Fillable Printable Payroll Remittance Form - Virginia

Payroll Remittance Form - Virginia

PAYROLLCENTER:CountyCode:

Payperiod:Beginning____________________through______________________ActualPayDate:

PAYROLLRUN#(s):

(Listallrunnumberscoveredinnumericalorderbeginningwiththelowest)

1.TotalNumberofTDCPlanParticipantrecordsonthisReport

2.TDCPlanParticipants'GrossCompensationPaidduringthisPayPeriod$

3.Portionoftotalcompensationpaid

throughtheState‐Aidformula$

4.PortionoftotalcompensationNOTpaidthroughtheState‐Aidformulaorcompensationpaidthrough

HigherEducation,Etc.$

Employees'contributions‐MUSTagreewithactualamountwithheld(Line2Times4.5%or.045)

6.Employers'contributions(Line2Times7.5%or.075)$

a.PortionofEmployers'Contributionpaid

through

State‐AidFormula$

b.PortionofEmployers'ContributionNOTpaid

throughState‐AidFormula/HigherEducation,Etc.$

b1.PortionofForfeitureAllotmentUSED

toreduceEmployers'

ContributionamountNOTpaid

throughState‐AidFormula$(

)

NETAMOUNTofEmployers'ContributionNOTPaidthroughState‐AidFormulaOR

ForfeitureAllotment(Line6b‐Line6b1=NETAMOUNT.AlsoenteronLine9)$

TotalContributions(CombinedcontributionamountrequiredtoprocessthisPayroll

(Line5plusLine6)

$

Remittance

Subtract:

TDCPlanCredit

=NETRemittance

$‐$$

$‐$$

Title:Date:______________

EXT._______________

Title:Date:______________

(SignatureofSupervisingAuthority,ifapplicable)

TEACHERS'DEFINEDCONTRIBUTIONRETIREMENTSYSTEM

Preparedby:

Approvedby:

Telephone#:________________________________

PAYROLLREMITTANCESUMMARYREPORT

(AuthorizedTDCPlanContactSignatureRequired)

SALARYDATA:

CONTRIBUTIONS:

Contributions&detailMUSTsupportthetotalSalaryDataremittedforprocessing‐NOExceptionspermittedinthissection.

REMITTANCE:

RemittanceamountMustsupporttotalSalaryDataandNETContributionsforthisPayroll,lessanyTDCPlanCred it.(When

applyingaTDCPlanCreditagainstyourremittanceyoumustprovideacopyoftheCreditNotice.)

Employers'contribution‐EnterNETAMOUNT

fromthe

bottomofSection6

SalaryDataMUSTagreewithTOTALPayrollDatabeingremittedforprocessing‐NOExceptionspermittedinthissection.

PursuanttoWestVirginiaCode§18‐7B‐9and18‐7B‐10,boththeemployeeandemployercontributionsshallberemittedtotheTeachers'DefinedContribution

RetirementSystemwithinfifteendaysoftheactualpaydate.Latecontributionsshallbeconsidereddelinquentandmaybesubjecttodelinquencyfees.

Pleasemakeyour

checkpayableto:WestVirginiaTeachers'DefinedContributionRetirementSystem(TDCPlan)

(Line6aplusLine6bmustequalLine6)

Employees'contributions‐EnteramountfromLine5

Authorization:

TotalNETRemittancefromPayrollCenter(Line8plusLine9)

‐$$$

Stateof WestVirginia

ConsolidatedPublicRetirementBoard

InternetForm(SignatureinBlueInkOnly)

4101MacCorkleAvenueSE,Charleston,WestVirginia25304‐1636

Telephone:304‐558‐3570or800‐654‐4406Fax:304‐558‐1394