SubWrite inEXEMPT22%100%net payPub15-A6monthsER HSAcontributionsJanuary15thHead ofHousehold$8,975.32A dollaramount$132,900Box 12Code CEnter SS& Medamt asnegative6$200,000$50,000WhenmakingchangesBox13Box 12CodeW10%11:59PMon 12/31$684 perweek or$35,568annuallyS CorpHealthInsSubWrite inEXEMPT22%100%net payPub15-A6monthsER HSAcontributionsJanuary15thHead ofHousehold$8,975.32A dollaramount$132,900Box 12Code CEnter SS& Medamt asnegative6$200,000$50,000WhenmakingchangesBox13Box 12CodeW10%11:59PMon 12/31$684 perweek or$35,568annuallyS 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. Sub
  2. Write in EXEMPT
  3. 22%
  4. 100% net pay
  5. Pub 15-A
  6. 6 months
  7. ER HSA contributions
  8. January 15th
  9. Head of Household
  10. $8,975.32
  11. A dollar amount
  12. $132,900
  13. Box 12 Code C
  14. Enter SS & Med amt as negative
  15. 6
  16. $200,000
  17. $50,000
  18. When making changes
  19. Box 13
  20. Box 12 Code W
  21. 10%
  22. 11:59PM on 12/31
  23. $684 per week or $35,568 annually
  24. S Corp Health Ins