Construction: Continuous - Carbon
Form Name: Wage and Tax Statement
Size: 10 1/4" x 11"
Copies:(Left to Right, Top to Bottom): D/1 - Employer or Employer State, City or Local
Carbon Tissue Sheet
B - Employee Federal
C - Employee Record
2 - Employee State, City or Local
Forms /Sheet: 2up
Ink Color: Black
Horizontal Perforation: 5 1/2"
Vertical Perforation: 7/8"
Other: Self-Mailer, Electronic Reporting