Component Information
Description:
Root component for text-based form fields
Content Type:
LetteredInputs
Score:
0
Child Components
Name Type Description Actions
Label: Employer's Name Label Name of the employer
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Input: Employer's Name Input Input for Employer's Name
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Label: Employer's Address Label Address of the employer
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Input: Employer's Address Input Input for Employer's Address
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Label: Employee's Name Label Full legal name of the employee
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Input: Employee's Name Input Input for Employee's Name
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Label: Employee's Address Label Address of the employee
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Input: Employee's Address Input Input for Employee's Address
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Label: Verification Code (Box 9) Label Code used for electronic filing verification
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Input: Verification Code (Box 9) Input Input for Verification Code (Box 9)
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Label: State Income Tax Withheld (Box 16) Label Amount of state tax withheld from the employee's pay
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Input: State Income Tax Withheld (Box 16) Input Input for State Income Tax Withheld (Box 16)
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Label: Local Income Tax Withheld (Box 18) Label Amount of local tax withheld from the employee's pay
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Input: Local Income Tax Withheld (Box 18) Input Input for Local Income Tax Withheld (Box 18)
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Label: Employer State ID Number (Box 15) Label State identification number for the employer
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Input: Employer State ID Number (Box 15) Input Input for Employer State ID Number (Box 15)
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Label: Codes and Amounts for Miscellaneous Reporting (Box 12) Label Various codes and amounts used for additional reporting
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Input: Codes and Amounts for Miscellaneous Reporting (Box 12) Input Input for Codes and Amounts for Miscellaneous Reporting (Box 12)
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Label: Control Number Label Internal identifier for the form assigned by the employer
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Input: Control Number Input Input for Control Number
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