Employer Information Needed To Process Payroll

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EMPLOYER INFORMATION NEEDED TO PROCESS PAYROLL
Legal name of the business: _________________________________________
Address of the business: ___________________________________________
Payroll Contact name: _____________________________________________
Phone Number(s): ________________________________________________
Fax Number: _____________________________________________________
E-Mail Address: ___________________________________________________
Delivery Method (if other than paperless)________________________________
Legal Entity Type (e.g. Sole Proprietor, Partnership, LLC, S Corp, C Corp)
Number of Pay Periods in a Year (e.g. 52, 26, 24, 12)
Beginning and Ending Date for the Pay Periods as well as the Actual Pay Date
941 Deposit Schedule (Notice from IRS indicating your deposit schedule (e.g.:
Semi-weekly, Monthly, Quarterly, Annual))
State Deposit Schedule (Notice from State indicating your deposit schedule (e.g.
Semi-weekly, Monthly, Quarterly, Annual))
Federal Identification Number: ______________________________________
State Withholding Identification Number(s): ____________________________
State Unemployment Number(s): ____________________________________
State Unemployment Rate(s): ______________________________________
Cancelled or Copied Check from the account used for payroll and the check # you would
like us to start payroll at. We use a different series of numbers so you are able to easily
identify which checks IComp prints and which checks you write from your business account.
If Applicable: Year to date and Quarter to date gross to net earnings by employee. Please
include all tax deposits made to the IRS, State & Local Agencies. Please also include copies
of all current years completed 941’s, State/Local Returns.
List of Divisions and Departments and their corresponding numbers (e.g. Office,
Administration, Shop, Driver)
__________________
_____________________
_____________________
__________________
_____________________
_____________________
Types of Pay, Pretax Deduction(s), and After-tax Deduction(s) or Reimbursements (e.g.
Regular Pay, Vacation Pay, 401(k), 401(k) Roth, 125 Plan Health Insurance, Advance,
Garnish, Reimbursement, etc.)
__________________
_____________________
_____________________
__________________
_____________________
_____________________

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