape">
<xsl:with-param name="TargetNode" select="$FormData"/>
</xsl:call-template>
<xsl:call-template name="PopulateLeftoverRowLandscape">
<xsl:with-param name="Desc">Line 1 - Employee Name Control</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/EmployeeNameControl"/>
<xsl:with-param name="DescWidth" select="100"></xsl:with-param>
</xsl:call-template>
<xsl:call-template name="PopulateLeftoverRowLandscape">
<xsl:with-param name="Desc">Line 2 - Employer Name Control</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/EmployerNameControl"/>
<xsl:with-param name="DescWidth" select="100"></xsl:with-param>
</xsl:call-template>
<xsl:call-template name="PopulateLeftoverRowLandscape">
<xsl:with-param name="Desc">Bottom Center - Standard Or Non Standard Code</xsl:with-param>
<xsl:with-param name="TargetNode" select="$FormData/StandardOrNonStandardCd"/>
<xsl:with-param name="DescWidth" select="100"></xsl:with-param>
</xsl:call-template>
</table>
<!-- END Left Over Table -->
</form>
</body>
</html>
</xsl:template>
</xsl:stylesheet>