Enter SS& Medamt asnegative$684 perweek or$35,568annuallyBox 12Code CJanuary15thBox 12CodeW6months100%net pay6Pub15-ABox1322%$50,000A dollaramount10%Sub11:59PMon 12/31WhenmakingchangesER HSAcontributionsHead ofHousehold$200,000$132,900Write inEXEMPT$8,975.32S CorpHealthInsEnter SS& Medamt asnegative$684 perweek or$35,568annuallyBox 12Code CJanuary15thBox 12CodeW6months100%net pay6Pub15-ABox1322%$50,000A dollaramount10%Sub11:59PMon 12/31WhenmakingchangesER HSAcontributionsHead ofHousehold$200,000$132,900Write inEXEMPT$8,975.32S CorpHealthIns

Payroll YE Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Enter SS & Med amt as negative
  2. $684 per week or $35,568 annually
  3. Box 12 Code C
  4. January 15th
  5. Box 12 Code W
  6. 6 months
  7. 100% net pay
  8. 6
  9. Pub 15-A
  10. Box 13
  11. 22%
  12. $50,000
  13. A dollar amount
  14. 10%
  15. Sub
  16. 11:59PM on 12/31
  17. When making changes
  18. ER HSA contributions
  19. Head of Household
  20. $200,000
  21. $132,900
  22. Write in EXEMPT
  23. $8,975.32
  24. S Corp Health Ins