Magnetic Media Filing Requirements Form - Indiana Department Of Revenue Page 19

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Code “S” Record - Length = 275
Tape Positions
Length
Field Name
1
1
Record Identifier (S)
2 - 10
9
Employee Social Security Number
11 - 37
27
Employee Name
38 - 77
40
Street Address
78 - 102
25
City
103 - 104
2
State
105 - 112
8
Not Used
113 - 117
5
ZIP Code Extension
118 - 122
5
ZIP Code or Foreign Postal Code
123
1
Not Used
124 - 125
2
State Code (“18” for Indiana)
126 - 127
2
County Code
128 - 133
6
Reporting Period
134 - 170
37
Not Used
171 - 182
12
Employer Taxpayer Identification Number (TID)
183 - 190
8
Not Used
191 - 199
9
State Taxable Wages/Pension
200 - 207
8
State Income Tax Withheld
208 - 217
10
Information Return Type (W-2)
218
1
Tax Type Code (“D” for County Tax or Blank)
219 - 223
5
Not Used
224 - 232
9
County Taxable Wages/Pension
233 - 239
7
County Income Tax withheld
240 - 275
36
Not Used
Record Identifier - Constant “S”.
Social Security Number - Enter the employee’s social security number. If not available
enter the letter “I” in positions 2 and blanks in positions 3 - 10.
Employee Name - Enter the employee’s name. Left justify and fill unused positions with
blanks.
Street Address - Left justify and fill unused positions with blanks.
City - Left justify and fill unused positions with blanks. If this is a foreign address, include
the name of the foreign “state”, province, etc., i.e., Ontario.
State - Enter the standard FIBS postal alphabetical abbreviation as illustrated in Appendix
B. If this is a foreign address, enter the two-character country code, i.e., CN for Canada.
Left justify and fill with blanks. (NOTE - this is the actual state where the employee
resides).
Not Used - Enter blanks or zeroes. This field is ignored and will not be processed.
19

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