FEDERAL WITHHOLDING TAXES AT 28% FOR ONE PAY ONLY
PAYROLL
SUPPLEMENTAL TAX RATE
REQUEST FORM
|NAME: |EMPLOYEE ID #: |
| | |
I request to have my supplemental wages taxed at the current supplemental rate (25% in 2011) for Federal Tax Withholding on the pay date of _____ ___________only,
when I expect to receive supplemental wages for __ __
(Describe reason for extra pay)
Additional Information:
1. This rate will apply only to federal taxes calculated on the gross supplemental wage amount.
2. This rate will not affect the state tax or the FICA tax.
|SIGNATURE: |DATE: |
| | |
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