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Text File  |  1991-09-14  |  2.0 KB  |  25 lines
  1. PAYFWH                   FEDERAL WITHOLDING TAX SCREEN                SCREEN FWH
  2.   NAME xxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxx SSN ###-##-#### SCHOOL zzz#  
  3.                                               CURRENT PAY PERIOD  z,zzz,zz#.##cr
  4. TAKE FWH (1) xxx                              CASH PAYMENTS/VOIDS z,zzz,zz#.##cr
  5. MARITIAL STATUS (2) x xxxxxxx                    REPORTING PERIOD z,zzz,zz#.##cr
  6. NO OF DEPENDENTS (3) z#                                       QTD z,zzz,zz#.##cr
  7. MINIMUM FWH TO TAKE (4) z,zzz,zz#.##                 CALENDAR YTD z,zzz,zz#.##cr
  8. TAKE ADDITIONAL FWH (5) z,zzz,zz#.##                  FISCAL YTD  z,zzz,zz#.##cr
  9.                                                                                 
  10.   AMOUNT TAXED   FWH TAX    AMOUNT TAXED   FWH TAX        AMOUNT TAXED   FWH TAX
  11. JAN zzz,zz#.## zz,zz#.##- JLY zzz,zz#.## zz,zz#.##- SUM 1  zzz,zz#.## zz,zz#.##-
  12. FEB zzz,zz#.## zz,zz#.##- AUG zzz,zz#.## zz,zz#.##- SUM 2  zzz,zz#.## zz,zz#.##-
  13. MAR zzz,zz#.## zz,zz#.##- SEP zzz,zz#.## zz,zz#.##- SUM 3  zzz,zz#.## zz,zz#.##-
  14. APR zzz,zz#.## zz,zz#.##- OCT zzz,zz#.## zz,zz#.##- SUM 4  zzz,zz#.## zz,zz#.##-
  15. MAY zzz,zz#.## zz,zz#.##- NOV zzz,zz#.## zz,zz#.##- RETIRE zzz,zz#.## zz,zz#.##-
  16. JUN zzz,zz#.## zz,zz#.##- DEC zzz,zz#.## zz,zz#.##- EXTRA  zzz,zz#.## zz,zz#.##-
  17. (ADJUST/HISTORY)                                                                
  18. ADJUSTMENTS AMOUNT    DESCRIPTION                    DATE ENTER CLERK POSTED    
  19. (6) zz,zz#.##cr (8) xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx (10) ##/##/#### xxxxx xx/####
  20. (7) zz,zz#.##cr (9) xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx (11) ##/##/#### xxxxx xx/####
  21.                                                                                 
  22. ENTER SCREEN ID, FIELD NO TO CHANGE, S TO SELECT, OR X TO EXIT xx               
  23.                                                                                 
  24.                                                                                 
  25.