Forms W-2 & W-3

Your Information

Your Email Address:

Payer Information

Payer's Name:

Payer's Street Address:

Payer's City:

Payer's State:

Payer's Zip:

Payer's Tax ID Number OR SSN:

Payer's Phone Number: - -

Take Note:

IRS copies will be filed electronically.
- Employer(You) receives employer copies and employee copies:
- Deadline: You to get to employees: January 31, 2012.
Employees are individuals that you instruct when, what, and how work is done. These individuals work for you - if not, they are charging you sales or excise tax.
Please provide to ELO by January 21, 2012, accurate and legible information.

Employee 1 Information: remove

Employee Name:

Employee Address:

Street:

City:

State:

Zip:

Employee SSN: - - Provided to ELO in previous records

Gross Wages Paid: $

Social Security/Medicare Withheld: $

Federal Income Tax Withheld: $

General Employee Information:

Record the number of employees employed during the pay period that includes March 12, 2011:

Please list the amount of total gross pay and federal income tax withheld (monthly):

	Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding
Jan	$	$	May	$	$	Sep	$	$
Feb	$	$	Jun	$	$	Oct	$	$
Mar	$	$	Jul	$	$	Nov	$	$
Apr	$	$	Aug	$	$	Dec	$	$

Record the amount of the payroll deposits paid for the year ended 2011:

Notes:

	Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding
Jan	$	$	May	$	$	Sep	$	$
Feb	$	$	Jun	$	$	Oct	$	$
Mar	$	$	Jul	$	$	Nov	$	$
Apr	$	$	Aug	$	$	Dec	$	$

	Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding
Jan	$	$	May	$	$	Sep	$	$
Feb	$	$	Jun	$	$	Oct	$	$
Mar	$	$	Jul	$	$	Nov	$	$
Apr	$	$	Aug	$	$	Dec	$	$

	Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding		Gross Pay	Federal Income Tax Witholding
Jan	$	$	May	$	$	Sep	$	$
Feb	$	$	Jun	$	$	Oct	$	$
Mar	$	$	Jul	$	$	Nov	$	$
Apr	$	$	Aug	$	$	Dec	$	$