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December, 2013


Dear Friends and Clients of Blue & Co.:

We would like to take this opportunity to provide you with some reminders and information regarding the current requirements for documenting and reporting various items, requirements that have come about as a result of provisions within the Patient Protection and Affordable Care Act (The Affordable Care Act) signed in 2010, and other important information that could potentially affect reporting for you or your business.

If you should have any questions about this information, please call us. We would be happy to discuss these items as they relate to you and your business. Thank you for allowing us to serve you as we head into 2014.

Sincerely yours,


Click here to access the document in PDF format (Indiana version)

Click here to access the document in PDF format (Ohio version)

Click here to access the document in PDF format (Kentucky version)



I-9 Employment Eligibility Verification

W-9 Request for Taxpayer Identification Number and Certification

Employer Provided Automobile Reimbursement Calculation

Employer Provided Automobile Fringe Benefit Calculation

Annual Lease Value Table

State of Indiana - Employee Withholding Certificate

Indiana - New Hire Reporting Center Employer Information Form

Ohio - New Hire Reporting Form

Ohio - Employee's Withholding Exemption Certificate

Kentucky - New Hire Reporting Form

Kentucky - Employee's Withholding Exemption Certificate




CIRCULAR 230 DISCLOSURE: To ensure compliance with recently-enacted U.S. Treasury Department Regulations, we are now required to advise you that, unless otherwise expressly indicated, any federal tax advice contained in this communication, including any attachments, is not intended or written by us to be used, and cannot be used, by anyone for the purpose of avoiding federal tax penalties that may be imposed by the federal government or for promoting, marketing or recommending to another party any tax-related matters addressed herein.


Blue & Co, LLC | 101 West Kirkwood Avenue | Suite 236 | Bloomington, IN 47404

Blue & Co, LLC | 12800 N. Meridian Street | Suite 400 | Carmel, IN 46032 *

Blue & Co, LLC | 627 Washington Street |  Columbus, IN 47201

Blue & Co, LLC | 8800 Lyra Drive | Suite 450 |  Columbus, OH 43240

Blue & Co, LLC | One American Square | Suite 2200 | Indianapolis, IN 46282

Blue & Co, LLC | 250 West Main Street | Suite 2900 | Lexington, KY 40507

Blue & Co, LLC | 2650 Eastpoint Parkway | Suite 300 | Louisville, KY 40223

Blue & Co, LLC | 106 Community Drive  | Seymour, IN 47274

* firm administration location

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