Form Vec-Fc-21 - Employer'S Quarterly Payroll Report

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EMPLOYER’S QUARTERLY
PAYROLL REPORT
EMPLOYER NAME AND ADDRESS
VIRGINIA
ACCOUNT NO.
CALENDAR
06-30-2000
QTR. ENDING
Calendar Qtr. Ending, if
different from above
EMPLOYEE SOCIAL SECURITY NO.
LAST NAME
DOLLARS
CENTS
TOTAL WAGES
0
(Enter on Line
Equal Opportunity Employer/Program.
B-1 of Tax Return)
Auxiliary aids and services are available
upon request to individuals with disabilities.
FORM VEC-FC-21 (5/00)

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Parent category: Financial
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