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Smith B�a�= � ThisWorkbook���=hJM:�!8X@�"��1���Arial1���Arial1���Arial1���Arial1���Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)�� � �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� �� � � �+� �� �)� �� �,� �� �*� �� � � �� �)x@ @ * �)� ������������`�PstateEfileTypes�estateWH�wstateUI�5� stateCombined�annualReconciliation�efileMessageState� statePayment� �returnHeaderState�O�employee�� 8   ;�  ;�  ;�  ;�  ;�  ;�  ;�  ;�  ;���`i� �� Field Type Field SizeTypeADIndividualNameTypeMember of TypePrefixTitleSuffixCity FirstName MiddleNameLastNameFullName StreetAddress PostalCode QuarterType DescriptionQuarterPeriodTypeReportingPeriodTypeAccountNumberType WagesTypeRateTypeTaxTypeBusinessAddressTypePostalCodeExtensionPaymentScheduleTypeDayDecimalTypePaymentScheduleDecimalType PayRollType EmployeeTypeFormType Decimal3Type Decimal10TypeMonth1LiabilitiesMonth1DepositsTotalMonth1LiabilityTotalMonth1DepositsMonth2LiabilitiesMonth2DepositsTotalMonth2LiabilityTotalMonth2DepositsMonth3LiabilitiesMonth3DepositsTotalMonth3LiabilityTotalMonth3DepositsTotalQuarterLiabilityTotalQuarterDepositsLiabilityAmount DepositAmountEmployeeEmployeeNameFormatSSN TotalWages TaxableWages TaxWithheldTypeOfEmploymentN xsd:stringSSNTypeStateWH StateWHType CheckboxType FinalReturn AmendedReturnDateTypeDateFinalWagesPaidSeasonalEmployerNumberOfEmployees NoPayroll WHTotalWagesWithHoldingRateTotalIncomeTaxWithheldWHTaxableWagesAdjustedTotalIncomeTaxWithheldWHAdjustmentPriorPeriodWHOtherAdjustmentWHAmountDuePreviousPeriodWHNetTax WHInterest WHPenalty WHTotalTax WHAmountDue WHBalanceDue WHOverpaymentAmount CreditElectRefundMonth1LiabilityMonth2LiabilityMonth3LiabilityPaymentScheduleStateUI StateUITypeWagePlan UITotalWages ExcessWagesUITaxableWagesContributionRateContributionDue SurchargeRate SurchargeDueDIContributionRateDIContributionDueTrainingFundContribution UIAmountPaidUIAmountDuePreviousPeriodUICreditPreviousPeriod UIInterest UIPenalty UITotalDuePayRollMonth1EmployeesMonth2EmployeesMonth3Employees StateCombinedStateCombinedTypeTransmissionHeaderTypeTransmissionHeaderIdTypeTransmissionId TimestampType Timestamp TransmitterETINTypeETIN ProcessTypeTransmissionManifestOriginHeaderReferenceOriginHeaderType OriginHeaderOriginIdOriginManifest ItemReferencePINRegistrationOriginHeaderTypePINRegistrationOriginHeader OriginatorEFINTypeEFINOriginatorTypeReturnOriginHeaderTypeReturnOriginHeaderReportingAgentSignaturePINTypePINSBINType ISPNumber ActionTypeActionItemTypeReturnHeaderTypeElectronicPostmarkTaxPeriodStartDateTaxPeriodEndDateQuarterDueDateLineExplanationTypeDisasterReliefAcknowledgementActionTypeAcknowledgementActionAcknowledgementTypeAcknowledgementAcknowledgementIdAcknowledgementTimestampTransmissionAcknowledgementTypeTransmissionAcknowledgementTransmissionTimestamp StatusTypeTransmissionStatusOriginAcknowledgementTypeOriginAcknowledgementOriginTimestamp OriginStatusItemAcknowledgementTypeItemAcknowledgement ItemStatusPaymentIndicatorTypePaymentIndicatorErrorsError StringType ErrorCode ErrorMessage StatePaymentStatePaymentTypeRoutingTransitNumberBankAccountNumber AccountType PaymentAmountSettlementDatePaymentMethodTypeFEIN TaxPayerName TaxTypeCode StateAnnualStateAnnualTypeTotalWagesYearTaxWithheldYearAnnualPayRollType AnnualPayRollAmountWithheld1stQuarterAmountWithheld2ndQuarterAmountWithheld3rdQuarterAmountWithheld4thQuarterEmployeeStateRecordTypeUlTaxableWages IntegerType WeeksWorkedDateFirstEmployedDateOfSeparationNumberOfRecordsUITaxableWagesYear UITaxRate UITaxesYearEmploymentTrainingTaxRateEmploymentTrainingTaxesYearDITaxableWagesYear DITaxRate DITaxesYearPaymentInstrument BankAccountAccountHolderTypeAccountHolderNameEnrollmentIdentifierTaxpayerIdentifierPersonalIdentificationNumberOverPaymentCredit DebitAmountPaymentAmountTotalxsd:datePayorStateEINStateAccountIDCentralRegistrationNumber TaxPaymentTaxpayerTaxLiabilityAmountSubCategoryAmountsSubCategoryAmountTypeSubCategoryAmount Frequency#The number of the quarter: 1,2,3,4.The period start or end date.6Base type for all account numbers: UI, Witholding etc.Base type for all wages.Base type for tax rates.Base type for all taxes.Bank ABA Routing NumberChecking or SavingBusiness or Personal%Base type for all business addresses. BusinessNameEnter business name AddressLineEnter business street addressEnter business city.<Enter individual's prefix. For example: Mr., Mrs., Ms., Dr.#Enter individual's title, or role .Enter individual's last name..Enter individual's suffix. for example Sr. Jr."Enter individual's street address.Enter individual's city.Enter individual's postal code.!Base type for payment schedules. �State withholding tax liability incurred for a period of the month on a given day of the month. Day of the month is an numeric attribute of this element.{Amount of employer withholding tax payment on a day of the month. Day of the month is a numeric attribute of this element.:Total employer state witholding tax liability for month 1.6Total employer state withholding payments for month 1.:Total employer state witholding tax liability for month 2.;Total employer state withholding tax liability for quarter.:Total employer state withholding tax payments for quarter.Base type for Day Decimal.Base type for payroll lisiting./Employee name format. For example: full name.=Base type to record employee specific tax filing information.;Enter employee social security number, no spaces or dashes.%Contact information for the employee.8Enter total employee wages, tips and other compensation.ATotal employee wages, tips and other compensation subject to tax.Employee taxes withheld.FEnter type of employment. For Example full time, part time, seasonal.Base type for forms.Base type for decimal 3.Base type for decimal 10.`IRS internal use only. To avoid error in the return, do not include the attribute name or value.Content model for Form 941ReturnHeaderStateType ReturnHeader!Indicates this is a final return.$Indicates this is an amended return.Date final wages paid-Indicates a seasonal employer, state defined.&Number of employees in the pay period.SellTransferIndicatorSellTransferWholeOrPart"State income tax withholding rate. Total state income tax withheld.'Wages subject to state withholding tax.WHPaymentsOrDeposits!Withholding payments or deposits.WHTotalPaymentsTotal withholding payments.WHAmountRemitted#State withholding amount remitted. #Adjusted total income tax withheld.,Withholding adjustment for the prior period.-Other withholding adjustment. State defined..Withholding amount due in the previous period.Net state withholding tax.State withholding interest.State witholding penalty.Total state withholding tax. Total witholding tax amount due.PaymentsOverPaymentPrevious&Total overpayment for previous period.!State witholding tax balance due.Total withholding overpayment.Withholding overpayment amount.2Indicate credit amount to withholding balance due.3Indicate refund amount for withholding overpayment.LocalTaxWithheld#Local tax withheld. State defined.Credit(Month 1 state withholding tax liability.(Month 2 state withholding tax liability.(Month 3 state withholding tax liability.DTotal state withholding liability. Sum of liability for months 1-3.PaymentOptional Return Header Indicates this is a final return#Indicates this is an amended returnIndicates a seasonal employer2State Quarterly Unemployment Insurance Total Wages>Quarterly wages in excess of the state U.I. taxable wage base.:State Quarterly Unemployment Insurance Total Taxable WagesnThe employer U.I. tax rate for this reporting period. Decimal point followed by 5 digits, e.g., 2.8% = .02800.GU.I. taxes due. Quarterly state U.I. taxable wages times U.I. tax rate.xThe employer U.I. tax surcharge rate for this reporting period. Decimal point followed < by 5 digits, e.g., 2.8% = .02800.TU.I. tax surcharge due. Quarterly state U.I. taxable wages times U.I. tax surcharge.TotalContingencyAssessmentDueUI Amount Paid'Number of Employess Worked this Quarter�Total number of employees covered by U.I. who worked or received pay for the pay period including the 12th day of the 1st month of the reporting period. �Total number of employees covered by U.I. who worked or received pay for the pay period including the 12th day of the 2nd month of the reporting period.�Total number of employees covered by U.I. who worked or received pay for the pay period including the 12th day of the 3rd month of the reporting period. =Content model for State Combined Withholding and UI Reporting$Number of Employess Worked this Year8Enter the total number of RW records reported this year.Enter state income tax withheld Enter state income tax withheld.1State Yearly Unemployment Insurance Taxable WagesbThe employer U.I. tax rate for this year. Decimal point followed by 5 digits, e.g., 2.8% = .02800.Total U.I. Taxes this year/Yearly State Disability Insurance Taxable WagesThe employer Disability Insurance tax rate for this reporting period. Decimal point followed by 5 digits, e.g., 2.8% = .02800.'Yearly State Disability Insurance Taxes0Credits applied to this account during this yearBalance due from prior yearOverpayment InformationAmount of overpayment4Indicator to hold the over payment for future credit'Indicator for refund of the overpaymentRuralInfrastructureAmount"Amount Withheld in the 1st Quarter"Amount Withheld in the 2nd Quarter"Amount Withheld in the 3rd Quarter"Amount Withheld in the 4th QuarterName format accepted by state.SEFT=EFT Program, WIR=Wire, CHK=Check, DBT=ACH Debit, CRT=ACH Credit, CC=Credit CardDSubmitter's Enrollment Information. Must obtained to submit payment.Submitter's IdentiferSubmitter PIN NumberWireWire InformationWireIdentifierWire Transfer Indentifier#Account to be used for this paymentBank Account NumberNames on the AccountCheckCheck Information CheckNumber Check Number ACHCreditACH Credit Information TraceNumberTransaction Reference Number CreditCard0Total Tax amount to be paid by this credit card.CreditCardTypeCCredir Card Type: VISA, Master Card, American Express, or Discover.CreditCardNumberCredit Card NumberExpirationDateCredit Card Expiration Number.CVNumber'3 Digit Credit Card Verification Number NameOnCard Name as it is shown on the card.BillingAddressIMinimum of Street Address and Zip Code necessary for Address VerificationPayment and Credit Amount!Overpayment or Credit Information CreditType AmountNNType CreditAmount Credit AmountAmount liable.-Total amount to be paid with this submission. Date this payment was authorized$Agency responsible for this payment.EINType-EIN entered on the Form 941 submitted to IRS.$State Employer Identification Number!State UI employer account number.?Enter the Central Registration Number. Leave blank if not used.Contact/Enter Transmitter's (Agent) Contact Information ContactNameEnter Agent's NamePhoneNumberTypePhoneEnter Agent's Phone NumberFaxEnter Agent's Fax NumberEmailAddressType EmailAddressEnter Agent's Email Address0Detailed Payment Information for each tax payer.Taxpayer InformationTax Payer Name or Company NameFTATaxTypeCode�Enter the appropriate code for entries in fields 309-319 and 320-330: C - City Income Tax D - County Income Tax E - School District Income Tax F - Other Income Tax�Enter the last month and 4 digit year for the calendar quarter for which this report applies; e.g., "032002" for January-March of 2002."Total tax to be paid this quarter.TaxLiabilityIdentifierPUse a unique, for you and your system, value that will identify the transmission+The time stamp at the time of transmission.The ETIN of the transmitter Production0A list of the origin headers in the transmission1The number of origin headers in this transmission OriginHeaders2Indicates return origin header(s) are transmitted.+Must be unique within the transmission file1The time stamp at the time the origin was created"The number of items in this originContentLocationhMust be unique within the transmission file and must match the value on the MIME Content-Location: line. PreparerFirmEINQuarter Number: 1,2,3,4TaxyearOrigTransContentLocationJThe value on the MIME Content-Location: line of the original transmission.RejectedXPath]The XPath expression indicating the full path from the root to the error element or attributeEnter individual's first name.Data Element/ XML Tag NameData Element / XML Tag NameStateOrProvince,Enter business state or provice abreviation.enter business postal code.%Enter business postal code extension.PBase type for individual contact information, including employees and employers.<Enter individual's prefix, first name, last name and suffix.%Enter individual's state or province..Base type for payment schedule decimal amount.EmployeeContributionEmployee UI contribution.BankName Bank NameOriginationDate Date this payment was originatedStateReceiptDate/Date this payment information received by state PayrollDateDate of payrollNo payroll for this return.<Indicates the sale or transfer of whole or part of business.KIndicates whether the whole or part of the business was sold or transfered.Total reported wages. InterestPaidInterest paid. PenaltyPaid Penalty paid.;State defined credits. Credit name is enumerated attribute.LiabilityPeriodIWithholding tax liability for periods 1 to 6. Period number is attribute.Content model for State UI.Name of employer wage plan.(Indicates no payroll this filing period.2State quarterly unemployment insurance total wages:State quarterly unemployment insurance total taxable wages'Disability Insurance contribution rate."Disability Insurance contribution.VoluntaryDIContributionDue,Voluntary Disability Insurance contribution.Training Fund contribution. UI Tax from previous quarter(s).!Credit from previous quarter(s). Interest.Penalty.Total Payment Due. CreditWeeksCredit weeks. State defined. YearTypeTaxYearTax Year for this filing.NumberOfPeriods1Enter the total number of periods in this filing.TotalContributionsYear0Enter total of all state contributions for year.TotalCreditsYear!Enter total credits for tax year.StateOfResidence ReturnQuarter DateReceivedReturnHeaderState Return header for state returns.!Content model for ReturnHeader94xSoftwareIdType SoftwareId ReturnTypeForm$ID of tax form for this filing type.'Federal Employer Identification Number.UIAccountNumber,State Unemployment Insurance account number.WHAccountNumber!State withholding account number.StateControlNumberState assigned contral number.EfileAccountNumberState efile account number. DUNSNumber$Dun and Bradstreet assigned number.StateRegistrationNumberState registration number.FIPSCode FIPS codeEmployerHealthInsuranceCodeBusinessNameControlTypeBusinessNameControlCheckDigitType CheckDigitBusinessAddressDeliveryAddressLocationAddressDoingBusinessAs PlantNumber AddressChangeHouseholdEmployer OfficerCodePreparerPersonNameTypeNamePTINTypePTIN SelfEmployed ReturnSignerPersonTitleType SignatureType Signature DateSignedThirdPartyAuthorizationAuthorizeThirdParty DesigneeName DesigneePhoneDPINTypeDPINPaymentIncluded"AuthorizationToDiscussWithPreparerSupplementalReturnEnter individual's middle name. Plant NumberBusiness name controlBusiness addressDelivery addressLocation addressDoing Business As addressInidcates address change.Indicates household employer.Officer code, state defined. Email addressIndicates self employed.Employer health insurance code. Return signerEmail address.<� Date signed Contact nameThird party authorization.(Indicates authorization for third party. Designee nameDesignee phoneTax type Tax type code'Indicates payment included with return.1Indicates authorization to discuss with preparer.Indicates supplemental return. Software IDState defined.Tax Liability IdentifierSub Category AmountsSub Category Amount TypeSub Category AmountFTA Tax Type CodeReporting agent signature. ISP NumberElectronic PostmarkTax period start date.Tax period end date.Disaster ReliefPreparer firm address. Due date.Date received. Tax year.Acknowledgement IdAcknowledgement TimestampTransmission AcknowledgementTransmission IdTransmission TimestampTransmission StatusOrigin Acknowledgement Origin IdOrigin Timestamp Origin StatusItem Acknowledgement Item StatusPayment Indicator-Employment training tax rate. State defined.Employment training tax year.,Rural infrastructure amount. State defined. Total wages Taxable wages Tax withheldEmployee contributionUI total wagesUl taxable wagesNumber of weeks worked.Date first employed.Date of separation.State of residence.Indicates no payroll. Wage plan.DI contribution rate.DI contribution due.Training fund contribution.!Total contingency assessment due. UI Tax from Previous Quarter(s). Credit from Previous Quarter(s).UI Interest paid. UI Penalty. 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