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Payroll - Employer
To set-up payroll services we'll need employer information. Your employer information can be updated here at any time. If you're missing any information contact us for assistance. 727-610-1024 or
[email protected]
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Employer Information
Employers Full Name
*
First
Middle
Last
Enter the first and last name of the employer, or the representative of the employer.
Employers Phone #
*
Employers Email Address
*
Business Name
*
Business Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
EIN (Employer Identification Number)
If you have not received an EIN, contact us for assistance. An additional set-up fee of $50 will apply. If you don't have an EIN, leave blank, we will update your file when received.
State ID / Employer ID
If you have not received a State ID, contact us for assistance. An additional set-up fee of $150 will apply. If you don't have a State ID, leave blank, we will update your file when received.
Banking Information
Enter the banking information you would like to use for payroll taxes and payroll wages.
Financial Institution Name
Enter the name of the bank or credit union where employer funds will be debited (Bank of America, Navy Federal Credit Union, Chase, etc.).
Account Number
Enter numbers only, no spaces, or special characters.
Routing Number
Enter numbers only, no spaces, or special characters.
Submit
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