test2 – Tailored Business

Services Required *

Payroll
Bookkeeping
Benefits
Taxes

Legal employer name (as registered with the State and IRS) *

Physical Address *

Address Line 1

City

State

Zip Code

Check if mailing address is different from your physical address

Mailing Address *

Address Line 1

City

State

Zip Code

Employer County *

Email *

Email

Confirm Email

Phone *

Appointed payroll contact *

First

Last

Requested date of 1st payroll run by Tailored Business *

Number of Employees *

Pay Frequency *

Pay period runs from *

Pay date is *

Pay period and pay dates are *

Pay period and pay date *

How will employee hours be submitted *

Please specify how employee hours will be submitted *

Please specify name of software used for time tracking *

Would you like to approve payroll before funds are released *

Additional compensation paid to employees (other than salary & wages) *

Please specify additional compensation *

Do you have a Employer FEIN Number *

Employer FEIN Number (No Dashes) *

Do you have a State Unemployement Number *

State Unemployment Number (No Dashes) *

Primary state where employees work *

Do you have employees working in more than one state *

Please indicate all states where your employees perform work *

Entity Type *

State of Incorporation *

Date of Incorporation *

Owner #1 *

First

Last

Percentage of Ownership

Selected Value: 0

Do you have more owners to add *

Owner #2 *

First

Last

Percentage of Ownership

Selected Value: 0

Do you have more owners to add *

Owner #3 *

First

Last

Percentage of Ownership

Selected Value: 0

Do you have more owners to add

Owner #4 *

First

Last

Percentage of Ownership

Selected Value: 0

Is your company current with all employment taxes *

Indicate periods and agencies you are past due on employment taxes with *

Do you have a paid time off policy *

Do you have a workers compensation policy *

Do you have employee benefits *

Please list any other information you would like Tailored Business to know about your payroll