Sample Import Template File: 499R-2 2018 Import.xlsx |
|
| Field Name | Size | Type | Description | Notes |
|---|---|---|---|---|
| See Form Filer Common Fields | Filer fields common to all form types. | |||
| See Recipient Common Fields | Recipient fields common to all form types. | |||
Cease Ops Date | 8 | Date | Cease of operations date | MM/DD/YYYY or M/D/YYYY |
Box 5 Amount | 12 | Amount | Cost of employer health coverage | |
Box 6 Amount | 12 | Amount | Charitable contributions | |
| Box 7 Amount | 12 | Amount | Wages | |
| Box 8 Amount | 12 | Amount | Commissions | |
| Box 9 Amount | 12 | Amount | Allowances | |
| Box 10 Amount | 12 | Amount | Tips | |
| Box 11 Amount | 12 | Amount | Total = 7+8+9+10 | |
| Box 12 Amount | 12 | Amount | Reimb expenses and fringe benefits | |
| Box 13 Amount | 12 | Amount | Tax withheld | |
| Box 14 Amount | 12 | Amount | Governmental retirement fund | |
| Box 15 Amount | 12 | Amount | Contributions to CODA plans | |
| Box 16 Amount | 12 | Amount | Exempt salaries (see instructions) | |
| Box 16a Amount | 2 | Text | Exempt salaries code | |
| Box 16b Amount | 12 | Amount | Contributions to save and double prg | |
| Box 16c Amount | 12 | Amount | Other Exemption Codes | |
| Box 17 Amount | 12 | Amount | Social security wages | |
| Box 18 Amount | 12 | Amount | Social security tax withheld | |
| Box 19 Amount | 12 | Amount | Medicare wages and tips | |
| Box 20 Amount | 12 | Amount | Medicare tax withheld | |
| Box 21 Amount | 12 | Amount | Social security tips | |
| Box 22 Amount | 12 | Amount | Uncoll social security tax on tops | |
| Box 23 Amount | 12 | Amount | Uncoll medicare tax on tips | |
| See Form Common Fields | Form fields common to all form types. | |||
Form 499R-2:
Hacienda 499R-2 form and instructions: 499R-2 2018 Form & Instructions
