Client Termination Information Form

Client Termination Information Form

Dear XXXX:

We truly wish we could continue our partnership but understand your decision. To finalize the cancellation of services, we need some information from you to understand how to handle payroll tax filings scheduled and tax monies on account. So please carefully review the questions in the Termination Form. If you do not respond within 24 hours, any tax monies on account will be returned to you and no tax filings will be made on your behalf. Please complete the Termination Form in the link below:

https://zfrmz.com/aFrDObdAj5u7Aramwub1

Additionally, we have reviewed your contract and found that the one-year term ends on MM/DD/YYY. Here is the breakdown of the fees through the contract term date:

# of payrolls remaining

 

x Average Payroll Cost

$

= Payroll Fees Due

$

# of Quarterly Returns

 

x Cost

$15

= Quarter Fees Due

$

Year End Returns/W-2s

 

Cost

$250

=Annual Fee Due

$

# of Additional W-2s*

 

x Cost

$5.50

=Addt’l W-2 Fee Due

$

*Year End Returns/W-2 processing fee is a base of $250 (up to 35 employees, each employee after is an additional $5.50)
***If you have requested PeopleworX to close any tax accounts, you will be contacted at a later date for any fees associated with that process.

Consequently, based on the terms of your contract, early termination fees due are $XXXX.

We are fully committed to fulfilling the terms of our contract and would be happy to continue to provide payroll services until its conclusion. However, we will respect & honor your request. Our goal is to make the termination process as smooth as possible while staying aligned with the terms of your contract.

We will always wish you continued success and a prosperous future!

Best regards,



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