Tit. 1, div. 10, ch. 12, exh. V CSR

Current through Register Vol. 49, No. 24, December 16, 2024

Exhibit V

GENERAL INSTRUCTIONS

A.Who must file: AAFO Form 10, Governmental Employer Annual Report of Social Security Wages Paid, must be completed by each Missouri governmental employer depositing social security contributions with the State Social Security Unit to report annual social security wages paid. If no covered wages were paid during the year, enter "No Covered Wages Paid" in Item 7.

B.When to file: This report must be filed on or before the date required by the State Agency to avoid statutory penalty charges. (See Item 3 on front page for Date Due.)

C.Where to file: Mail completed report and Copy 3 of Form W-3 S&L Transmittal of Income and Tax Statements for State and Local Governmental Employersto the State Social Security Unit at the address shown on front page. A duplicate should be retained by the reporting entity. DO NOT mail this report to the Internal Revenue Service (IRS) or the Social Security Administration (SSA).

NOTE: For each preprinted Federal Employer Identification Number or entry shown in Item 5, you must attach a corresponding State Copy (Copy 3) of Form W-3 S&L. State and local governmental employers authorized to report W-2 and social security data on magnetic tape or diskette must attach a copy of Form 6560, Employer Summary of Form W-2 Magnetic Media Wage Information, to this report.

SPECIFIC INSTRUCTIONS

Item 4 - Enter number of employees who earned covered wages during the reporting period.

Item 5 - Federal Employer Identification Number(s) have been preprinted from information on file with the Social Security Administration. Enter corrected number(s) if number(s) indicated are incorrect or if an additional number has been assigned by IRS. Entities that have not been assigned a Federal Employer Identification Number will have zeros or "No Number" printed in Item 5.

Item 6 - Enter the total social security tax withheld on covered wages paid for each Federal Employer Identification Number or entry in Item 5.

Item 7 - Enter total covered wages paid during the reporting period for each Federal Employer Identification Number or entry in Item 5. Do not adjust wages paid in previous years on this report. Instead, contact the State Social Security Unit for correction procedures.

Item 8 - Enter the total of the wage amount(s) shown in Item 77

Item 10 - Complete Reconciliation of Contributions Paid below and enter Column 4 Total on Item 10.

Items 11 and 12 - Enter either CREDIT DUE or BALANCE DUE if there is a discrepancy between Item 9 and Item 10 of $1.00 or more and provide explanation.

IMPORTANT: Mail this report and Copy 3 of Form W-3 S&L to the State Agency. See address on reverse side. Mail Copy A of Forms W-2 and Copy 1 of Form W-3 S&L to the Social Security Administration, Salinas Data Operations Center, Salinas, California 93911.

RECONCILIATION OF CONTRIBUTIONS PAID YEAR____________________

1.Month	2.Covered Wages Paid	3.Contributions Due	4.Contributions Paid
January	$	$	$
February	$	$	$
March	$	$	$
April	$	$	S
May	$	$	$
June	s	$	$
July	$	$	s
August	$	$	$
September	$	$	$
October	$	$	$
November	$	$	$
December	$	S	$
TOTALS	$	$	$

NOTE: If monthly amounts in Columns 2, 3 and 4 above are not equal to amounts shown on your Social Security Account Statements and deposit tickets filed, identify amounts in question and provide explanation.

Tit. 1, div. 10, ch. 12, exh. V CSR