Attention: See IRS Publications 1141, 1167, 1179 and other IRS resources for information about printing these tax forms.
|
|
|
- Aileen Woods
- 8 years ago
- Views:
Transcription
1 Attntin: This frm is prvi fr infrmatinal purpss nly. py A appars in r, similar t th fficial IRS frm. D nt fil cpy A wnla frm this wbsit with th SSA. Th fficial print vrsin f this IRS frm is scannabl, but th nlin vrsin f it, print frm this wbsit, is nt. A pnalty may b imps fr filing frms that can t b scann. S th pnaltis sctin in th currnt Gnral Instructins fr Frms W-2 an W-3 fr mr infrmatin. T rr fficial IRS frms, call TAX-FORM ( ) r Orr Infrmatin Rturns an Emplyr Rturns Onlin, an w ll mail yu th scannabl frms an thr pructs. Yu may fil Frms W-2 an W-3 lctrnically n th SSA s wbsit at Emplyr Rprting Instructins & Infrmatin. Yu can crat fill-in vrsins f Frms W-2 an W-3 fr filing with SSA. Yu may als print ut cpis fr filing with stat r lcal gvrnmnts, istributin t yur mplys, an fr yur rcrs. S IRS Publicatins 1141, 1167, 1179 an thr IRS rsurcs fr infrmatin abut printing ths tax frms.
2 22222 Vi b Emplyr intificatin numbr (EIN) a Emply s scial scurity numbr Fr Official Us Only OMB N Wags, tips, thr cmpnsatin 2 VI incm tax withhl c Emplyr s nam, arss, an ZIP c 3 Scial scurity wags 4 Scial scurity tax withhl 5 Micar wags an tips 6 Micar tax withhl 7 Scial scurity tips 8 ntrl numbr Emply s first nam an initial Last nam Suff. f Emply s arss an ZIP c 11 Nnqualifi s 12a S instructins fr bx Statutry mply 14 Othr Rtirmnt Thir-party 12 U.S. Virgin Islans Wag an Tax Statmnt 2011 py A Fr Scial Scurity Aministratin Sn this ntir pag with py A f Frm W-3SS t th Scial Scurity Aministratin; phtcpis ar nt accptabl. Frm W-2VI Dpartmnt f th Trasury Intrnal Rvnu Srvic Fr Privacy Act an Paprwrk Ructin Act Ntic, s th sparat instructins. at. N D Nt ut, Fl, r Stapl Frms n This Pag D Nt ut, Fl, r Stapl Frms n This Pag
3 22222 Vi b Emplyr intificatin numbr (EIN) a Emply s scial scurity numbr OMB N Wags, tips, thr cmpnsatin 2 VI incm tax withhl c Emplyr s nam, arss, an ZIP c 3 Scial scurity wags 4 Scial scurity tax withhl 5 Micar wags an tips 6 Micar tax withhl 7 Scial scurity tips 8 ntrl numbr Emply s first nam an initial Last nam Suff. f Emply s arss an ZIP c 11 Nnqualifi s 12a 13 Statutry mply 14 Othr Rtirmnt Thir-party 12 Frm W-2VI py 1 Fr VI Burau f Intrnal Rvnu U.S. Virgin Islans Wag an Tax Statmnt 2011 Dpartmnt f th Trasury Intrnal Rvnu Srvic
4 b Emplyr intificatin numbr (EIN) a Emply s scial scurity numbr OMB N Wags, tips, thr cmpnsatin 2 VI incm tax withhl c Emplyr s nam, arss, an ZIP c 3 Scial scurity wags 4 Scial scurity tax withhl 5 Micar wags an tips 6 Micar tax withhl 7 Scial scurity tips 8 ntrl numbr Emply s first nam an initial Last nam Suff. f Emply s arss an ZIP c 11 Nnqualifi s 12a S instructins fr bx Statutry mply 14 Othr Rtirmnt Thir-party 12 Frm W-2VI py B T B Fil With Emply s VI Tax Rturn U.S. Virgin Islans Wag an Tax Statmnt 2011 Dpartmnt f th Trasury Intrnal Rvnu Srvic This infrmatin is bing furnish t th VI Burau f Intrnal Rvnu.
5 Ntic t Emply Rfun. Evn if yu nt hav t fil a tax rturn, yu shul fil t gt a rfun if bx 2 shws VI incm tax withhl r if yu can tak th arn incm crit. pis B an ; crrctins. Fil py B f this frm with yur 2011 U.S. Virgin Islans incm tax rturn. Kp py fr yur rcrs. If yur nam, scial scurity numbr (SSN), r arss is incrrct, crrct pis B an an ask yur mplyr t crrct yur mplymnt rcr. B sur t ask yur mplyr t fil Frm W-2c, rrct Wag an Tax Statmnt, with th Scial Scurity Aministratin (SSA) t crrct any nam, amunt, r SSN rrr rprt t th SSA. Estimat tax. If yu xpct t w $1,000 r mr in tax fr 2012 (incluing slf-mplymnt tax), yu may hav t mak stimat tax paymnts t th U.S. Intrnal Rvnu Srvic. Us Frm 1040-ES, Estimat Tax fr Iniviuals. lrgy an rligius wrkrs. If yu ar nt subjct t scial scurity an Micar taxs, s Pub. 517, Scial Scurity an Othr Infrmatin fr Mmbrs f th lrgy an Rligius Wrkrs. st f mplyr-spnsr halth cvrag (if such cst is prvi by th mplyr). Th rprting in Bx 12, using DD, f th cst f mplyr-spnsr halth cvrag is fr yur infrmatin nly. Th amunt rprt with c DD is nt taxabl. rit fr xcss scial scurity tax. If n mplyr pai yu wags uring 2011 an mr than $4, in scial scurity tax was withhl, yu can claim a rfun f th xcss by filing Frm 1040 with th V.I. Burau f Intrnal Rvnu, 9601 Estat Thmas, harltt Amali, St. Thmas, VI If yu ha mr than n mplyr in 2011 an mr than $4, in scial scurity tax was withhl, yu can hav th xcss rfun by filing Frm 843, laim fr Rfun an Rqust fr Abatmnt, with th Dpartmnt f th Trasury, Intrnal Rvnu Srvic ntr, Austin, TX , USA. Hwvr, if yu ar rquir t fil Frm 1040 with th Unit Stats, yu must claim th xcss tax as a crit n Frm Unrprt tip incm. Us Frm 4137 t figur th scial scurity an Micar tax w n tips yu i nt rprt t yur mplyr. Entr this amunt n th wags lin f yur tax rturn. (Frm 1040-SS filrs, s th instructins fr Frm 1040-SS, Part I, lin 5.) By filing this frm, yur scial scurity will b crit t yur scial scurity rcr (us t figur yur bnfits). Nt. Kp py f Frm W-2VI fr at last 3 yars aftr th u at fr filing yur incm tax rturn. Hwvr, t hlp prtct yur scial scurity bnfits, kp py until yu bgin rciving scial scurity bnfits just in cas thr is a qustin abut yur wrk rcr an/r arnings in a particular yar. Rviw th infrmatin shwn n yur annual (fr wrkrs vr 25) Scial Scurity Statmnt. (Als s th Instructins fr Emply n this pag an th back f py.) Instructins fr Emply (Als s Ntic t Emply n this pag.) Bx 11. This amunt is (a) rprt in bx 1 if it is a istributin ma t yu frm a nnqualifi frr cmpnsatin r nngvrnmntal sctin 457(b), r (b) inclu in bx 3 an/r 5 if it is a prir yar frral unr a nnqualifi r any sctin 457(b) that bcam taxabl fr scial scurity an Micar taxs this yar bcaus thr is n lngr a substantial risk f frfitur f yur right t th frr amunt. Bx 12. Th fllwing list xplains th cs shwn in bx 12. Yu may n this infrmatin t cmplt yur tax rturn. Elctiv frrals (cs D, E, F, an S) an signat Rth cntributins (cs AA, BB, an EE) unr all s ar gnrally limit t a ttal f $16,500 ($11,500 if yu hav nly SIMPLE s; $19,500 fr sctin 403(b) s if yu qualify fr th 15- yar rul xplain in Pub. 571). Dfrrals unr c G ar limit t $16,500. Dfrrals unr c H ar limit t $7,000. (cntinu n back f py )
6 b Emplyr intificatin numbr (EIN) a Emply s scial scurity numbr OMB N Wags, tips, thr cmpnsatin 2 VI incm tax withhl c Emplyr s nam, arss, an ZIP c 3 Scial scurity wags 4 Scial scurity tax withhl 5 Micar wags an tips 6 Micar tax withhl 7 Scial scurity tips 8 ntrl numbr Emply s first nam an initial Last nam Suff. f Emply s arss an ZIP c 11 Nnqualifi s 12a S instructins fr bx Statutry mply 14 Othr Rtirmnt Thir-party 12 Frm W-2VI U.S. Virgin Islans Wag an Tax Statmnt 2011 py Fr EMPLOYEE'S REORDS (S Ntic t Emply n th back f py B.) Dpartmnt f th Trasury Intrnal Rvnu Srvic This infrmatin is bing furnish t th VI Burau f Intrnal Rvnu.
7 Instructins fr Emply (cntinu frm back f py B) Bx 12 (cntinu) Hwvr, if yu wr at last ag 50 in 2011, yur mplyr may hav allw an aitinal frral f up t $5,500 ($2,500 fr sctin 401(k)(11) an 408(p) SIMPLE s). This aitinal frral amunt is nt subjct t th vrall limit n lctiv frrals. Fr c G, th limit n lctiv frrals may b highr fr th last 3 yars bfr yu rach rtirmnt ag. ntact yur aministratr fr mr infrmatin. Amunts in xcss f th vrall lctiv frral limit must b inclu in incm. S th Wags, salaris, tips, tc. lin instructins fr yur tax rturn. Nt. If a yar fllws c D thrugh H, S, Y, AA, BB, r EE, yu ma a mak-up pnsin cntributin fr a prir yar(s) whn yu wr in military srvic. T figur whthr yu ma xcss frrals, cnsir ths amunts fr th yar shwn, nt th currnt yar. If n yar is shwn, th cntributins ar fr th currnt yar. A Uncllct scial scurity tax n tips. Rprt n U.S. Frm 1040, r n Frm 1040-SS if nt rquir t fil Frm B Uncllct Micar tax n tips. Rprt n U.S. Frm 1040, r n Frm 1040-SS if nt rquir t fil Frm Taxabl cst f grup-trm lif insuranc vr $50,000 (inclu in bxs 1, 3 (up t scial scurity wag bas), an 5). D Elctiv frrals t a sctin 401(k) cash r frr arrangmnt. Als inclus frrals unr a SIMPLE rtirmnt accunt that is part f a sctin 401(k) arrangmnt. E Elctiv frrals unr a sctin 403(b) salary ructin agrmnt. F Elctiv frrals unr a sctin 408(k)(6) salary ructin SEP. G Elctiv frrals an mplyr cntributins (incluing nnlctiv frrals) t a sctin 457(b) frr cmpnsatin. H Elctiv frrals t a sctin 501(c)(18)(D) tax-xmpt rganizatin. (Yu may b abl t uct.) J Nntaxabl (infrmatin nly, nt inclu in bxs 1, 3, r 5). M Uncllct scial scurity tax n taxabl cst f grup-trm lif insuranc vr $50,000 (frmr mplys nly). Rprt n U.S. Frm 1040, r n Frm 1040-SS if nt rquir t fil Frm N Uncllct Micar tax n taxabl cst f grup-trm lif insuranc vr $50,000 (frmr mplys nly). Rprt n U.S. Frm 1040, r n Frm 1040-SS if nt rquir t fil Frm P Excluabl mving xpns rimbursmnts pai irctly t mply (nt inclu in bxs 1, 3, r 5). Q Nntaxabl cmbat pay. S yur tax rturn instructins fr tails n rprting this amunt. R Emplyr cntributins t yur Archr MSA. Rprt n Frm 8853, Archr MSAs an Lng-Trm ar Insuranc ntracts. S Emply salary ructin cntributins unr a sctin 408(p) SIMPLE (nt inclu in bx 1). T Aptin bnfits (nt inclu in bx 1). mplt Frm 8839, Qualifi Aptin Expnss, t figur taxabl an nntaxabl amunts. V Incm frm xrcis f nnstatutry stck ptin(s) (inclu in bxs 1, 3 (up t scial scurity wag bas), an 5). S Pub. 525 an instructins fr Schul D (Frm 1040) fr rprting rquirmnts. W Emplyr cntributins (incluing amunts th mply lct t cntribut using a sctin 125 (caftria) ) t yur halth savings accunt (HSA). Rprt n Frm 8889, Halth Savings Accunts (HSAs). Y Dfrrals unr a sctin 409A nnqualifi frr cmpnsatin. Z Incm unr sctin 409A n a nnqualifi frr cmpnsatin. This amunt is als inclu in bx 1. It is subjct t an aitinal 20% tax plus intrst. S Ttal Tax in th instructins fr yur tax rturn. AA Dsignat Rth cntributins unr a sctin 401(k). BB Dsignat Rth cntributins unr a sctin 403(b). DD st f mplyr-spnsr halth cvrag. Th amunt rprt with c DD is nt taxabl. EE Dsignat Rth cntributins unr a gvrnmntal sctin 457(b). This amunt s nt apply t cntributins unr a tax-xmpt rganizatin sctin 457(b). Bx 13. If th Rtirmnt bx is chck, spcial limits may apply t th amunt f traitinal IRA cntributins that yu may uct.
8 Vi b Emplyr intificatin numbr (EIN) a Emply s scial scurity numbr OMB N Wags, tips, thr cmpnsatin 2 VI incm tax withhl c Emplyr s nam, arss, an ZIP c 3 Scial scurity wags 4 Scial scurity tax withhl 5 Micar wags an tips 6 Micar tax withhl 7 Scial scurity tips 8 ntrl numbr Emply s first nam an initial Last nam Suff. f Emply s arss an ZIP c 11 Nnqualifi s 12a S instructins fr bx Statutry mply 14 Othr Rtirmnt Thir-party 12 Frm W-2VI py D Fr Emplyr U.S. Virgin Islans Wag an Tax Statmnt 2011 Dpartmnt f th Trasury Intrnal Rvnu Srvic Fr Privacy Act an Paprwrk Ructin Act Ntic, s th sparat instructins.
9 Emplyrs, Plas Nt Fr spcific infrmatin n t cmplt Frm W-2VI, s th 2011 Instructins fr Frms W-2AS, W-2GU, W-2VI, an W-3SS. Yu can rr ths instructins an aitinal frms by calling tll fr TAX-FORM ( ). Yu can als gt frms an instructins at IRS.gv. autin. Yu cannt fil py A wnla frm th IRS wbsit with th SSA bcaus th nlin vrsin print frm this wbsit is nt scannabl. Yu must us th fficial print vrsin f this frm r us th SSA's nlin applicatin t crat a fill-in vrsin f th frm. N hlp? If yu hav qustins abut rprting n Frm W-2VI, call th infrmatin rprting custmr srvic sit tll fr at r (nt tll fr). Fr TTY/TDD quipmnt, call (nt tll fr). Th hurs f pratin ar 8:30 a.m. t 4:30 p.m., Eastrn tim. Wh must fil. Fil Frm W-2VI fr ach mply t whm any f th fllwing itms appli uring Yu withhl VI incm tax r scial scurity an Micar taxs. Yu wul hav withhl VI incm tax if th mply ha nt claim mr than n withhling allwanc. Yu pai any amunt fr srvics if yu ar in a tra r businss. Inclu th cash valu f any paymnt yu ma that was nt in cash. Distributin f cpis. By January 31, 2012, furnish pis B an t ach prsn wh was yur mply uring Fr anyn wh stpp wrking fr yu bfr th n f 2011, yu can furnish pis B an any tim aftr mplymnt ns but n latr than January 31, If th mply asks fr Frm W-2VI, furnish th cmplt cpis within 30 ays f th rqust r within 30 ays f th final wag paymnt, whichvr is latr. Nt. If yu trminat yur businss, s th ruls n furnishing an filing Frms W-2VI an W-3SS unr Trminating a businss in th sparat instructins. Whn t fil. By Fbruary 29, 2012, sn py A f Frms W-2VI an W-3SS t th SSA. Hwvr, if yu fil lctrnically, th u at is April 2, S th sparat instructins. Rprting lctrnically. If yu fil 250 r mr Frms W-2VI, yu must fil lctrnically. E-filing can sav yu tim an ffrt, vn if yu ar nt rquir t s. Emplyrs may nw us th SSA's W-2 Onlin srvic t crat, sav, print, an submit up t 20 Frms W-2VI at a tim vr th Intrnt. Fr infrmatin, visit SSA s Emplyr W-2 Filing Instructins & Infrmatin wbsit at r cntact yur Emplyr Srvics Liaisn Officr (ESLO) at (nt tll fr).
For Official Use Only OMB No. 1545-0008 1 Wages, tips, other compensation 2 Federal income tax withheld
Attntin: This frm is prvi fr infrmatinal purpss nly. py A appars in r, similar t th fficial IRS frm. D nt fil cpy A wnla frm this wbsit with th SSA. Th fficial print vrsin f this IRS frm is scannabl, but
Do Not Cut, Fold, or Staple Forms on This Page Do Not Cut, Fold, or Staple Forms on This Page
22222 Vi b Emplyr intificatin numbr (EIN) a Emply s scial scurity numbr Fr Official Us Only OMB N. 1545-0008 1 Wags, tips, thr cmpnsatin 2 Fral incm tax withhl c Emplyr s nam, arss, an ZIP c 3 Scial scurity
Attention: See IRS Publications 1141, 1167, 1179 and other IRS resources for information about printing these tax forms.
Attntin: This frm is prvi fr infrmatinal purpss nly. py A appars in r, similar t th fficial IRS frm. D nt fil cpy A wnla frm this wbsit with th SSA. Th fficial print vrsin f this IRS frm is scannabl, but
7.1. Nicole s W-2 Wage and Tax Statement W-2 VISUAL. THEME 2 Lesson 7: Uncle Sam Takes a Bite 123-45-6789 1,822.00 00000000 24,050.
VISUA. THM 2 ssn : Uncl Sam Taks a Bit Nicl s W-2 Wag an Tax Statmnt b mplyr intificatin numbr (IN) c mplyr s nam, arss, an ZIP c a mply s scial scurity numbr 00000000 2,00.00 Yurtwn Supprt Srvics Braway
Income Tax Training School. Independent Contractors Taxation Mini-Course
A & B Offic Incm Tax Training Schl Inpnnt ntractrs Taxatin Mini-urs This Mini-urs cntains a cmprhnsiv xampl f Schul an qustins an answrs that will strngthn yur knwlg. Larn Hw T: Diffrntiat Emply Frm Inpnnt
TAX ARTICLES: FORM W-2
TAX ARTICLES: FORM W-2 Frm W-2: Wage and Tax Statement reprts yur wages and the taxes withheld frm them. Yur emplyer is required t give yu a 2014 W-2 by Jan. 31, 2015. Yur emplyer keeps a cpy fr recrdkeeping.
Special Tax Notice Regarding 403(b) (TSA) Distributions
Special Tax Ntice Regarding 403(b) (TSA) Distributins P.O. Bx 7893 Madisn, WI 53707-7893 1-800-279-4030 Fax: (608) 237-2529 The IRS requires us t prvide yu with a cpy f the Explanatin f Direct Rllver,
B-285141. April 21, 2000. The Honorable Charles B. Rangel Ranking Minority Member Committee on Ways and Means House of Representatives
Unit Stats Gnral Accounting Offic Washington, DC 20548 Halth, Eucation, an Human Srvics Division B-285141 April 21, 2000 Th Honorabl Charls B. Rangl Ranking Minority Mmbr Committ on Ways an Mans Hous of
Payment Options Check Payable to Account Holder* Electronic Funds Transfer (ACH) $5.00 Maintain IRA with The Bancorp (contact us for options)
Dear Custmer: Thank yu fr cntacting Custmer Care regarding the clsure f yur Individual Retirement Accunt (IRA). In rder t prcess yur request, please cmplete the enclsed Request fr Distributin frm. Yu may
TAX CREDIT PROGRAMS FOR INTERNATIONAL FINANCIAL CENTRES SUMMARY OF THE PROGRAMS
TAX CREDIT PROGRAMS FOR INTERNATIONAL FINANCIAL CENTRES SUMMARY OF THE PROGRAMS OCTOBER 2015 TAX CREDIT PROGRAMS FOR INTERNATIONAL FINANCIAL CENTRES (IFCs) ELIGIBILITY CRITERIA Eligible activities A crpratin
Free ACA SOLUTION (IRS 1094&1095 Reporting)
Fr ACA SOLUTION (IRS 1094&1095 Rporting) Th Insuranc Exchang (301) 279-1062 ACA Srvics Transmit IRS Form 1094 -C for mployrs Print & mail IRS Form 1095-C to mploys HR Assist 360 will gnrat th 1095 s for
1 Employee or self-employed person s Archer MSA contributions made in 2014 and 2015 for 2014 $ 2 Total contributions made in 2014 6 HSA.
Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version
2015-16 Independent Verification Worksheet for HSC Students
15IVHP 2015-16 Independent Verificatin Wrksheet fr HSC Students Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing infrmatin frm yur
R o t h IRAs : How They W o r k and How to Use Them
R t h IRAs : Hw They W r k and Hw t Use Them Rth IRAs differ frm ther tax-favred retirement plans, including ther IRAs (called "traditinal IRAs"), in that they prmise cmplete tax exemptin n distributin.
University of Texas at Tyler 2015-2016 Special Circumstances Request Independent Student
University f Texas at Tyler 2015-2016 Special Circumstances Request Independent Student Student Name: ID#: Sectin I. In accrdance with Federal regulatins, student and spuse 2014 incme is used t determine
UW Tacoma Cashier s Office Orientation. Tuition and Fee Payments Authorization Release Other Important Information
UW Tacma Cashier s Office Orientatin Tuitin and Fee Payments Authrizatin Release Other Imprtant Infrmatin Presented by Finance and Administratin CAR 400 Carltn Center 1551 Bradway This is where yu will
401(k) Savings Plan Annual Incentive Compensation Election Special Considerations for Deferred Compensation Plan Participants
Nvember 2014 401(k) Savings Plan Annual Incentive Cmpensatin Electin Special Cnsideratins fr Deferred Cmpensatin Plan Participants This dcument is a supplement t the U.S. Retirement Savings Prgram materials
ES PROCEDURES FOR OVERPAYMENT RECOVERY
ES PROCEDURES FOR OVERPAYMENT RECOVERY Effective: 7/1/2012 Respnsible Office: Emplyee Services (ES) Apprved: ES Directr Applicatin: All Emplyees f the University f Clrad Plicy The University f Clrad will
FTE is defined as an employee who is employed on average at least 30 hours of service per week.
On March 23, 2010, President Barack Obama signed int law cmprehensive health care refrm legislatin, the Patient Prtectin and Affrdable Care Act (H.R. 3590) passed in the Senate. The Health Care and Educatin
This is a list of items you should bring to the Income Tax Appointment
A P R O F E S S I O N A L M A I N T A I N I N G Y O U R F I N A N C I A L R E C O R D S My-Online-Tax-Accuntant.cm This is a list f items yu shuld bring t the Incme Tax Appintment 1. Scial Security Card(s)
Tips to Prepare for Quarter-End and Year-End
Tips t Prepare fr Quarter-End and Year-End Melissa Wd Cnsultant What We ll Cver 1. Tying ut A/P 2. Tying ut A/R 3. Tying ut I/N 4. Wrk In Prgress 5. Managing Jbs and PMs 6. Quarterly Payrll 7. Clsing a
Request for Taxable Conversion to WEAC Roth IRA
P.O. Bx 7893 Madisn, WI 53707-7893 Phne: 1-800-279-4030 Fax: (608) 237-2529 Prducer cde: Request fr Taxable Cnversin t WEAC Rth IRA If yu are cnverting frm mre than ne cmpany, please cmplete a separate
Comprehensive Health Management, Inc. 401(k) Retirement Savings Plan Rollover Contribution Instructions
T. Rwe Price Retirement Plan Services, Inc. P.O. Bx 17215 Baltimre, Maryland 21297-1215 4515 Painters Mill Rad Owings Mills, Maryland 21117-4903 Cmprehensive Health Management, Inc. 401(k) Retirement Savings
o I hereby request a total SURRENDER of my contract/certificate (please enclose).
Distributin Request Frm Prtective Life Insurance Cmpany (PLICO/"the Cmpany") Prtective Life and Annuity Insurance Cmpany (PLAIC/"the Cmpany") Cntract Owner Custmer Service Office: Cntract Annuitant P.O.
(y IN1"ERNAL REVENUE "P.O.BOX2508 CINCINNATI, OH
-,! (y IN1"ERNAL REVENUE "P.O.BOX2508 CINCINNATI, OH Date: SERVICE 45201 MAR 2 4 'l.oo~ C/O SCOTT W HANSEN NINE EXCHANGE PL STE 801 SALT LAKE CITY, UT 84111 DEPARTMENT OF THE TREASURY Emplyer Identificatin
Remember you can apply online. It s quick and easy. Go to www.gov.uk/advancedlearningloans. Title. Forename(s) Surname. Sex. Male Date of birth D
24+ Advancd Larning Loan Application form Rmmbr you can apply onlin. It s quick and asy. Go to www.gov.uk/advancdlarningloans About this form Complt this form if: you r studying an ligibl cours at an approvd
Understanding a new kind of financial assistance. Jessica Dunbar, Individual Market Manager
Understanding a new kind f financial assistance Jessica Dunbar, Individual Market Manager Financial Assistance thrugh Cnnect fr Health Clrad-Agenda Overview f regulatins and streamlining eligibility fr
Workers Compensation Employee Packet
Wrkers Cmpensatin Emplyee Packet Cmplete the fllwing frms and return t Meagan Vrhies, Claims Crdinatr via fax (817) 735-0127, email at Meagan.Vrhies@untsystem.edu r in persn at Human Resurce Services (EAD-280).
Solo 401(k)s Self-Directed Retirement Accounts for Sole Proprietors & Small Business Owners
Sl 401(k)s Self-Directed Retirement Accunts fr Sle Prprietrs & Small Business Owners 2008 Security Trust Cmpany Security Trust Cmpany Security Trust Cmpany is a retirement plan administratr nly and des
Compensation Texas Tax Code 171.1013 Rule 3.589
Cmpensatin Texas Tax Cde 171.1013 Rule 3.589 Presented by: Franchise Tax Plicy Staff Organizer: Janet Spies Panelists: Teresa Bstick, Claire Jamal, Jerry Oxfrd, Jennifer Specchi, and Bill Yrk Margin Cmpensatin
Increasing Net Debt as a percentage of Average Equalized ValuaOon
City of Orang Township Warning Trnd: Incrasing Nt Dbt as a prcntag of avrag qualizd valuation Nt Dbt 3 yr. Avg. qualizd Valuation Incrasing Nt Dbt as a prcntag of Avrag Equalizd ValuaOon rc 1.20% 1.00%
FORMS REQUIRED: FORM 1040A, SCH 2, SCH 3, FORM 8888,IT540, SCH E, SCH G, 2007 LOUISIANA REFUNDABLE CHILD CARE CREDIT WORKSHEET
IRSTST #11 LATST #9 FORMS RQUIRD: FORM 1040A SCH 2 SCH 3 FORM 8888IT540 SCH SCH G 27 LOUISIANA RFUNDABL CHILD CAR CRDIT WORKSHT INFORMATION RTURNS ATTACHD: FORM W-2 NTRIS NOT RQUIRING FORMS: STATMNTS:
The SHOP Marketplace. August 14, 2014
The SHOP Marketplace August 14, 2014 What is the SHOP Marketplace? SHOP = Small Business Health Optins Prgram Part f the Health Insurance Marketplace created by the Affrdable Care Act (ACA) Offers emplyers
efusion Table of Contents
efusin Cst Centers, Partner Funding, VAT/GST and ERP Link Table f Cntents Cst Centers... 2 Admin Setup... 2 Cst Center Step in Create Prgram... 2 Allcatin Types... 3 Assciate Payments with Cst Centers...
CLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS
CLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS Only the Ministry f Training, Clleges & Universities can cnsider clearance reviews fr mst ther student restrictin issues. These
Sonny s Franchise Company 201 North New York Avenue 3rd floor Winter Park, FL 32789
Snny s Franchise Cmpany 201 Nrth New Yrk Avenue 3rd flr Winter Park, FL 32789 Phne: (407) 660-8888 Fax: (407) 660-1285 Email: sates@snnysbbq.cm Name Address PRELIMINARY FRANCHISE APPLICATION Befre filling
insurers cannot deny coverage for patients with preexisting conditions or because an insured got sick;
The Affrdable Care Act Health Insurance Respnsibilities f Large, Midsize & Small Emplyers; Buying Insurance n the Individual Health Insurance Marketplace and the Small Business Health Optins Prgram Intrductin:
Welcome to CNIPS Training: CACFP Claim Entry
Welcme t CNIPS Training: CACFP Claim Entry General Cmments frm SCN CACFP claiming begins with submissin f the Octber claim due by Nvember 15, 2012. Timelines/Due Dates With CNIPS, SCN will cntinue t enfrce
LOUISIANA TECH UNIVERSITY Division of Student Financial Aid Post Office Box 7925 Ruston, LA 71272
LOUISIANA TECH UNIVERSITY Divisin f Student Financial Aid Pst Office Bx 7925 Rustn, LA 71272 Dear Financial Aid Applicant, Accrding t yur 2011-2012 Student Aid Reprt (SAR), yu did nt include any parental
High Deductible Health Plan/ Health Savings Account Presentation
High Deductible Health Plan/ Health Savings Accunt Presentatin WHY CHANGE? Future plan structured s emplyees will think and act differently Prmte preventin and getting healthier Prmtes cnsumerism Current
Maryland General Service (MGS) Area 29 Treatment Facilities Committee (TFC) TFC Instructions
Maryland General Service (MGS) Area 29 Treatment Facilities Cmmittee (TFC) TFC Instructins Lve And Service Facility Presentatin t Patients We are frm Alchlics Annymus (AA), fr AA, and ur service is fr
Financial Aid Summary: Get Money for College
Financial Aid Summary: Get Mney fr Cllege Whether yu're enrlling in cllege fr the first time r returning t schl after a perid f time ff, yu shuld apply fr federal student aid. Federal student aid frm the
How to put together a Workforce Development Fund (WDF) claim 2015/16
Index Page 2 Hw t put tgether a Wrkfrce Develpment Fund (WDF) claim 2015/16 Intrductin What eligibility criteria d my establishment/s need t meet? Natinal Minimum Data Set fr Scial Care (NMDS-SC) and WDF
APPENDIX 1C Benefit Information for WITC Management 2014-2015
U Benefit Infrmatin fr WITC Management 2014-2015 ELIGIBILITY Full Time 1,560 t 1,950 hurs per year Part Time 1,000 t 1,559 hurs (benefits with an * apply and/r are prrated) GROUP MEDICAL INSURANCE Tw medical
Durango Merchant Services QuickBooks SyncPay
Durang Merchant Services QuickBks SyncPay Gateway Plug-In Dcumentatin April 2011 Durang-Direct.cm 866-415-2636-1 - QuickBks Gateway Plug-In Dcumentatin... - 3 - Installatin... - 3 - Initial Setup... -
CSAT Account Management
CSAT Accunt Management User Guide March 2011 Versin 2.1 U.S. Department f Hmeland Security 1 CSAT Accunt Management User Guide Table f Cntents 1. Overview... 1 1.1 CSAT User Rles... 1 1.2 When t Update
IRS Instructions for Employee Copies of 2015 W-2 Forms
Notice to Employee IRS Instructions for Employee Copies of 2015 W-2 Forms Do you have to file? Refer to the Form 1040 Instructions to determine if you are required to file a tax return. Even if you do
How To Tax An Hsa Distributin
Brught t yu by Haylr, Freyer & Cn, Inc. Health Savings Accunts (HSAs) Distributin Rules A Health Savings Accunt (HSA) is a trust r accunt used t pay medical expenses that a high deductible health plan
1 Gross distribution. 3 Distribution code 4 FMV on date of death. 5 HSA Archer MSA MSA
Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version
Account Switch Kit. Locations. HACKLEBURG PO DRAWER A 34888 US HWY 43 HACKLEBURG, AL 35564 Phone: (205)395-1944 Fax: (205)935-3349
Member FDIC "Hmetwn Banking... Accunt Switch Kit... Mving Made Easy" Lcatins HAMILTON PO BO 189 1281 MILITARY ST S HAMILTON, AL 35570 Phne: (205)921-9400 Fax: (205)921-9708 HACKLEBURG PO DRAWER A 34888
Econ 371: Answer Key for Problem Set 1 (Chapter 12-13)
con 37: Answr Ky for Problm St (Chaptr 2-3) Instructor: Kanda Naknoi Sptmbr 4, 2005. (2 points) Is it possibl for a country to hav a currnt account dficit at th sam tim and has a surplus in its balanc
Taking All the Credit: Tax Credits That Could Give Your Family a Break
Taking All the Credit: Tax Credits That Culd Give Yur Family a Break Vlume 26 Tax seasn is here again! D yu fear ding yur taxes r feel that it is a chre? It desn't have t be scary r take a lt f wrk. If
Application Fee Schedule Please check the appropriate box below. See also Additional Information starting on page 6.
DRIVING SCHOOL LICENSE APPLICATION N. APPLICATION DMV USE ONLY N. LICENSE Received Fee Amunt Expiratin Fee Amunt PART 1 Schl Infrmatin: l READ VEHICLE AND TRAFFIC LAW SECTION 394 AND DMV COMMISSIONER S
SCHOLARSHIP APPLICATION
Assciatin f State Dam Safety Officials UNDERGRADUATE SCHOLARSHIP APPLICATION SUBMIT APPLICATION AND ATTACHMENTS POSTMARKED BY MARCH 31, 2016 TO: Assciatin f State Dam Safety Officials 239 S. Limestne Lexingtn,
FAQs regarding our system upgrade
FAQs regarding ur system upgrade 1) Q: Why are yu upgrading yur cre data prcessing system? A: An upgrade is the act f making smething better, such as an imprved experience r a human interactin. At Arsenal
Texas Education Data Standards (TEDS) Public Education Information Management System (PEIMS) Appendix 8.A PEIMS Data Overview
Texas Educatin Data Standards (TEDS) Public Educatin Infrmatin Management System (PEIMS) Appendix 8.A PEIMS Data Overview Preliminary Versin 2017.P.1.0 Dec. 1, 2015 Prepared by: State Educatin Data Systems
2. Visit the Admissions section of the TCC website http://www.tcc.edu/students/admissions/. Follow steps #1-3.
Dear Early Childcare Educatr, We are pleased t infrm yu that GrwSmart is nw accepting applicatins fr teacher schlarships fr the upcming semester. Please share the fllwing infrmatin with yur clleagues and
Release Notes Yearli Desktop 2014, Quarter 3 update 2
Release Ntes Yearli Desktp 2014, Quarter 3 update 2 The update cntained general maintenance nt visible t the user. Yearli Desktp 2014, Quarter 3 update 1 Enhancements Winfiler has a new name - Yearli Desktp
990 e-postcard FAQ. Is there a charge to file form 990-N (e-postcard)? No, the e-postcard system is completely free.
990 e-pstcard FAQ Fr frequently asked questins abut filing the e-pstcard that are nt listed belw, brwse the FAQ at http://epstcard.frm990.rg/frmtsfaq.asp# (cpy and paste this link t yur brwser). General
VET FEE-HELP Frequently Asked Questions for Students May 2010
Hw d I apply? VET FEE-HELP Frequently Asked Questins fr Students May 2010 If yu are eligible fr VET FEE-HELP assistance and wuld like t btain a VET FEE-HELP lan, yu shuld btain a Request fr VET FEE-HELP
Who uses our services? We have a growing customer base. with institutions all around the globe.
not taking xpr Srvic Guid 2013 / 2014 NTE i an affordabl option for audio to txt convrion. Our rvic includ not or dirct trancription rvic from prviouly rcordd audio fil. Our rvic appal pcially to tudnt
March 2016 Group A Payment Issues: Missing Information-Loss Calculation letters ( MILC ) - deficiency resolutions: Outstanding appeals:
The fllwing tpics were discussed in the March 24, 2016 meeting with law firms representing VCF claimants. Grup A Payment Issues: We cntinue t fcus n paying Grup A claims in full and are meeting the schedule
In preparation for transition, please note the following dates and related actions:
March 13 th, 2014 ACTION REQUIRED: Effective date f change April 27 th, 2015 Dear Valued Supplier, Beginning April 27 th, 2015 Zetis is mving t new ERP system (SAP) fr the US rganizatin that will enable
Application for 477 Services
An Indian Rerganizatin Act Village Under Act f Cngress June 15 th, 1935 32 Chilkat Ave. Klukwan, Alaska 99827 HC60 Bx 2207 Haines, Alaska 99827 Phne: 907-767-5505 Fax: 907-767-5408 klukwan@chilkat-nsn.gv
NATIONAL PAYROLL OFFICE QUICKPAYS
Page 1 NATIONAL PAYROLL OFFICE QUICKPAYS Created by Finance Page 1 f 5 QMS_Quickpays Initial date: 1 June 2012 Reviewed: 09 December 2014 Printed cpies f this dcument are nt cntrlled. Refer t the HCA intranet
NATIONAL OPEN UNIVERSITY OF NIGERIA. B. Sc Data Management. in the. School of Science & Technology
NATIONAL OPEN UNIVERSITY OF NIGERIA B. Sc Data Managmnt in th Schl f Scinc & Tchnlgy Fbruary, 2016 1 Prgramm : 5204 100 Lvls urs urs Titl Unit Status 1 st Smstr GST 101 Us f English an mmunicatin Skills
SBClient and Microsoft Windows Terminal Server (Including Citrix Server)
SBClient and Micrsft Windws Terminal Server (Including Citrix Server) Cntents 1. Intrductin 2. SBClient Cmpatibility Infrmatin 3. SBClient Terminal Server Installatin Instructins 4. Reslving Perfrmance
College Application Process
Cllege Applicatin Prcess Crystal Lake Suth High Schl 2015-2016 Students, This packet shuld serve as a guideline fr all students that are filling ut cllege applicatins. The steps utlined in the fllwing
iphone Mobile Application Guide Version 2.2.2
iphne Mbile Applicatin Guide Versin 2.2.2 March 26, 2014 Fr the latest update, please visit ur website: www.frte.net/mbile Frte Payment Systems, Inc. 500 West Bethany, Suite 200 Allen, Texas 75013 (800)
2016-17 Independent Verification Worksheet for HSC Students
16IVHP 2016-17 Independent Verificatin Wrksheet fr HSC Students Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing infrmatin frm yur
Moving Expenses CATS. Vickie Fry, University Tax Manager Cassandra Franks, Tax Compliance Officer University Tax Services.
Mving Expenses CATS Vickie Fry, University Tax Manager Cassandra Franks, Tax Cmpliance Officer University Tax Services Mving Expenses What is it? Wh gets it? Hw d we pay fr it? What are the limitatins?
The Ohio Board of Regents Credit When It s Due process identifies students who
Credit When It s Due/ Reverse Transfer FAQ fr students Ohi is participating in a natinal grant initiative, Credit When It s Due, designed t implement reverse-transfer, which is a prcess t award assciate
WHAT YOU NEED TO KNOW ABOUT. Protecting your Privacy
WHAT YOU NEED TO KNOW ABOUT Prtecting yur Privacy YOUR PRIVACY IS OUR PRIORITY Credit unins have a histry f respecting the privacy f ur members and custmers. Yur Bard f Directrs has adpted the Credit Unin
2015 AP Test Fee Program for Low-Income Students Procedures and Requirements
Cntents: 1. Overview 2. Requirements fr Schls 3. Student Eligibility Criteria 4. AP Test Fee Prgram Summary and Assurances Frm 1. Overview The Tennessee Department f Educatin (TDOE) will use funds frm
IntelliBPM. The next generation Business Performance Management Tool. Executive Summary: Market Demand: Problem:
IntlliBPM Th nxt gnratin Businss Prfrmanc Managmnt Tl IntlliBPM is a ttal Businss Prfrmanc Managmnt (BPM) and gnratin platfrm dsignd t assist businsss gnrat a flxibl and dynamic BPM slutin. It is rspnsiv
SWARTHMORE GIFT PLANNING
SWARTHMORE GIFT PLANNING Gift Basics Thank yu fr serving as a 50 th reunin gift planning representative fr yur class. Yur supprt fr the Cllege and yur membership in the Swarthmre Legacy Circle will serve
Town of Windham. Property Tax Credit & Exemption Programs - RSA 72
Twn f Windham Prperty Tax Credit & Exemptin Prgrams - RSA 72 T be eligible, Applicant must file a request, in persn, with the Assessr s Office n r befre April 15 th f any given year, and Applicant must
First-Time Setup of Mozilla Thunderbird v1.5 for Windows, MacOS X, and Unix for Polytechnic University s E-mail Systems
First-Time Setup f Mzilla Thunderbird v1.5 fr Windws, MacOS X, and Unix fr Plytechnic University s E-mail Systems Overview The fllwing instructins will assist yu in the first-time setup f Mzilla Thunderbird
Tritinenna Welding
A Glance at the Trade Adjustment Assistance Reauthrizatin Act f 2015 The infrmatin cntained in this guide applies t petitins filed n r after January 1, 2014 (identified by petitin numbers that are 85,000
Point2 Property Manager Quick Setup Guide
Click the Setup Tab Mst f what yu need t get started using Pint 2 Prperty Manager has already been taken care f fr yu. T begin setting up yur data in Pint2 Prperty Manager, make sure yu have cmpleted the
Dear Flexible Spending Account (FSA) Enrollee:
Dear Flexible Spending Accunt (FSA) Enrllee: Welcme t yur FSA Plan! Yu nw have 24x7 access t all yur FSA needs n the web. T access yur accunt simply lgn t www.fsa4me.cm. Yur user name is yur first initial,
NAVIPLAN PREMIUM LEARNING GUIDE. Existing insurance coverage
NAVIPLAN PREMIUM LEARNING GUIDE Existing insurance cverage Cntents Existing insurance cverage 1 Learning bjectives 1 NaviPlan planning stages 1 Client case 2 Enter yur clients existing life, disability,
The Family Cost Share system is designed so families with the ability to pay will share in the cost of services.
Paying fr Early Childhd Interventin Services What is ECI? Texas Early Childhd Interventin (ECI) prgrams serve families with children birth t 36 mnths with develpmental delays r disabilities. ECI prvides
o o Thank you for choosing Clover Park Technical College! We look forward to welcoming you to CPTC soon!
Thank yu fr requesting the CPTC Internatinal Admissin Applicatin Packet! T cmplete yur admissin, please fill ut the fllwing frms and submit with the dcuments belw: FORMS Internatinal Educatin Admissins
1 Date option granted. 2 Date option exercised. 3 Fair market value per share on grant date. $ 5 Exercise price paid per share
Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version
A Guide to Understanding and Claiming the Disability Tax Credit:
A Guide t Understanding and Claiming the Disability Tax Credit: The Gvernment f Canada ffers a variety f tax benefits t peple with disabilities. These benefits are prvided under the assumptin that peple
WatchDox for Windows User Guide
WatchDx fr Windws User Guide Versin 3.9.7 Cnfidentiality This dcument cntains cnfidential material that is prprietary WatchDx. The infrmatin and ideas herein may nt be disclsed t any unauthrized individuals
State Aid to the Needy Disabled-AND/ NO MEDICAID
Belw is a brief descriptin f Adult Financial, Adult Medical, MSP and Lng Term Care Prgrams in Clrad. This infrmatin will assist yu in determining which prgram is mst suited t yur needs r situatin. Fr additinal
APPENDIX 1D Benefit Information for WITC Support and Technical Personnel 2016-2017
ELIGIBILITY Full Time 1,560 t 1,950 hurs per year Part Time 1,000 t 1,559 hurs (benefits with an * apply and/r are prrated) GROUP MEDICAL INSURANCE Three medical plans t chse frm: 80/20 Netwrk, Cnsumer
3/2 MBA Application Instructions
3/2 MBA Applicatin Instructins IMPORTANT INFORMATION Deadlines fr admissin are psted t the 3/2 MBA website. Applicatins are encuraged t be submitted by Nvember 1 f the Junir year. Please nte that all required
Improved ADP and ACP Safe Harbor Plan Designs
Imprtant Infrmatin Plan Administratin and Operatin April 2000* Imprved ADP and ACP Safe Harbr Plan Designs WHO'S AFFECTED This infrmatin applies t defined cntributin plans with a 401(k) feature r emplyer
CenterPoint Accounting for Agriculture Network (Domain) Installation Instructions
CenterPint Accunting fr Agriculture Netwrk (Dmain) Installatin Instructins Dcument # Prduct Mdule Categry 2257 CenterPint CenterPint Installatin This dcument describes the dmain netwrk installatin prcess
FundingEdge. Guide to Business Cash Advance & Bank Statement Loan Programs
Guide t Business Cash Advance & Bank Statement Lan Prgrams Cash Advances: $2,500 - $1,000,000 Business Bank Statement Lans: $5,000 - $500,000 Canada Cash Advances: $5,000 - $500,000 (must have 9 mnths
North Carolina Department of Commerce Division of Employment Security
Nrth Carlina Department f Cmmerce Divisin f Emplyment Security Pat McCrry, Gvernr Sharn Allred Decker, Secretary Dale R. Flwell, Assistant Secretary May 20, 2013 TO: FROM: SUBJECT: Nrth Carlina Emplyers,
Office Use Only Account # Approved By:
Office Use Only Accunt # Apprved By: Dealer Applicatin Please cmplete and submit this applicatin alng with a cpy f yur (EIN) Federal Tax Id Number certificate befre placing yur 1 st rder. We will review
1 Gross distribution. $ 2 Earnings. $ 3 Basis. $ 5 Check one: Qualified tuition program. Private or State. Coverdell ESA
Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version
Social Assistance Management System (SAMS) implementation overview Immediate impacts to Ontario Works and ODSP recipients in November 2014
Scial Assistance Management System (SAMS) implementatin verview Immediate impacts t Ontari Wrks and ODSP recipients in Nvember 2014 Fr Discussin with Cmmunity Partners Purpse T update cmmunity partners
Hartford Seminary s. Online Application Instructions
Hartfrd Seminary s Online Applicatin Instructins Hartfrd Seminary is pleased t annunce that nline applicatin is nw pssible fr mst f ur prgrams as fllws: Dctr f Ministry: Use nline applicatin Master f Arts:
STUDENT VETERAN BENEFIT CHECKLIST For POST 9/11 GI BILL AND SELECTIVE RESERVE EDUCATIONAL PROGRAMS 1606 & 1607
Financial Aid, Schlarships, Veterans and Fster Yuth Prgrams 6201 Winnetka Avenue, Wdland Hills CA 91371-0002 Veterans: (818) 710-3316 ext 3316 FAX: (818) 704-8221 www.piercecllege.edu/ffices/financial_aid/veterans.asp