BONUS CHECK TRANSMITTAL

SEND IN WITH BONUS PROCESSING FOR ALL BONUS RUNS

FAX TO: (515)-243-5091

COMPANY:                                                               CONTACT:                                                    

CHECK DATE:                                   PAY TYPE DESCRIPT:                                                        

SEPARATE PROCESSING:   Y   N               RUN WITH REG. PROCESSING:  Y  N

                                                                        (MUST HAVE SAME CHECK DATE)

                                                                        SEPARATE CHECK:   Y   N

DIRECT DEPOSIT:   Y   N                             TAKE 401K/ IRA/ ECT:   Y   N

TAKE GARNISHMENTS:   Y   N                  TAKE REG DED/CAF 125:   Y   N

TAXATION:   NORMAL:   Y   N                   FIXED: FED TAX %               ST. TAX %                

- OR -

OVERRIDE TAX FREQ: MONTHLY            QUARTERLY            SEMI-ANNUAL       

                                          ANNUAL             

CHECK STUB MESSAGE                                                                                                                                               

OTHER SPECIAL INSTRUCTIONS