Federal W2 Form

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					INSTRUCTIONS                                                                                         YEAR END FRINGE BENEFIT SURVEY                                                                                                                       Notice!
Indicate employee name, and if known, the employee number.                                           Fax completed form to: 888-381-5521
Indicate if you would like federal or state income tax withheld.                                     Additional fee for amendments after December 30, 2007                                                               I expect to have 3rd Party Sick
Applicable Social Security and/or medicare taxes will be automatically applied.                      Contact TPC for further details at                                                                                  Pay payments reported after 1/1/06.
Amounts shall be reported in US Dollars.                                                             877-277-2926                                                                                                        (Please initial box, if applicable)




   CLIENT NAME:
                                                                            Default is " Yes "       ************************                                Amounts reported here will be included as income in the appropriate areas of the 2007 Form W2                            ************************
                                                                                                                                                                                                                                                 Other:             Other:   Other:       Other:

                                                                    Withhold                                                                      Health Ins to greater    Excess                 Dependent Care         Moving Expenses -
                                                                    Federal Income Withhold State    Group Term Life       Personal use of        than 2% owner of S       reimbursements for     Benefits - not already not already accounted
Employee Name                                       Emp #           Tax?           Income Tax?       Insurance > $50,000   company vehicles       Corp                     travel or mileage      accounted for          for

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                  Visit our website at www.payrollcompany.biz for valuable tools to help you calculate your Group Term Life Insurance Benefits or Personal Use of Company Vehicles Income Inclusion amount.



                            Make additional copies as necessary. Or, download from our website at www.payrollcompany.biz. FAX to 888-381-5521 prior to December 30, 2007 to avoid additional fees.

				
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Description: Federal W2 Form document sample