TN 5 (09-82)

RM 03146.099 Exhibits

A. Trust Fund Statistics Sysout

1. Page 1

TRUST FUND STATISTICS

   

VAMAS RUN NUMBER: 41

TYPE OF EMPLOYMENT:

TAX RATE PERIODS

ITEMS

 

EARNINGS

REGULAR

1998

0

$

.00

REGULAR

1997

0

$

.00

REGULAR

1996

0

$

.00

REGULAR

1995

0

$

.00

REGULAR

1994

0

$

.00

REGULAR

1993

0

$

.00

REGULAR

1992

0

$

.00

REGULAR

1991

0

$

.00

REGULAR

1990

0

$

.00

REGULAR

1989

0

$

.00

REGULAR

1988

0

$

.00

REGULAR

1987

0

$

.00

REGULAR

1986

0

$

.00

REGULAR

1985

0

$

.00

REGULAR

1984

0

$

.00

REGULAR

1983

0

$

.00

REGULAR

1982

0

$

.00

REGULAR

1981

0

$

.00

REGULAR

1980

0

$

.00

REGULAR

1979

0

$

.00

REGULAR

1978

0

$

.00

REGULAR

1977

0

$

.00

REGULAR

1976

0

$

.00

REGULAR

1975

0

$

.00

REGULAR

1974

0

$

.00

REGULAR

1973

0

$

.00

REGULAR

1972

0

$

.00

REGULAR

1971

0

$

.00

REGULAR

197;

0

$

.00

REGULAR

1969

0

$

.00

REGULAR

1968

0

$

.00

REGULAR

1967

0

$

.00

REGULAR

1966

0

$

.00

REGULAR

1963 - 1965

0

$

.00

REGULAR

1962

0

$

.00

REGULAR

1960 - 1961

0

$

.00

REGULAR

1959

0

$

.00

REGULAR

1957 - 1958

0

$

.00

REGULAR

1954 - 1956

0

$

.00

REGULAR

1950 - 1953

0

$

.00

REGULAR

1937 - 1949

0

$

.00

     

ALL YEARS COMBINED

 

0

$

.00

2. Page 2

TRUST FUND STATISTICS

   

VAMAS RUN NUMBER: 41

TYPE OF EMPLOYMENT:

TAX RATE PERIODS

ITEMS

 

EARNINGS

TIPS

1998

0

$

.00

TIPS

1997

0

$

.00

TIPS

1996

0

$

.00

TIPS

1995

0

$

.00

TIPS

1994

0

$

.00

TIPS

1993

0

$

.00

TIPS

1992

0

$

.00

TIPS

1991

0

$

.00

TIPS

1990

0

$

.00

TIPS

1989

0

$

.00

TIPS

1988

0

$

.00

TIPS

1987

0

$

.00

TIPS

1986

0

$

.00

TIPS

1985

0

$

.00

TIPS

1984

0

$

.00

TIPS

1983

0

$

.00

TIPS

1982

0

$

.00

TIPS

1981

0

$

.00

TIPS

1980

0

$

.00

TIPS

1979

0

$

.00

TIPS

1978

0

$

.00

TIPS

1977

0

$

.00

TIPS

1976

0

$

.00

TIPS

1975

0

$

.00

TIPS

1974

0

$

.00

TIPS

1973

0

$

.00

TIPS

1972

0

$

.00

TIPS

1971

0

$

.00

TIPS

1970

0

$

.00

TIPS

1969

0

$

.00

TIPS

1968

0

$

.00

TIPS

1967

0

$

.00

TIPS

1966

0

$

.00

     

ALL YEARS COMBINED

 

0

$

.00

3. Page 3

TRUST FUND STATISTICS

   

VAMAS RUN NUMBER: 41

TYPE OF EMPLOYMENT:

TAX RATE PERIODS

ITEMS

 

EARNINGS

AGRICULTURAL

1998

0

$

.00

AGRICULTURAL

1997

0

$

.00

AGRICULTURAL

1996

0

$

.00

AGRICULTURAL

1995

0

$

.00

AGRICULTURAL

1994

0

$

.00

AGRICULTURAL

1993

0

$

.00

AGRICULTURAL

1992

0

$

.00

AGRICULTURAL

1991

0

$

.00

AGRICULTURAL

1990

0

$

.00

AGRICULTURAL

1989

0

$

.00

AGRICULTURAL

1988

0

$

.00

AGRICULTURAL

1987

0

$

.00

AGRICULTURAL

1986

0

$

.00

AGRICULTURAL

1985

0

$

.00

AGRICULTURAL

1984

0

$

.00

AGRICULTURAL

1983

0

$

.00

AGRICULTURAL

1982

0

$

.00

AGRICULTURAL

1981

0

$

.00

AGRICULTURAL

1980

0

$

.00

AGRICULTURAL

1979

0

$

.00

AGRICULTURAL

1978

0

$

.00

AGRICULTURAL

1977

0

$

.00

AGRICULTURAL

1976

0

$

.00

AGRICULTURAL

1975

0

$

.00

AGRICULTURAL

1974

0

$

.00

AGRICULTURAL

1973

0

$

.00

AGRICULTURAL

1972

0

$

.00

AGRICULTURAL

1971

0

$

.00

AGRICULTURAL

1970

0

$

.00

AGRICULTURAL

1969

0

$

.00

AGRICULTURAL

1968

0

$

.00

AGRICULTURAL

1967

0

$

.00

AGRICULTURAL

1966

0

$

.00

AGRICULTURAL

1963 - 1965

0

$

.00

AGRICULTURAL

1962

0

$

.00

AGRICULTURAL

1960 - 1961

0

$

.00

AGRICULTURAL

1959

0

$

.00

AGRICULTURAL

1957 - 1958

0

$

.00

AGRICULTURAL

1955 - 1956

0

$

.00

     

ALL YEARS COMBINED

 

0

$

.00

4. Page 4

TRUST FUND STATISTICS

   

VAMAS RUN NUMBER: 41

TYPE OF EMPLOYMENT:

TAX RATE PERIODS

ITEMS

 

EARNINGS

SELF EMPLOYMENT

1998

0

$

.00

SELF EMPLOYMENT

1997

0

$

.00

SELF EMPLOYMENT

1996

0

$

.00

SELF EMPLOYMENT

1995

0

$

.00

SELF EMPLOYMENT

1994

0

$

.00

SELF EMPLOYMENT

1993

0

$

.00

SELF EMPLOYMENT

1992

0

$

.00

SELF EMPLOYMENT

1991

0

$

.00

SELF EMPLOYMENT

1990

0

$

.00

SELF EMPLOYMENT

1989

0

$

.00

SELF EMPLOYMENT

1988

0

$

.00

SELF EMPLOYMENT

1987

0

$

.00

SELF EMPLOYMENT

1986

0

$

.00

SELF EMPLOYMENT

1985

0

$

.00

SELF EMPLOYMENT

1984

0

$

.00

SELF EMPLOYMENT

1983

0

$

.00

SELF EMPLOYMENT

1982

0

$

.00

SELF EMPLOYMENT

1981

0

$

.00

SELF EMPLOYMENT

1980

0

$

.00

SELF EMPLOYMENT

1979

0

$

.00

SELF EMPLOYMENT

1978

0

$

.00

SELF EMPLOYMENT

1977

0

$

.00

SELF EMPLOYMENT

1976

0

$

.00

SELF EMPLOYMENT

1975

0

$

.00

SELF EMPLOYMENT

1974

0

$

.00

SELF EMPLOYMENT

1973

0

$

.00

SELF EMPLOYMENT

1972

0

$

.00

SELF EMPLOYMENT

1971

0

$

.00

SELF EMPLOYMENT

1970

0

$

.00

SELF EMPLOYMENT

1969

0

$

.00

SELF EMPLOYMENT

1968

0

$

.00

SELF EMPLOYMENT

1967

0

$

.00

SELF EMPLOYMENT

1966

0

$

.00

SELF EMPLOYMENT

1965

0

$

.00

SELF EMPLOYMENT

1964

0

$

.00

SELF EMPLOYMENT

1963

0

$

.00

SELF EMPLOYMENT

1962

0

$

.00

SELF EMPLOYMENT

1961

0

$

.00

SELF EMPLOYMENT

1960

0

$

.00

SELF EMPLOYMENT

1959

0

$

.00

SELF EMPLOYMENT

1958

0

$

.00

SELF EMPLOYMENT

1957

0

$

.00

SELF EMPLOYMENT

1956

0

$

.00

SELF EMPLOYMENT

1955

0

$

.00

SELF EMPLOYMENT

1954

0

$

.00

SELF EMPLOYMENT

1953

0

$

.00

SELF EMPLOYMENT

1952

0

$

.00

SELF EMPLOYMENT

1951

0

$

.00

     

ALL YEARS COMBINED

 

0

$

.00

5. Page 5

TRUST FUND STATISTICS

   

VAMAS RUN NUMBER: 41

TYPE OF EMPLOYMENT:

TAX RATE PERIODS

ITEMS

 

EARNINGS

     

MILITARY

1998

0

$

.00

MILITARY

1997

0

$

.00

MILITARY

1996

0

$

.00

MILITARY

1995

0

$

.00

MILITARY

1994

0

$

.00

MILITARY

1993

0

$

.00

MILITARY

1992

0

$

.00

MILITARY

1991

0

$

.00

MILITARY

1990

0

$

.00

MILITARY

1989

0

$

.00

MILITARY

1988

0

$

.00

MILITARY

1987

0

$

.00

MILITARY

1986

0

$

.00

MILITARY

1985

0

$

.00

MILITARY

1984

0

$

.00

MILITARY

1983

0

$

.00

MILITARY

1982

0

$

.00

MILITARY

1981

0

$

.00

MILITARY

1980

0

$

.00

MILITARY

1979

0

$

.00

MILITARY

1978

0

$

.00

MILITARY

1977

0

$

.00

MILITARY

1976

0

$

.00

MILITARY

1975

0

$

.00

MILITARY

1974

0

$

.00

MILITARY

1973

0

$

.00

MILITARY

1972

0

$

.00

MILITARY

1971

0

$

.00

MILITARY

1970

0

$

.00

MILITARY

1969

0

$

.00

MILITARY

1968

0

$

.00

MILITARY

1967

0

$

.00

MILITARY

1966

0

$

.00

MILITARY

1965

0

$

.00

MILITARY

1964

0

$

.00

MILITARY

1963

0

$

.00

MILITARY

1962

0

$

.00

MILITARY

1961

0

$

.00

MILITARY

1960

0

$

.00

MILITARY

1959

0

$

.00

MILITARY

1958

0

$

.00

MILITARY

1957

0

$

.00

MILITARY

1956

0

$

.00

MILITARY

1955

0

$

.00

MILITARY

1954

0

$

.00

MILITARY

1953

0

$

.00

MILITARY

1952

0

$

.00

MILITARY

1951

0

$

.00

MILITARY

1950

0

$

.00

MILITARY

1949

0

$

.00

MILITARY

1948

0

$

.00

MILITARY

1947

0

$

.00

MILITARY

1946

0

$

.00

MILITARY

1945

0

$

.00

MILITARY

1944

0

$

.00

MILITARY

1943

0

$

.00

MILITARY

1942

0

$

.00

MILITARY

1941

0

$

.00

MILITARY

1940

0

$

.00

     

ALL YEARS COMBINED

 

0

$

.00

6. Page 6

TRUST FUND STATISTICS

   

VAMAS RUN NUMBER: 41

TYPE OF EMPLOYMENT:

TAX RATE PERIODS

ITEMS

 

EARNINGS

MILITARY

1939

0

$

.00

MILITARY

1938

0

$

.00

MILITARY

1937

0

$

.00

     

ALL YEARS COMBINED

 

0

$

.00

     

STATE & LOCAL

 

0

$

.00

     

NON-TAXABLE

 

0

$

.00

     

IMPOSS PER REGULAR

 

0

$

.00

     

IMPOSS PERIOD S-E

 

0

$

.00

     

TRUST FUND TOTALS

 

0

$

.00

B. ERTRUST Sysout

INTERIM TRUST FUND ADJUSTMENT DATA FROM THE IRS-941 TAPE FILES (TS0 – TS1) FOR AQ – 02

--- 06/02/81 ---

* * * * QUARTERLY BREAKDOWNS * * * * *

QUARTER ENDING

REGULAR WAGES

CASH TIPS WAGES

THERE ARE NO QUARTERLY AGRICULTURAL WAGES

TIPS

DEEMED TO BE WAGES

MARCH 31, 1981

223.37

   

DECEMBER 31, 1980

100,287,939,867.18

11,700,501.44

 

101,029,763.65

SEPTEMBER 30, 1980

18,121.21

157.21

 

47.16

JUNE 30, 1980

    
     

*****MONEY TOTALS NOT INCLUDED IN ABOVE QUARTERLY BREAKDOWNS *****

QUARTER ENDING

REGULAR WAGES

CASH TIPS WAGES

THERE ARE NO QUARTERLY AGRICULTURAL WAGES

TIPS

DEEMED TO BE WAGES

1978

  

900,000.00

 

1979

1,001.20

.10

  

1980

14,271.06

154.63

 

7.83-

1981

    

1982

    

1983

    

1984

    

1985

271,387,136.41

   
     
   

VALIDATION TEST OUTPUT

SR 3414

C. Trust Fund Ledgers

1. SSA-7775

a. Page 1

STATEMENT OF TOTAL EMPLOYEE WAGES (Forms 941 and 942) UNDER THE FEDERAL CONTRIBUTIONS ACT
AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

CURRENT AND PREVIOUS
QUARTERS

ALL OTHER QUARTERS BY TAX RATE PERIOD (DOES NOT INCLUDE
CURRENT OR PREVIOUS QUARTER)

Month
And
Day

(1)
Current
A/Q _____

(2)
PREVIOUS
A/Q ___ (Quarter preceding current quarter)

(3)

(4)

(5)

(6)

(7)

        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        

TOTAL

       

Form SSA-7775 (4-82) Formerly CO-8027) Page 1 of 4

b. Page 2

STATEMENT OF TOTAL EMPLOYEE WAGES (Forms 941 and 942) UNDER THE FEDERAL CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

ALL OTHER QUARTERS BY TAX RATE PERIOD (DOES NOT INCLUDE CURRENT OR PREVIOUS QUARTER)

Month
And
Day

(8)

(9)

(10)
1974

(11)
1973

(12)
1972

(13)
1971

(14)
1970

        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        

TOTAL

       

Form SSA-7775 (4-82) Formerly CO-8027) Page 2 of 4

c. Page 3

STATEMENT OF TOTAL EMPLOYEE WAGES (Forms 941 and 942) UNDER THE FEDERAL CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

ALL OTHER QUARTERS BY TAX RATE PERIOD (DOES NOT INCLUDE CURRENT OR PREVIOUS QUARTER)

Month
And
Day

(15)
1989

(16)
1988

(17)
1987

(18)
1986

(19)
1985-1983

(20)
1982

(21)
1981-1980

        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        

TOTAL

       

Form SSA-7775 (4-82) Formerly CO-8027) Page 3 of 4

d. Page 4

STATEMENT OF TOTAL EMPLOYEE WAGES (Forms 941 and 942) UNDER THE FEDERAL CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

ALL OTHER QUARTERS BY TAX RATE PERIOD (DOES NOT INCLUDE CURRENT OR PREVIOUS QUARTER)

Month
And
Day

(22)
1959

(23)
1958-1957

(24)
1956-1954

(25)
1953-1950

(26)
1949-1937

(27)
TO - DATE
Col. 1 thru 26

       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

TOTAL

      

Form SSA-7775 (4-82) Formerly CO-8027) Page 4 of 4

2. SSA-7776

a. Page 1

STATEMENT OF TOTAL EMPLOYEE TIPS REPORTED UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

CURRENT AND PREVIOUS
QUARTERS

ALL OTHERS BY TAX RATE PERIOD (Does not include current or previous quarter)

Month
And
Day

(28)
Current
A/Q ______

(29)
PREVIOUS
A/Q _____
(Quarter preceding
current
quarter)

(30)

(31)

(32)

(33)

(34)

        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        

TOTAL

       

Form SSA-7776 (4-82) (formerly CO-8027a) Page 1 of 3

b. Page 2

STATEMENT OF TOTAL EMPLOYEE TIPS REPORTED UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

ALL OTHERS BY TAX RATE PERIOD (Does not include current or previous quarter)

Month
And
Day

(35)

(36)

(37)

(38)
1974

(39)
1973

(40)
1972

(41)
1971

        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        

TOTAL

       

Form SSA-7776 (4-82) (formerly CO-8027a) Page 2 of 3

c. Page 3

STATEMENT OF TOTAL EMPLOYEE TIPS REPORTED UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

ALL OTHERS BY TAX RATE PERIOD (Does not include current or previous quarter)

Month
And
Day

(42)
1970

(43)
1989

(44)
1988

(45)
1987

(46)
1966

(47)
TO - DATE
Col. 28 thru 46

       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

TOTAL

      

Form SSA-7776 (4-82) (formerly CO-8027a) Page 3 of 3

3. SSA-7777

a. Page 1

STATEMENT OF TOTAL SELF EMPLOYED (Calendar, Adjustment, Short and Fiscal Year)
EARNINGS UNDER THE
FEDERAL CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

Accounting Quarter _____

 

YEARS

Month
And
Day

(74)

(75)

(76)

(77)

(78)

(79)

(80)

(81)

(82)

          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          

TOTAL

         

Form SSA-7777 (4-82) (formerly CO-8027b) Page 1 of 4

b. Page 2

STATEMENT OF TOTAL SELF EMPLOYED (Calendar, Adjustment, Short and Fiscal Year) EARNINGS UNDER
THE FEDERAL CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

YEARS

Month
And
Day

(83)

(84)

(85)
1973

(86)
1972

(87)
1971

(88)
1970

(89)
1969

(90)
1968

(91)
1967

          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          

TOTAL

         

Form SSA-7777 (4-82) (formerly CO-8027b) Page 2 of 4

c. Page 3

STATEMENT OF TOTAL SELF EMPLOYED (Calendar, Adjustment, Short and Fiscal Year) EARNINGS UNDER THE FEDERAL CONTRIBUTIONS ACT AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

YEARS

Month
And
Day

(92)
1966

(93)
1965

(94)
1964

(95)
1963

(96)
1962

(98)
1961

(98)
1960

(99)
1959

(100)
1958

          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          

TOTAL

         

Form SSA-7777 (4-82) (formerly CO-8027b) Page 3 of 4

d. Page 4

STATEMENT OF TOTAL SELF EMPLOYED (Calendar, Adjustment, Short and Fiscal Year) EARNINGS UNDER THE FEDERAL CONTRIBUTIONS ACT
AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

ACCOUNTING QUARTER _____

 

YEARS

Month
And
Day

(101)
1957

(102)
1956

(103)
1955

(104)
1954

(105)
1953

(106)
1952

(107)
1951

(108)
TO DATE
Col. 74 thru 107

         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

TOTAL

        

Form SSA-7777 (4-82) (formerly CO-8027b) Page 4of 4

4. SSA-7778

a. Page 1

STATEMENT OF TOTAL AGRICULTURE WAGES (Forms 943) UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT
AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

Accounting Quarter ____

 

CURRENT AND PREVIOUS YEAR

ALL OTHER YEARS BY TAX RATE PERIOD (Does not include current or previous years)

Month
And
Day

(48)
CURRENT YEAR
_____

(49)
PREVIOUS YEAR
_____

(50)

(51)

(52)

(53)

(54)

(55)

(56)

          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          

TOTAL

         

Form SSA-7778 (4-82) (Formerly CO-8027c) Page 1 of 3

b. Page 2

STATEMENT OF TOTAL AGRICULTURE WAGES (Forms 943) UNDER THE FEDERAL CONTRIBUTIONS ACT
AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

Accounting Quarter _______

 

ALL OTHER YEARS BY TAX RATE PERIOD (Does not include current or previous years)

Month
And
Day

(57)

(58)

(59)

(60)
1972

(61)
1971

(62)
1970

(63)
1969

(64)
1968

(65)
1967

          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          

TOTAL

         

Form SSA-7778 (4-82) (Formerly CO-8027c) Page 2 of 3

c. Page 3

STATEMENT OF TOTAL AGRICULTURE WAGES (Forms 943) UNDER THE FEDERAL CONTRIBUTIONS ACT
AS RECORDED BY THE SOCIAL SECURITY ADMINISTRATION

Accounting Quarter _______

 

ALL OTHER YEARS BY TAX RATE PERIOD (Does not include current or previous years)

Month
And
Day

(66)
1966

(67)
1965-1963

(68)
1962

(69)
1961-1960

(70)
1959

(71)
1958-1957

(72)
1956-1955

(73)
TO - DATE
Col. 48 thru 72

         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

TOTAL

        

Form SSA-7778 (4-82) (Formerly CO-8027c) Page 3 of 3

5. SSA-7779

STATEMENT OF NOT ACCOUNTABLE EARNINGS

Accounting Quarter _____

 

MILITARY REPORTING

STATE REPORTING

NON-TAXABLE EVIDENCE POSTING

Month
And
Dau

(109)
TODAY

(110)
TO DATE

(111)
TODAY

(112)
TO DATE

(113)
TODAY

(114)
TO DATE

       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

TOTAL

      

6. SSA-7780

G-SSA-7780

Printer Friendly Version

7. SSA-7781

a. Page 1

G-SSA-7781-1

Printer Friendly Version

b. Page 2

G-SSA-7781-2

Printer Friendly Version

D. Trust Fund Certification Letter

1. Page 1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Social Security Administration

Refer to:

Baltimore, MD 21235

(Address and title of designated
Treasury Department
Official)

Dear Sir:

There is herein certified to the Secretary of the Treasury, in accordance with Section 201 (a) (3), 201 (b) (1) and 1817 (a) (1) of the Social Security Act, the amount of wages for the periods shown below, as established in the records of the Social Security Administration from (month/day/year) to (month/day/year) from wage reports received from the Internal Revenue Service. There is also herein certified to the Secretary of the Treasury, in accordance with Section 201 (a) (4), 201 (b) (2) and 1817 (a) (2) of the Social Security Act, self-employment income for the periods shown below, as established in the records of the Social Security Administration from (month/day/year) to (month/day/year) from reports received from the Internal Revenue Service.

There is also herein certified to the Secretary of the Treasury the interim amount of wages for the period shown below, as established in the records of the Social Security Administration from the Internal Revenue Service 941T tape.

There is also herein certified to the Secretary of the Treasury the amount of wages for which the Pacific Maritime Association paid the employer taxes only, as authorized by the U.S. Treasury Department's letter of June 2, 1950 and as amended by the U.S. Treasury Department's letter of April 22, 1995.

There is also herein certified to the Secretary of the Treasury, amounts of tips deemed to be wages which are subject to employer tax under Section 3121(t) of the Internal Revenue code.

2. Page 2

(A)

(1)

Interim Trust Fund Adjustment Data

Quarter Ending, (month/day/year of current quarter)

(a)

Regular Wages

Amount of Wages

Tax Rate % and Trust Fund to be Credited

Employment Taxes
(To be computed by
Treasury)

$

(Enter applicable

FOASI

 

$

combined employer/

FDI

 

$

employee tax rate)

FHI

 

(b)

Cash Tips Wages

Amount of Wages

Tax Rate % and Trust Fund to be Credited

Employment Taxes
(To be computed by
Treasury)

$

(Enter applicable

FOASI

 

$

tip tax rate)

FDI

 

$

 

FHI

 

(2)

Previous Quarter, Ending (month, day, year)

(a)

Regular Wages

Amount of Wages

Tax Rate % and Trust Fund to be Credited

Employment Taxes
(To be computed by
Treasury)

$

(Enter applicable

FOASI

 

$

combined employer/

FDI

 

$

employee tax rate)

FHI

 

Note: If wages for other quarters in the current year are present, change the heading of the above section 2 to “Previous quarters, (current year)” and enter all the other quarters' wages for that year in a combined entry.

3. Page 3

(A)

(3)

Interim Trust Fund Adjustment Data

Prior Year, (year)

(a)

Regular Wages

Amount of Wages

Tax Rate % and Trust Fund to be Credited

Employment
(To be computed by
Treasury)

$

 

FOASI

 

$

 

FDI

 

$

 

FHI

 

(b)

Cash Tips Wages

Amount of Wages

Tax Rate % and Trust Fund to be Credited

Employment Taxes
(To be computed by
Treasury)

$

 

FOASI

 

$

 

FDI

 

$

 

FHI

 

Note: For additional prior years repeat the formula above. Do not include wages for year reported as certified wages in (B) below.

4. Page 4

(A)

(4)

Interim Trust Fund Adjustment Data

Wages from Agriculture Employment

(a)

Agriculture Wages, (current year on ERTRUST SYSOUT) for the Adjustment of Appropriations in the Quarter Ending March 31, (current year on ERTRUST SYSOUT)

Amount of Wages

Tax Rate % and Trust Fund
to be Credited

Employment Taxes (To be
computed by Treasury)

$

 

FOASI

 

$

 

FDI

 

$

 

FHI

 

(b)

Agricultural Wages, (prior year on ERTURST SYSOUT) for the Adjustment of Appropriation in the Quarter Ending March 31, (prior year on ERTRUST SYSOUT)

Amount of Wages

Tax Rate % and Trust Fund
to be Credited

Employment Taxes (To be
computed by Treasury)

$

 

FOASI

 

$

 

FDI

 

$

 

FHI

 

Note: For additional prior years repeat the formula above. Do not include wages for years reported as certified wages in (B) below.

5. Page 5

(B)

All Other Previous Quarters--By Tax Rate Period

(1)

Regular Wages

Amount of Wages

Tax Rate % and Trust
Fund to be Credited

 

Employment Taxes
(To be computed by
Treasury)

$

1937-1949

2.000

FOASI

 

$

1950-1953

3.000

FOASI

 

$

1954-1956

4.000

FOASI

 

$

1957-1958

4.000

FOASI

 

$

1957-1958

.500

FDI

 

$

1959

4.500

FOASI

 

$

1959

.500

FDI

 

$

1960-1961

5.500

FOASI

 

$

1960-1961

.500

FDI

 

$

1962

5.750

FOASI 

$

1962

.500

FDI

 

$

1963-1965

6.750

FOASI

 

$

1963-1965

.500

FDI

 

$

1966

7.000

FOASI

 

$

1966

.700

FDI

 

$

1966

.700

FHI

 

$

1967

7.100

FOASI

 

$

1967

.700

FDI

 

$

1967

1.000

FHI

 

$

1968

6.650

FOASI

 

$

1968

.950

FDI

 

$

1968

1.200

FHI

 

$

1969

7.450

FOASI

 

$

1969

.950

FDI

 

$

1969

1.200

FHI 

$

1970

7.300

FOASI

 

$

1970

1.100

FDI

 

$

1970

1.200

FHI 

$

1971-1972

8.100

FOASI

 

$

1971-1972

1.100

FDI

 

$

1971-1972

1.200

FHI

 

$

1973

8.600

FOASI

 

$

1973

1.100

FDI

 

$

1973

2.000

FHI 

$

1974

8.750

FOASI

 

$

1974

1.150

FDI

 

$

1974

1.800

FHI 

$

1975

8.750

FOASI

 

$

1975

1.150

FDI

 

$

1975

1.800

FHI 

6. Page 6

(B)

All Other Previous Quarters--By Tax Rate Period (continued)

(1)

Regular Wages

Amount of Wages

Tax Rate % and Trust
Fund to be Credited

 

Employment Taxes
(To be computed by
Treasury)

$

1976

8.750

FOASI

 

$

1976

1.150

FDI

 

$

1976

1.800

FHI 

$

1977

8.750

FOASI

 

$

1977

1.150

FDI

 

$

1977

1.800

FHI 

(2)

Cash Tips Wages

Amount of Wages

Tax Rate % and Trust
Fund to be Credited

 

Employment Taxes
(To be computed by
Treasury)

$

1966

3.500

FOASI

 

$

1966

.350

FDI

 

$

1966

.350

FHI

 

$

1967

3.550

FOASI

 

$

1967

.350

FDI

 

$

1967

.500

FHI

 

$

1968

3.325

FOASI

 

$

1968

.475

FDI

 

$

1968

.600

FHI

 

$

1969

3.725

FOASI

 

$

1969

.475

FDI

 

$

1969

.600

FHI 

$

1970

3.650

FOASI

 

$

1970

.500

FDI

 

$

1970

.600

FHI 

$

1971-1972

4.050

FOASI

 

$

1971-1972

.550

FDI

 

$

1971-1972

.600

FHI

 

$

1973

4.300

FOASI

 

$

1973

.550

FDI

 

$

1973

1.000

FHI 

$

1974

4.375

FOASI

 

$

1974

.575

FDI

 

$

1974

.900

FHI 

$

1975

4.375

FOASI

 

$

1975

.575

FDI

 

$

1975

.900

FHI 

$

1976

4.375

FOASI

 

$

1976

.575

FDI

 

$

1976

.900

FHI 

7. Page 7

(B)

All Other Previous Quarters--By Tax Rate Period (continued)

(2)

Cash Tips Wages

Amount of Wages

Tax Rate % and Trust
Fund to be Credited

 

Employment Taxes
(To be computed by
Treasury)

$

1977

4.375

FOASI

 

$

1977

.575

FDI

 

$

1977

.900

FHI 

(C)

Wages From Agricultural Employment

Amount of Wages

Tax Rate % and Trust
Fund to be Credited

 

Employment Taxes
(To be computed by
Treasury)

$

1955-1956

4.000

FOASI

 

$

1957-1958

4.000

FOASI

 

$

1957-1958

.500

FDI

 

$

1959

4.500

FOASI

 

$

1959

.500

FDI

 

$

1960-1961

5.500

FOASI

 

$

1960-1961

.500

FDI

 

$

1962

5.750

FOASI 

$

1962

.500

FDI

 

$

1963-1965

6.750

FOASI

 

$

1963-1965

.500

FDI

 

$

1966

7.000

FOASI

 

$

1966

.700

FDI

 

$

1966

.700

FHI

 

$

1967

7.100

FOASI

 

$

1967

.700

FDI

 

$

1967

1.000

FHI

 

$

1968

6.650

FOASI

 

$

1968

.950

FDI

 

$

1968

1.200

FHI

 

$

1969

7.450

FOASI

 

$

1969

.950

FDI

 

$

1969

1.200

FHI 

$

1970

7.300

FOASI

 

$

1970

1.100

FDI

 

$

1970

1.200

FHI 

$

1971-1972

8.100

FOASI

 

$

1971-1972

1.100

FDI

 

$

1971-1972

1.200

FHI

 

8. Page 8

(C)

Wages From Agricultural Employment (continued)

Amount of Wages

Tax Rate % and Trust
Fund to be Credited

 

Employment Taxes
(To be computed
by Treasury)

$

1973

8.600

FOASI

 

$

1973

1.100

FDI

 

$

1973

2.000

FHI 

$

1974

8.750

FOASI

 

$

1974

1.150

FDI

 

$

1974

1.800

FHI 

$

1975

8.750

FOASI

 

$

1975

1.150

FDI

 

$

1975

1.800

FHI 

$

1976

8.750

FOASI

 

$

1976

1.150

FDI

 

$

1976

1.800

FHI 

$

1977

8.750

FOASI

 

$

1977

1.150

FDI

 

$

1977

1.800

FHI 

(D)

Self-Employment Income

Amount of Earnings

Tax Rate % and Trust
Fund to be Credited

 

Self-Employment Taxes (To be
computed by Treasury)

$

1951-1953

2.2500

FOASI

 

$

1954-1956

3.0000

FOASI

 

$

1957-1958

3.0000

FOASI

 

$

1957-1958

.3750

FDI

 

$

1959

3.3750

FOASI

 

$

1959

.3750

FDI

 

$

1960-1961

4.1250

FOASI

 

$

1960-1961

.3750

FDI

 

$

1962

4.3250

FOASI 

$

1962

.3750

FDI

 

$

1963-1965

5.0250

FOASI

 

$

1963-1965

.3750

FDI

 

$

1966

5.2750

FOASI

 

$

1966

.5250

FDI

 

$

1966

.3500

FHI

 

$

1967

5.3750

FOASI

 

$

1967

.5250

FDI

 

$

1967

.5000

FHI

 

$

1968

5.0875

FOASI

 

$

1968

.7125

FDI

 

$

1968

.6000

FHI

 

9. Page 9

(D)

Self-Employment Income (continued)

Amount of Earnings

Tax Rate % and Trust
Fund to be Credited

 

Self-Employment
Taxes (To be
computed by Treasury)

$

1969

5.5875

FOASI

 

$

1969

.7125

FDI

 

$

1969

.6000

FHI 

$

1970

5.4750

FOASI

 

$

1970

.8250

FDI

 

$

1970

.6000

FHI 

$

1971

6.0750

FOASI

 

$

1971

.8250

FDI

 

$

1971

.6000

FHI

 

$

1972

6.0750

FOASI

 

$

1972

.8250

FDI

 

$

1972

.6000

FHI

 

$

1973

6.2050

FOASI

 

$

1973

.7950

FDI

 

$

1973

1.0000

FHI 

$

1974

6.1850

FOASI

 

$

1974

.8150

FDI

 

$

1974

.9000

FHI 

$

1975

6.1850

FOASI

 

$

1975

.8150

FDI

 

$

1975

.9000

FHI 

$

1976

6.1850

FOASI

 

$

1976

.8150

FDI

 

$

1976

.9000

FHI 

$

1977

6.1850

FOASI

 

$

1977

.8150

FDI

 

$

1977

.9000

FHI 

$

1978

6.0100

FOASI

 

$

1978

1.0900

FDI

 

$

1978

1.0000

FHI 

$

1979

6.0100

FOASI

 

$

1979

1.0400

FDI

 

$

1979

1.0500

FHI 

$

1980

6.2725

FOASI

 

$

1980

.7775

FDI

 

$

1980

1.0500

FHI 

$

1981

7.0250

FOASI

 

$

1981

.9750

FDI

 

$

1981

1.3000

FHI 

10. Page 10

(E)

Wages Paid by Pacific Martime Association Per Specific Agreement with IRS Quarter Ending (month, day, year).

Wages in Excess
of Maxium not Reported
on Schedule A

Employer Tax
Rate % and Trust
Fund to be Credited

Employer