Tmrs Summary Of Monthly Payroll Report
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1
2Summary of Monthly Payroll Report
Please Note: This form will no longer
Regular
Supplemental
calculate percentages or contributions.
City Information
City Number
City Name
Report for the Month/Year
(required)
(required)
/
City Certification
I certify this to be a true and complete report of the payroll information required by the Texas Municipal Retirement System for the above named city.
Signature of Authorized City Contact (required)
Title
Date (MM/DD/YYYY)
Gross Earnings
TMRS Use Only
Employee
No. of
×
Remittance
Gross Earnings
Employee
Employee
Deposit Rate
Participants
Deposit Rate
Deposit Rate
1. EMPLOYEE:
Totals from Employee Contributions Report (Form TMRS-2)
Municipal
2. MUNICIPALITY:
Contributions
A. MUNICIPAL CONTRIBUTIONS: (Current Month)
+
percentage of Employee Gross Earnings (Line 1)
B. Interest on late contributions
+
00.00
(if postmarked after 15th)
+
C. ADD any remittance short for month of
00.00
(explain below)**
−
D. SUBTRACT any remittance over for month of
-0.00
(explain below)**
+
E. ANNUITY SUPPLEMENTS
00.00
Account of Endowment Fund (if applicable)
+
F. MERGER TRUST
00.00
Account of Endowment Fund (if applicable)
G. TOTAL MUNICIPAL CONTRIBUTIONS
(Total of A, B, C, D, E, F)
SUBTOTAL =
3. TOTAL REMITTANCE SUBMITTED WITH THIS REPORT
TOTAL =
** Explanation for adjustments (sections C or D):
_________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
For TMRS Use Only
Member Deposits Updated By
Date (MM/DD/YYYY)
Please read the instructions provided with this document.
TMRS • P.O. Box 149153 • Austin, Texas 78714-9153 • 800.924.8677 • 512.476.7577 • FAX 512.476.5576 • www.
.com
TMRS - 0003 • Revised 7-2012 (instructions)
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