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Software of the Month Club 1996 August
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Software of the Month Club 1996 August.iso
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instapay
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laser94
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cade43_2.hr4
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Text File
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1994-12-01
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4KB
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137 lines
&l8c66pe66F&s0C)0U)s1p6vsb4T(0U(s1p14vs1b4T&a4c3r4LEDD
&a5R&a4150.4HEMPLOYER
&a4343.6HCOPY
(0U(s1p10vs1b4T&a6c5r6LEMPLOYMENT DEVELOPMENT DEPARTMENT
(0U(s1p8vsb4T&a9c2RCS1
&a24c3r24LServing the People of California
&a9c4r9L(s1BState of California (sB
&a+1R(s1BP.O. Box 826805 Sacramento CA 94205-0001 (sB
&a153c11r153LEMPLOYER ACCOUNT NO.
&a+3RFEDERAL EMPLOYER ACCOUNT NO.
(FEIN)
&a9c7r9LFORM DE 43 ANNUAL RECONCILIATION OF CALIFORNIA
&a9c7.8RPERSONAL INCOME TAX WITHHELD. (Submit with all
Forms W-2 and W-2C. Submit with any 1099-R forms that
have California Income Tax Withholdings)
&l6C&a2.93R&a3713.6HPlease (s1Btype (sBthis form and (s1Bread (sBinstructions on
&a4061.6HDE 43I prior to completing.
&l8C&a186c8r186LYEAR
&a3c8r3LH
&a21c21r21LOriginal
&a57c21r57LAmended
&a93c21r93LSupplemental
&a15c24r15LEnter (s1Btotal California Personal Income Tax
withheld, (sBas reported on Form W-2, W-2C,
1099-R. (s1BNote: (sBTO AVOID A POTENTIAL ASSESSMENT, &dDDO&d@
&dDNOT&d@ ENTER TOTAL WAGES, FEDERAL WITHHOLDING,
OR TOTAL PAYMENTS MADE FOR THE YEAR.
&a+1REnter (s1BCalifornia Personal Income Tax, (sBas
reported in box G1 of your DE 3DP, Quarterly
Contribution Returns, include any adjustments
for quarters ended:
&a+4RSubtract Line 2e from Line 1. If there is
an amount other than zero a DE 938, Quarterly Return
Adjustment Form, (s1Bmust (sBbe submitted for (s1Beach (sB
quarter that needs adjustment.
&a+1REnter third party sick pay withholdings.
&a+1RNumber of W-2, W-2C, and 1099-R Forms submitted is:
&a+1RNumber of W-2 and W-2C Forms on magnetic media is:
Total Forms (add lines 5a and 5b)
&a+3RWere 1099-R Forms transmitted on magnetic media to Franchise Tax Board/Internal Revenue Service?
&a156c53r156LYes
&a186c53r186LNo
&a131c32r131LMar 31 (s1B2(a)(sB
Jun 30 (s1B2(b)(sB
Sep 30 (s1B2(c)(sB
Dec 31 (s1B2(d)(sB
&a135c36r135LTOTAL (s1B2(e)(sB
&a150c37r150L(add lines 2a through 2d)
&l5.33C&a9c81.6r9LPENALTY - Up to $250.00 will be charged for failure to file the DE 43 plus $10 for failure to file each
&a30c82.5r30LW-2, or 1099-R.
&l8C&a9c56r9LI DECLARE that the information herein is true and correct to the best of my knowledge and belief.
&a9c58RSignature
&a85.5c58RTitle
&a141c58r141LPhone
&a198c58r198LDate
&a93c58.8R(owner, accountant, preparer, etc.)
&a162c25r162L$
&a+10R$
&a+3R$
&a156c48r156L(s1B(c)(sB
&a162c32r162L$
$
$
$
&a123c45r123L(s1B(a)(sB
&a+1R(s1B(b)(sB
&a155c60r155LDO NOT ALTER THIS AREA
(0U(s1p6vsb4T&l4.8C&a261c102r261L || ||
|| ||
|| ||
C N
&a220c102.5r220LDEPT.
USE
ONLY
&l8C&a15c63.8RCopyright (c) 1994 form software only CPSystems, Inc.
&a63.8R&a4607.6HEDD94332 - DE 43 Rev. 24 (8-94)
(0U(s1p8vsb4T(0U(s1p8vs1b4T&a150c25r150L 1.
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&a9c24r9L 1.
&a+1R&a+1R&a+1R&a+1R&a+1R 2.
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