Transaction No. 10 22222 Void a Employee’s social security number For Official Use Only ▶ OMB No. 1545-0008 b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips d Control number 9 Last name e Employee’s first name and initial 10 Dependent care benefits Suff. 11 Nonqualified plans 12a See instructions for box 12 C o d e 13 Statutory employee Retirement plan Third-party sick pay 14 Other 12b C o d e 12c C o d e 12d C o d e f Employee’s address and ZIP code 15 State Form Employer’s state ID number W-2 16 State wages, tips, etc. Wage and Tax Statement 17 State income tax 18 Local wages, tips, etc. 20-- 19 Local income tax 20 Locality name Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Copy A For Social Security Administration — Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. Cat. No. 10134D Do Not Cut, Fold, or Staple Forms on This Page— Do Not Cut, Fold, or Staple Forms on This Page Transaction No. 24 22222 Void a Employee’s social security number For Official Use Only ▶ OMB No. 1545-0008 b Employer identification number (EIN) 1 Wages, tips, other compensation 2 Federal income tax withheld c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld 5 Medicare wages and tips 6 Medicare tax withheld 7 Social security tips 8 Allocated tips d Control number 9 e Employee’s first name and initial Last name 10 Dependent care benefits Suff. 11 Nonqualified plans 12a See instructions for box 12 C o d e 13 Statutory employee Retirement plan Third-party sick pay 14 Other 12b C o d e 12c C o d e 12d C o d e f Employee’s address and ZIP code 15 State Form Employer’s state ID number W-2 16 State wages, tips, etc. Wage and Tax Statement 17 State income tax 20-- Copy A For Social Security Administration — Send this entire page with Form W-3 to the Social Security Administration; photocopies are not acceptable. 18 Local wages, tips, etc. 19 Local income tax Department of the Treasury—Internal Revenue Service For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Do Not Cut, Fold, or Staple Forms on This Page— Do Not Cut, Fold, or Staple Forms on This Page 7-60 20 Locality name Cat. No. 10134D Transaction No. 11 FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number ______________________ Name ____________ Month Tax Year Ends ______________________ Amount of Deposit ____________ Type of Tax (Form) ______________________ Tax Period ____________ Address ______________________ Phone Number ____________ City, State, Zip ______________________ Transaction No. 25 FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number ______________________ Name ____________ Month Tax Year Ends ______________________ Amount of Deposit ____________ Type of Tax (Form) ______________________ Tax Period ____________ Address ______________________ Phone Number ____________ City, State, Zip ______________________ Transaction No. 33 FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number ______________________ Name ____________ Month Tax Year Ends ______________________ Amount of Deposit ____________ Type of Tax (Form) ______________________ Tax Period ____________ Address ______________________ Phone Number ____________ City, State, Zip ______________________ Transaction No. 36 FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number ______________________ Name ____________ Month Tax Year Ends ______________________ Amount of Deposit ____________ Type of Tax (Form) ______________________ Tax Period ____________ Address ______________________ Phone Number ____________ City, State, Zip ______________________ 7-49 Transaction No. 2 STATE FILING INFORMATION WORKSHEET Company Name __________________ Payment Frequency Employer Account # __________________ Gross Compensation ____________________ Employer ID # __________________ PA Withholding Tax ____________________ Employer Password __________________ Credits ____________________ Quarter Ending Date __________________ Interest ____________________ Telephone Number Payment ____________________ __________________ ____________________ Transaction No. 4 STATE FILING INFORMATION WORKSHEET Company Name __________________ Payment Frequency Employer Account # __________________ Gross Compensation ____________________ Employer ID # __________________ PA Withholding Tax ____________________ Employer Password __________________ Credits ____________________ Quarter Ending Date __________________ Interest ____________________ Telephone Number Payment ____________________ __________________ ____________________ Transaction No. 14 STATE FILING INFORMATION WORKSHEET Company Name __________________ Payment Frequency Employer Account # __________________ Gross Compensation ____________________ Employer ID # __________________ PA Withholding Tax ____________________ Employer Password __________________ Credits ____________________ Quarter Ending Date __________________ Interest ____________________ Telephone Number Payment ____________________ __________________ ____________________ Transaction No. 18 STATE FILING INFORMATION WORKSHEET Company Name __________________ Payment Frequency Employer Account # __________________ Gross Compensation ____________________ Employer ID # __________________ PA Withholding Tax ____________________ Employer Password __________________ Credits ____________________ Quarter Ending Date __________________ Interest ____________________ Telephone Number Payment ____________________ __________________ 7-50 ____________________ 1. Payroll project questions? 2. What is the amount of Employees FIT Taxes Payable deposited from the December payrolls? $ 3. What is the amount of SUTA Taxes Payable for the fourth quarter? $ 4. What is the amount of FUTA Taxes Payable deposited for the quarter? $ 5. What is the amount of the city of Philadelphia employees income tax deposited from the December payrolls? $ 6. What is the amount of FICA Taxes Payable—OASDI deposited from the December payrolls? $ 7. What is the amount of Union Dues withheld during the month of December? $ 8. What is the amount of the deposit for Pennsylvania state income taxes withheld from the December 18 payroll? $ 9. What is the total amount of Payroll Taxes to date? $ 10. What is the total amount of Plant Wages to date? $ 11. What is the balance in the Cash account? $ 12. What is the amount of the debit to Payroll Taxes? $ 13. What is the amount of the debit to Administrative Salaries? $ 14. What is the total yearly gross pay for all employees? $ 15. What is the total current net pay for all employees? $ 16. What is the current amount of SIT withheld for Thomas J. Sokowski? $ 17. What is the amount paid for office salaries to date? $ 18. What is the amount that was credited to Group Insurance Premiums Collected (account number 27) during this period? $ 19. What is the amount of the debit to Office Salaries? $ 20. What was the amount of net pay received by Virginia A. Russell's estate? $ 21. What was Virginia A. Russell's social security number? 22. What is the balance of Sales Salaries? $ 23. What is the balance of SUTA Taxes Payable? $ 24. What is the amount of the debit to Payroll Taxes? $ 25. What is the amount of the credit to Employees SIT Payable? $ 26. What is the amount of the debit to Administrative Salaries? $ 27. What is the total current CIT withheld for all employees? $ 28. What is the total current net pay for all employees? $ 29. What is the current amount of OASDI withheld for Norman A. Ryan? $ 30. What is the current net pay for Joseph T. O'Neill? $ 31. What is the balance of Simple Contributions Payable? $ 32. What is the amount of Office Salaries paid to date? $ 33. What is the balance of Employees SIT Payable? $ 34. What is the amount of the debit to Plant Wages? $ 35. What is the amount of the debit to Payroll Taxes? $ 36. What is the November 16 credit to Cash for the deposit of FICA & FIT taxes? $ 37. What is the total current gross pay for all employees? $ 38. What is the total current net pay for all employees? $ 39. What is the amount of FIT withheld for the current pay period for Dewey W. Mann? $ 40. What is the total amount of Payroll Taxes (account number 56) to date? $ 41. What is the amount of Ruth V. Williams' Group Insurance withheld? $ 42. What is Ruth V. Williams' current net pay? $ 43. What is the amount of FIT withheld for the year for Ruth V. Williams? $ 44. What is the amount of Sales Salaries paid to date? 45. What is the balance in the Cash (account number 11) account? $ 46. What is the amount of the debit to Payroll Taxes? $ 47. What is the amount of the credit to FICA Taxes Payable—HI for employees? $ 48. What is the amount of the credit to FICA Taxes Payable—OASDI for employees? $ 49. What is the total current net pay for all employees? $ 50. What is the total current amount of CIT withheld for all employees? $ 51. What is the total current gross pay for all employees? $ 52. What is the current amount of FIT withheld for Joseph T. O'Neill? $ 53. What is the amount of Union Dues withheld for the employees for the month of October? $ 54. What is the amount of FICA Taxes Payable—OASDI for the month of October? $ 55. What is the amount of the debit to Payroll Taxes? $ 56. What is the amount of the credit to Employees SIT Payable? $ 57. What is the total current amount of group insurance withheld for all employees? $ 58. What is the total quarterly gross pay for all employees? $ 59. What is the total current net pay for all employees? $ 60. What is the current amount of OASDI withheld for Catherine L. Ford? $ 61. What is the current gross pay for Anthony V. Bonno? $ 62. What is the total Administrative Salaries paid to date? $ 63. What is the Cash (account number 11) account balance? $ 64. What is the amount of the credit to Cash? $ 65. What is the amount of the debit to Payroll Taxes? $ 66. What is the amount of the debit to Office Salaries? $ 67. What is the total yearly SIT withheld for all employees? $ 68. What is the total current net pay for all employees? $ 69. What is the current gross pay for Norman A. Ryan? $ 70. What is the number of withholding allowances for James C. Ferguson?
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