Employer Monthly Schedule Template
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1Employer monthly schedule
For help, refer to notes on employer deductions form.
Employer’s
1
IRD number
Period ended
This schedule is due
2
Employer Name
Gross earnings
Earnings and/or schedular
PAYE and/or
Child support
Student loan
KiwiSaver
Net KiwiSaver
3
4
5
6
7
and/or schedular
payments not liable
schedular tax
deductions
deductions
deductions
employer
payments
for ACC earners’ levy
deductions
contributions
Employee name and IRD number
Employment start and/or finish date
Surname
First name(s)
IRD number
Tax
Start
Finish
code
Day
Month
Year
Day
Month
Year
Tick if lump sum payment made
CS code
and taxed at lowest rate
00
00
Employment start and/or finish date
Surname
First name(s)
IRD number
Tax
Start
Finish
code
Day
Month
Year
Day
Month
Year
Tick if lump sum payment made
CS code
and taxed at lowest rate
00
00
Employment start and/or finish date
Surname
First name(s)
IRD number
Tax
Start
Finish
code
Day
Month
Year
Day
Month
Year
Tick if lump sum payment made
CS code
and taxed at lowest rate
00
00
Employment start and/or finish date
Surname
First name(s)
IRD number
Tax
Start
Finish
code
Day
Month
Year
Day
Month
Year
Tick if lump sum payment made
CS code
and taxed at lowest rate
00
00
Total gross earnings and/
Total earnings not liable
Total PAYE and/or
Total
Total
Total KiwiSaver
Total Net KiwiSaver
3
4
5
6
7
or schedular payments
for ACC earners’ levy
schedular tax
child support
student loan
deductions
employer contributions
00
00
If your correct daytime phone number is not shown below, print in the box
Declaration
(
)
OFFICE USE ONLY
I declare that the information given in this return is true and correct.
Operator
Corresp.
Signature
code
indicator
If your correct contact person’s name is not shown below, print in the box
/ /
Payment
Return
attached
cat.
Date
RESET form
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Parent category: Business