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| This form is exclusive to Telephone Payroll clients. It is only required if you have not yet had your year-to-date amounts adjusted by our customer service  ✓ Check box G-1 for a taxable benefit paid in kind. ✓ The above amounts will be subtracted from or added to your existing year-to-date figures. ✓ Please indicate negative amounts in parentheses. Example: ($200.13). 
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|  This form is exclusive to Telephone Payroll clients. It is only required if your company has pension adjustments to submit to us ✓ Enter rounded amounts only (no decimals). ✓ The above amounts will be subtracted from or added to your existing year-to-date figures. ✓ Please indicate negative amounts in parentheses. Example: ($200). ✓ Earning and deduction codes frequently used for pension adjustments are: D600 – Pension adjustment D726 – Pension adjustment G751 – DPSP (abbreviation for pension plan) 
 
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