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STEP 1: Enter The Employer Information

     
Tax Year  
Employer Identification Number (EIN)
Business Name
Street 1
(optional) Street 2
Zip Code

(optional) Control Number
(optional) State ID Number  

STEP 2: Enter The Employee's Information

                 
Social Security #
Full Legal Name
Street
Zip Code
Taxation State
Number of Dependents        
   
Number of Exemptions        
   
Annual Salary $

Statutory employee
Retirement plan
Third-party sick pay

Tax Code Amount
12a
12b
12c
12d



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