Employee Information Sheet For Intuit Full Service Payroll

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EMPLOYEE INFORMATION SHEET
Complete this form for each employee OR provide us with reports that offer the EXACT same info.
Employee Name ____________________________________
Birth Date MM_____/DD_____/YY_____
Address
____________________________________
Hire Date
MM_____/DD_____/YY_____
City, State, Zip ____________________________________
Social Security No. _____________________
Email Address ____________________________________
Gender
 Female
 Male
(Only if you want your employee to have paystub access online)
Pay Frequency _______________ (list only if
If hired in the last 20 days, would you like New Hire Reporting on this
multiple pay frequencies for company)
employee?  Yes
 No
Direct Deposit Information (Max. of 2 Accounts)
Account #1
 Direct Deposit to Checking
Attach a voided check from the employee’s checking account
 Direct Deposit to Savings Routing#______________________Acct#____________________________Amount$________
Dollar amount only
No percentage
Account#2 (if applicable – both accounts must be Bank of America accounts for this option)
 Direct Deposit to Checking
Attach a voided check from the employee’s checking account
 Direct Deposit to Savings Routing#______________________ Acct#____________________________Amount: Remainder
Tax Information
Federal Withholding Status - Specify below or attach a W-4 form
 Single  Married  Head of Household  Do Not Withhold
# Of Allowances ______ Any Additional Withholding ______________
State Withholding Status - Specify below or attach a State withholding form
(
Please verify with your state regarding
)
separate withholding information
 Single  Married  Head of Household  Do Not Withhold
 Local taxes?
Yes No
 Do not withhold
# Of Allowances ______ Any Additional Withholding ______________
 Specify any situations that an employee may have tax exemptions such as Minor Children, Visa employees, Clergy, etc.
________________________________________________________________________________________
Which types of pay does this employee receive?
 Bonus
 Salary $____________ per paycheck
 Cash Tips
 Non Taxable Per Diem
 Hourly $____________ per hour
 Paycheck Tips
 S-Corp Owners Health Ins.
nd
 2
hourly rate $_______ per hour
 Clergy Housing (Cash)
 Company HSA Contrib.(pretax)
 Overtime Pay
 Clergy Housing (In-Kind)
 Allowance (specify)
 Double Overtime
 Personal Use of Company
 Other Earnings (specify)
 Holiday Pay
Car
Name:___________________
 Reimbursement
 Commission
4

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