p_Contract COMPANY INFORMATION Company Legal Name Company DBA (doing business as) Company is New or Existing? New Existing Date of Formation (approx) Please Select Company Type Sole Proprietorship Corporation General Partnership LLC (Limited Liability Co) Limited Partnership Non Profit Corporation OtherOther Federal Employer ID Number * In order to make tax deposits on your behalf, you must have a taxpayer Employer ID Number (EIN). If you do not have an EIN then you can apply online and receive your EIN immediately. Go to: IRS ONLINE EIN APPLICATION Business Address Business Address Business Address Business Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Main Business Phone Main Business Fax COMPANY PRINCIPAL Company Principal (signer of this agreement) Title Email Address Phone Number Do you have an authorized Payroll Administrator? Yes No AUTHORIZED PAYROLL ADMINISTRATOR The payroll administrator you assign here has the authority to submit payroll information for processing. Administrator Name Authorized to submit all payroll processing information Title Email Address Phone Number Would you like to list another individual as a contact? Yes No OTHER CONTACT please note under their title their role regarding payroll authorizations. Name Title and Contact Duties Email Phone CPA INFORMATION CPA Name and Location Email Phone BANK ACCOUNT FOR PAYROLL DRAFTS this is the account you would like us to draft for your payroll invoices. Bank Name Bank Address Bank Phone Bank Contact Ending Balance from Last Statement $ Routing Number Account Number CONTRACT DETAILS Number of Employees Preferred First Payroll Date You Pay Cycle is: Weekly Bi Weekly Monthly OtherOther Average Monthly Gross Payroll Initial Prepayment* The prepayment is established to cover the cost of your first payroll invoice. *Because we issue direct deposits and net checks from our own bank accounts, an initial Prepayment is required to ensure funds are available. No later than 5 banking days prior to your first payroll the estimated cost of your payroll is required to be paid. This can be considered paying in advance. When your payroll invoice is generated from actual payroll data, your account will be debited for the actual invoice and the Prepayment will remain on hand to cover subsequent pay cycles. A Prepayment helps ensure that all payroll and tax liabilities for the upcoming pay cycle will be paid timely. The Prepayment could be adjusted from time to time to account for large fluctuations in your invoices. PAYCHECK PROCESSING Payroll data is processed and prepared for distribution by Wednesday for Friday pay day. Payroll information must be reported to us by Tuesday at 11 a.m. to avoid any delay with delivery. We encourage your employees to utilize direct deposit and to go paperless as this is the most efficient method of receiving pay. We understand that some employees may want a paper paycheck. We will print checks on your behalf drawn from our payroll account. PAYROLL DISTRIBUTION For employees not enrolled in direct deposit and paperless delivery, payroll checks and vouchers can be distributed several ways. Please choose how you want your payroll delivered to your employees: Note: All delivery and mail fees are passed on to the customer. Please keep in mind that payroll is ready for distribution 1 to 2 days after you submit your hours and payroll information. Choose Distribution Instructions Mail checks and vouchers to office or store location Regular mail checks and vouchers to employees' address of record Deliver checks and vouchers via courier service to business office/store OtherOther Mail Delivery Method Regular Mail - no tracking Express Mail - tracking Mailing location if different than main office address. TAX PAYMENTS AND PAYROLL REPORTING Please select all the payroll tax services you would like AMC Payroll Service and/or its designated third party Reporting Agent (if applicable) to perform. ALL TAX SERVICES Check Here to Select All Services FEDERAL PAYROLL TAXES AND REPORTING make federal payroll tax payments via EFTPS prepare federal employment reports Forms 940/941 Sign and File federal employment reports -Form 8655 required Employer’s QUARTERLY Federal Tax Return and Employer’s Annual Federal Unemployment (FUTA) Tax Return EFTPS (Electronic Federal Tax Payment System) I grant permission to AMC Payroll Service and/or its third party Reporting Agent to make federal tax payments on my behalf. I understand that my enrollment will generate an “inquiry pin” which will allow me to login and view payment history made on my behalf. STATE PAYROLL TAXES AND REPORTING make payments (account numbers must be provided) prepare reports (SUI and withholding tax) Sign and File - POA required Withholding Tax, Unemployment, Other State Mandated Payroll Tax if applicable YEAR END forms W-2 and W3 Prepare W-2 Forms Mail W-2 Forms File Form W-3 (Employer's W-2 Form Summary) - POA required Form W-3 Transmittal of Wage and Tax Statements and Forms W-2, Wage and Tax Statement If you are human, leave this field blank. Submit