Payroll Enrollment Form

Address

Contact Name

First Name Last Name
Contact Phone Number

Area Code Phone Number
Contact Email
example@example.com
Standard Payroll Services

Below are the services provided by Trucker Tax Service:

Set Up Fee: $75.00 per individual (onetime fee)

$40.00 per company per month (includes one payment)

$20.00 for every additional payment per month

Payroll Processing

Payroll Report

Direct Deposit of Quarterly Federal Payment to IRS

Year-end Payroll Summary Report
Payment Information
Payee Name - If same as above leave blank

First Name Last Name
Payee Phone Number

Area Code Phone Number
Payee Email
example@example.com
Additional Payee Name (Optional)
Payment Options - Check your preferences

Paper Checks (provided by client) Direct Deposit
Processing Frequency

Weekly Bi-Weekly Monthly Quarterly On Demand
Pay Days
First Payroll Date
Revision Date 5/21/2018
Should be Empty:

Company Information