Software of the Month Club 1996 August/Software of the Month Club 1996 August.iso/pc/dos/biz/instapay/laser95/cade6__1.hr4

Text File | 1995-03-13 | 7KB | 451 lines

&l8c66pe66F&s0C)0U)s1p6vsb4T(0U(s1p14vs1b4T&a10c2r10LEDD
&l9.6C&a69c9.58r69LTHIS IS YOUR FILE
COPY. DO NOT SEND
IT TO EDD.
&l8C(0U(s1p6vsb4T&a15c2RCS1
(0U(s1p10vs1b4T&a60c2r60LDE 6 QUARTERLY WAGE REPORT
(0U(s1p8vsb4TPLEASE TYPE THIS FORM
&a24c3r24LServing the People of California
You must FILE this report even though you had no payroll. If you had no payroll, complete Items C and I.
Please see instructions for completion of this form.
(0U(s1p6vsb4T&l4.8C&a40c11.33RQUARTER
ENDED
&a130c12.33RDUE
&a205c10.33r205LDELINQUENT IF
NOT POSTMARKED
OR RECEIVED BY
&l8C&a6R&a5070.8HYR
&a6R&a5262.8HQTR
&a9R&a4481.6HEMPLOYER ACCOUNT NO.
&a265c15.8r265L&l4.8CNUMBER OF EMPLOYEES earning wages during or
receiving pay for the pay periods that include the
12th day of the calendar month.
&l3.69C&a41.17R&a3782H1st
&a3758HMo.
&a41.17R&a4338.8H2nd
&a4334HMo.
&a41.17R&a4926.8H3rd
&a4910HMo.
&l8C&a279c19.8r279L&l4CNO
PAYROLL
&l8C&a325c19.8r325L&l4COUT OF BUSINESS/
 FINAL REPORT
&l8C(0U(s1p8vsb4T&a24c20r24L(s1BA. (sBCheck &dDONE &d@of the boxes below to indicate the type of subject wages and/or 
      withholding you are reporting on this page. (See instructions for Item A)
(s1B1. (sB
&a21R&a4211.6HPage Number
&a21R&a5038.4Hof 
(0U(s1p6vsb4T&a60c22r60LUI &dDAND&d@ DI
WAGES
&a110c22RUI WAGES ONLY
&a165c22RDI WAGES ONLY
&a220c22r220LUI &dDAND&d@ VOLUNTARY
PLAN DI WAGES
&a310c22r310LPERSONAL INCOME TAX
WITHHELD ONLY
&a50c23.7r50L&l3.69CSOCIAL SECURITY
ACCOUNT NUMBER
&l8C&a135c23.7r135L&l3.69CEMPLOYEE NAME
First Initial                Last Name
&l8C&a240c23.7r240L&l3.69CTOTAL SUBJECT WAGES
PAID THIS QUARTER
&l8C&a320c23.7r320L&l3.69CCA PERSONAL INCOME
TAX WITHHELD THIS QTR
&l8C(0U(s1p8vs1b4T&a153c16RB.
&a153c20RC.
&a183c20RD.
&a54c22R2.
&a88.5c22R3.
&a121.5c22R4.
&a174c22R5.
&a24.6c24RE.
&a75.6c24RF.
&a138.6c24RG.
&a186.6c24RH.
&a24c57RI.
(0U(s1p8vsb4T&a29c57r29L&l5.33CI declare that the information herein is true and correct to the 
best of my knowledge and belief. 
&l8C&a24c60r24LDate
&a+1RSignature
&a63c60RPhone
&a138.6c58R(s1BJ. (sBTOTALS - THIS PAGE ONLY 
&a186.6c58R(s1BK. (sBTOTALS - THIS PAGE ONLY 
&a139.2c61R(s1BL. (sBGRAND TOTALS - ALL PAGES 
&a186.6c61R(s1BM. (sBGRAND TOTALS - ALL PGS 
&a63R&a989.6HState of California / Employment Development Department / P.O. Box 826288 / Sacramento CA 94230-6288
(0U(s1p6vsb4T&a15c63.8RCopyright (c) 1994 form software only CPSystems, Inc.
(0U(s1p8vsb4T&a63.8R&a4910HForm(s1B DE 6 (sB(Rev. 1-95)
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