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