Form Uct-6 - Employer'S Quarterly Report - 2008
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2
3Florida Department of Revenue Employer’s Quarterly Report
Use black ink. Example A - Handwritten Example B - Typed
Employers are required to file quarterly tax/wage reports regardless of employment activity or whether any taxes are due.
Example A
Example B
0 1 2 3 4 5 6 7 8 9
0123456789
UCT-6
R. 01/08
QUARTER ENDING
DUE DATE
PENALTY AFTER DATE
TAx RATE
UT ACCOUNT NUMBER
-
/
/
do not make any changes
If you do not have an account number you
to the pre-printed
are required to register (see instructions).
information on this form.
if changes are needed,
F.E.I. NUMBER
request and complete
an Employer Account
910009999999900680540317500999999900004
Change Form (UCs-3).
For oFFiCial Use only PosTmark daTe
UCT-6
/
/
Name
Mailing
Address
US Dollars
Cents
City/St/ZiP
,
,
2. Gross wages paid this quarter
(Must total all pages)
,
,
3. Wages paid this quarter in excess of $7,000.
Location
(Only the first $7,000 paid to each employee per
Address
calendar year is subject to Florida Unemployment Tax.)
,
,
4. Taxable wages for this quarter
City/St/ZiP
(Line 2 minus Line 3)
,
,
5. Tax due
1. Enter the total number of full-time and part-time covered workers who performed
(Multiply Line 4 by Tax Rate)
services during or received pay for the payroll period including the 12th of the month.
,
,
6. Penalty due
,
(See instructions)
1st Month
,
,
7. Interest due
,
(See instructions)
2nd Month
,
,
8. Total amount due
(Line 5 + Line 6 + Line 7)
,
Make check payable to: Florida U.C. Fund
3rd Month
If you are filing as a sole proprietor, is this for domestic (household) employment only?
Yes
No
Reverse Side Must be Completed
Under penalties of perjury, I declare that I have read this return and the facts stated in it are true (sections 443.171(5) and 443.141(2) Florida Statutes).
Title
Sign here
Phone
Fax
(
)
(
)
Signature of officer
Date
Preparer check
Preparer’s
Preparer’s
if self-employed
SSN or PTIN
signature
Paid
preparers
FEIN
Firm’s name (or yours
Date
only
if self-employed)
Preparer’s
and address
ZIP
(
)
phone number
DO NOT
DETACH
Employer’s Quarterly Report Payment Coupon
UCT-6
R. 01/08
COMPLETE and MAIL with your REPORT/PAYMENT.
Florida Department of Revenue
Please write your ACCOUNT NUMBER on check.
Be sure to SIGN YOUR CHECK.
DOR USE ONLy
Make check payable to: Florida U.C. Fund
-
No number?
POSTMARk OR HAND DELivERy DATE
UT ACCOUNT NO.
(See instructions.)
F.E.i. NUMbER
U.S. Dollars
Cents
,
,
AMOUNT ENCLOSED
(if less than $1.00
no remittance is necessary)
Name
-
PAyMENT FOR QTR/yR
Mailing
Address
UCT-6
City/St/ZiP
Check here if you transmitted funds
electronically.
9100 0 99999999 0068054031 7 5009999999 0000 4
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