Form 05-176 - Revised Texas Franchise Tax Staff Leasing Services Company Report
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105-176
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CLEAR FIELDS
(1-08)
REVISED TEXAS FRANCHISE TAX
STAFF LEASING SERVICES COMPANY REPORT
(Chapter 91)
CLIENT COMPANY
STAFF LEASING SERVICES COMPANY
Name
Name
Federal Employer Identification Number (FEIN)
Federal Employer Identification Number (FEIN)
Mailing address
Mailing address
City
State
ZIP code
City
State
ZIP code
Accounting period covered by this report:
• DO NOT SEND THIS COMPLETED REPORT TO
Calendar Year 20
THE COMPTROLLER OF PUBLIC ACCOUNTS.
MONTH
DAY
YEAR
MONTH
DAY
YEAR
Fiscal Year from
to
TOTAL AMOUNT PAID
IN WAGES & CASH
ASSIGNED EMPLOYEE
COMPENSATION
TOTAL AMOUNT PAID
$
TOTAL AMOUNT PAID FOR DEDUCTIBLE BENEFITS
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Parent category: Financial