W-2/1099 Submissions

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Church Name* This field is required.
2
Submitted By: Name
First Name
Last Name
3
Church Address* This field is required.
4
Federal ID (FEIN)* This field is required.
5
State ID (if applicable)
6
Local ID (if applicable)
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Form Type
W-2 (Clergy)
W-2 (Non-Clergy)
1099-NEC (Contractor)
1099-INT
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Worker/Recipient Information
Worker Name
Worker Address
9
Identification NumberSSN for Employee | SSN or FEIN for 1099
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Contractor Payments1099-NEC
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Interest Payments1099-INT
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Non-Clergy Tax and Wage
Wages
Federal Income Tax Withheld
State Income Tax Withheld
Social Security Withheld
Medicare Withheld
Local Taxes Withheld (if applicable)
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Clergy WagesHousing will be listed on a separate page.
Base Wages
SS Allowance/FICA Off-Set
Auto Allowance
Professional Allowance
Gifts
Bonus
14
Did this clergy have taxes withheld?
YESNO
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Clergy Taxes Withheld
Federal Income Tax
State Income Tax
Local Income Tax
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Clergy Housing Type
Own
Rent
Church Owned Parsonage
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Housing Allowance Received
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ParsonageIf you didn't live in the parsonage all 12 month, only list amounts for the time in which you lived in the parsonage.
Parsonage Fair Rental Value
Utilities Paid By The Church
Parsonage Allowance
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Select the following benefits that were paid:You'll have the ability to list the amounts on the next page. Scroll down, if needed for more options.
Forgiveness of debt
Dependent Care Benefits – Salary Reduction Election
Group-term Life (over $50,000)
Health Saving Account (HSA) – Paid by the Church
Honoraria paid by church
Moving Expenses Paid by the Church
Personal Use of Church Vehicle
QSEHRA Contributions
Sabbatical compensation
Spouse travel without legitimate ministry purpose
Severance
Student Loan Payments
Taxable Fringe Benefits
Other payment of personal expenses
Other
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Provide the amounts of each benefit line item listed on the previous page
Huge
Large
Normal
Small
Ok
Ok
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Submitted By Name
First Name
Last Name
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Submitted By: Name
First Name
Last Name
23
Submitted By: EmailWe will send a scheduling link to the email address provided so you can arrange a time for the W‑2 Compliance Review. During this appointment, please have a credit card available to provide payment information for your order.
example@example.com
Should be Empty: