PAYROLL SERVICES

PAYROLL SERVICES
BUSINESS NAME*
FEDERAL EMPLOYER IDENTIFICATION NUMBER *
BUSINESS ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
BUSINESS ENTITY*

Limited Liability CompanyPartnershipCorporationProprietorshipTrustOther
PAY SCHEDULE*

WeeklyBi-WeeklySemiMonthlyMonthlyQuarterlyAnnually
PAYROLL SERVICE*

Live PayrollAfter the Fact Payroll
SALARY AMOUNT
BANKING INFORMATION

This bank account information will be used to pay the payroll taxes and fees.
BANK NAME*
BANK ACCOUNT INFORMATION*

Routing NumberAccount Number
UPLOAD COPY OF VOIDED CHECK *

Browse Files

Cancelof
Voided Check/Bank Proof

Acceptable Bank Proofs:
• Voided Check
• Screenshot of Online Bank Account
• Bank Statement
• Bank Account Agreement
• Preprinted Check reorder Form

Not Acceptable Bank Proofs:
• Starter Checks
• Voided checks missing info
• Personal checks
• Deposit slips
• Any handwritten documentation
BUSINESS OWNERS INFORMATION

The information must belong to authorized contact person of the entity.
Name *

First NameLast Name
Date of Birth*

MonthDayYear
Date
Social Security Number*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

PAYROLL SERVICES

BANKING INFORMATION

BUSINESS OWNERS INFORMATION