Employee Information Sheet For Intuit Full Service Payroll Page 2
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2Employee
Name___________________________
Select the voluntary deductions that apply and enter the $ or % to be deducted from each paycheck.
Deduction
$ Amount or
Annual
Deduction
$ Amount or
Annual
% of Gross
Max
% of Gross
Max
Pre-tax Medical
________
________
Simple 401K
________
Pre-tax Dental
________
________
Simple 401K Catch-up*
________
Pre-tax Vision
________
________
Simple IRA
________
Post-Tax Medical ________
________
Simple IRA Catch-up*
________
Post-Tax Dental
________
________
Medical expense FSA
________
Post-Tax Vision
________
________
Dependent care FSA
________
401K
________
Loan Repayment
_________
________
401K Catch-up*
________
Advance
_________ ________
403b
________
Child Support (attach a copy of the original
garnishment order)
_________
________
403b Catch-up*
________
Other________________ _________
________
408P
________
*408k/SarSep not supported
* Employees 50+ yrs
Select the Company Contributions that apply to the employee and enter the $ or % to be recorded on each paycheck
401K
______
Simple 401k
______
401K Catch-up*
______
Simple 401k Catch-up*
______
403b
______
Simple IRA
______
403b Catch-up*
______
Simple IRA Catch-up*
______
* Employees 50+ yrs
Company-only plan
______
If the employee is eligible for paid time off, complete the section below, otherwise leave blank.
Sick Pay
Vacation Pay
No. of Hours Earned Per Year
________
No. of Hours Earned Per Year
________
Max. hours accrued per year (if any)
________
Max. hours accrued per year (if any) ________
Current Balance
________
Current Balance
________
Hours are accrued:
Hours are accrued:
As a lump sum at the beginning of year
As a lump sum at the beginning of year
Each pay period
Each pay period
Each hour worked
Each hour worked
Please Note: We are not able to track or accrue “PTO” plans at this time. To track on payroll, PTO must be designated as
Sick or Vacation pay.
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