Employee information

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* 1. Company Name (if not applicable, type NA)

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* 2. First Name

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* 3. Last Name

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* 4. Address (include city, state and zip)

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* 5. Date of Birth

Date

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* 6. Company Tax Id # (If applicable)

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* 7. Social Security Number or EIN (000-00-0000)

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* 8. Email 

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* 9. Employee Type 

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* 10. Employee Status 

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* 11. Preferred Payment 

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* 12. Direct Deposit Information (if only using 1 account, type NA in the additional account textboxes)

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* 13. How do you want to split your deposit?

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* 14. Percent (%) or Dollar ($) Amount Deposited into Account(s)

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* 15. Type of Account

  Type
Account 1
Account 2
Account 3

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* 16. Federal Tax Filing Status (Complete Questions 16-17) if you Are An Employee. Independent Contractors Should Not Complete Questions 16-18) 

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* 17. State Tax Filing Status

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* 18. Pay Information (for employer use only)

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* 19. Pay Rate (for employer use only)

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