Berks

EMPLOYER NUMBER

Six-digit Berks EIT Account Number

1

QUARTER

Calendar Quarter

Use 5 for W2

2

YEAR

Two-digit calendar year

3

SSN

Employee Social Security Number

4

LAST NAME

Employee last name

5

SUFFIX

For example, JR, SR, II, III.

6

FIRST NAME

Employee first name

7

MIDDLE INITIAL

Employee middle initial

8

TAX WITHHELD QTR

Amount of tax withheld for the current quarter.

9

NEG

If negative, enter a minus (-) sign.

10

GROSS WAGES QTR

Amount of gross wages for the current quarter.

11

STATE

Employee address state

12

Blank cell

Not applicable

13

ADDRESS

Employee street address

14

CITY

Employee city address

15

ZIP

Employee zip code

16

EMPLOYEE PSD CODE

PSD code assigned by the state to the municipality.

17

EMPLOYER (WORK) PSD CODE

Work location PSD code

18

MONTH

Two digits

Required for monthly reporting.

19