Please enable JavaScript in your browser to complete this form.Employer Information SheetLegal Company NameCompany Type *S-CorpC-CorpLLCLLPPartnershipSole Proprietor501c3OtherDIRECT DEPOSITThe following items are required to be able to pay your employees via direct deposit and to authorize us to remit your taxes to the appropriate entity.Employer Bank Routing Number *Employer Bank Account NumberPrincipal Owner's Name *FirstLastPrincipal's Social Security Number *Principal's Date of Birth *Federal law requires that we store and verity information about the principal owner to help prevent money laundering and the funding of terrorist activty. The prinicipal owner is the person who is the main contact for the bank account from which electronic payments (including direct deposit) are made.Tax Account InformationFederal Employer Identification Number (EIN)State Employer Account NumberWrite "Applied For" if you have applied but don't have your account number yet.State Unemployment NumberWrite "Applied For" if you have applied but don't have your account number yet.State Unemployment Insurance RateOther Tax Account Numbers (If Applicable)Federal Deposit ScheduleMonthlySemi-WeeklyOtherState Deposit Schedule (If Applicable)MonthlyQuarterlyOtherCommentSubmit
