Register This form requests information necessary to register you with The Nanny Tax Company and will be used for internal purposes only. We value your privacy and will not share, sell or distribute any of your information. The only time we provide your information to anyone is when mandated by a government agency with respect to your employment taxes. Our goal is to make paying nanny taxes as simple as possible and although this is a secure website, we understand that you may be concerned about security so the only required fields are your name, daytime telephone number and email address. Once we receive your registration we will call you to verify the details and can obtain any missing information at that time.Employer InformationYour Name(Required) First Last Your Email(Required) Enter Email Confirm Email Spouse's Name (if applicable) First Last Your Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Your Daytime Phone(Required)Consent for Text Messages Check this box if you are OK receiving text messages about your accountEmployee/Payroll InformationEmployee Name First Last Employee WagesWage Amount is... Before Taxes After Taxes Payment Frequency Weekly Bi-Weekly Monthly Other Employee Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Date Hired MM slash DD slash YYYY Date of First Paycheck MM slash DD slash YYYY Employee Marital Status Married Single Additional Employee? I would like to enter info for an additional employee Additional Employee Information2nd Employee Name First Last 2nd Employee WagesWage Amount is... Before Taxes After Taxes Payment Frequency Weekly Bi-Weekly Monthly Other 2nd Employee Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Date Hired MM slash DD slash YYYY Date of First Paycheck MM slash DD slash YYYY Employee Marital Status Married Single Additional Info (Optional) Additional InformationIf you have any additional information you would like to provide us, please enter it below. Federal and State Tax InfoIf you have previously registered with the government for payroll withholding, please provide the following information. If you have not previously registered, The Nanny Tax Company will prepare the appropriate forms to register you.Federal Employer Identification #State Withholding Tax #State Unemployment Insurance #Security CheckCAPTCHAPlease check the box above to verify that you are a human, and then complete the form by clicking the "Submit" button below.By submitting your information, you hereby authorize The Nanny Tax Company to prepare the forms necessary to register you with the appropriate government agencies and to prepare your domestic payroll tax forms. You also certify that the following statements are true: The information I have provided on this form is accurate to the best of my knowledge and The Nanny Tax Company may rely on this information to prepare my payroll tax forms. I understand that while The Nanny Tax Company will prepare the tax forms for me, I remain responsible for reviewing the prepared forms, signing them and submitting them to the government. I also understand that I am the withholding agent for my employee, and that I am solely responsible for paying withheld taxes to the government.
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