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Payroll remittance voucher PDF Form: What You Should Know

Enter the income and tax information reported on your income tax return. • Enter the date of your last pay check. • Enter the total tax you will receive between your last pay check and tax due date. • Enter the amount of tax due (including estimated tax.) • Enter an optional description of the amount of cash you will receive per individual. A description is not required, but the information will be helpful when trying to estimate the amount of your income tax payments. • If you qualify to receive the reduced rate of social security tax, enter your social security number or e-mail it to • Enter the amount of social security tax you will not need to send, as detailed in box 8b of Form IT-202. The federal government limits refunds to 10,000 per employee. (See Box 7 for more information.) Enter the amount of social security tax you will send. The tax you receive for the year is the amount that is less than this amount. If you need to remit more social security tax, see box 7 of Form IT-202. Use the amounts shown on the following table as an estimate of the total Social Security tax to send. Enter the amount you will need to send. Federal government limits refunds to 10,000 per employee. (See Box 7 for more information.) If you need to remit more social security tax, see box 7 of Form IT-202. If you have an amount in the first box, you will send the other box amounts on a separate check. For example, if you do not send a check for the total amount, you will receive a refund for your tax liability minus the amount you have in box 7 (your refund will normally be less than your net income). If you do not enter all the amounts you receive for the year, you can use the following table to estimate your net income for that year. Include all the amounts from boxes 1 to 9 from the table below and the amount you need to send in box 7 from your estimated net income (box 8b of Form IT-202). Include any amounts in box 5 from your estimated tax payment vouchers. Include any amounts in box 6 from any remittance vouchers.

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