Dol 402A form is a self-employed tax form that is used by taxpayers who are self-employed. This tax form is used to report income and expenses from self-employment activities. The Dol 402A form must be filed annually in order to report self-employment income and expenses. Taxpayers who are self-employed should familiarize themselves with the requirements of this tax form so that they can accurately report their income and expenses.
| Question | Answer |
|---|---|
| Form Name | Dol 402A Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | form dol 402a, 402a department labor form, specified monies 402a, 402a labor 402 form |
GEORGIA DEPARTMENT OF LABOR
MASS SEPARATION NOTICE - LIST OF WORKERS
Employer |
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Account Number |
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Workers’ Names |
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Worker earned |
Retired? |
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Severance Pay/Wages in Lieu of Notice (Paid or Being Paid) |
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(list alphabetically) |
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$3,500 or more |
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If yes, complete and indicate period if monies are for specified period. |
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Social Security |
Last |
First |
Middle |
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No |
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Date |
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Avg. Gross |
Lump Sum |
Specified Period? |
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Number |
Yes |
Amount |
Yes |
No |
Paid |
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Amount |
Weekly Wage |
Yes |
No |
From |
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To |
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