Houshold Employee Income Verification

HOUSEHOLD EMPLOYEE EARNINGS VERIFICATION FOR TAX YEAR:

There is no wage base limit for Medicare tax. Social security and Medicare taxes apply to the wages of household workers you pay $2,600 or more in cash wages for tax year 2024 and $2800 for tax year 2025
Tax Payer Name

First NameLast Name

Please list your Household Employers and Income earned

Rows	Household Employer Name	Property Service Address	Services Performed	Were Your Expenses Supplied or Reimbursed by Homeowner	Amount Paid	Tax Year
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Taxpayer Social
Verify Your Identity. Please take a selfie
Signature
You may upload income records such as cash app summaries or receipts, check copies, bank statements etc

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