Form Es903a - Schedule A - Employer'S Quarterly Wage And Contribution Report

Download a blank fillable Form Es903a - Schedule A - Employer'S Quarterly Wage And Contribution Report in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Es903a - Schedule A - Employer'S Quarterly Wage And Contribution Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

EMPLOYER'S QUARTERLY WAGE
AND CONTRIBUTION REPORT
DO NOT WRITE IN THIS SPACE
DATE RECEIVED
SCHEDULE A
NEW MEXICO DEPARTMENT OF LABOR, P O BOX 2281, ALBUQUERQUE, NM 87103-2281*PHONE (505) 841-2000
RETURN THIS REPORT AND TAX DUE BY THE END OF THE MONTH FOLLOWING THE CLOSE OF THE CALENDAR QUARTER, IF NO WAGES, SHOW "NONE"
EMPLOYER'S NUMBER
TAX RATE
QUARTER ENDING
DUE DATE
FEDERAL IRS NUMBER
FIELD CODE
1. TOTAL WAGES (TOTAL COLUMN 12)...................................
$
2. DEDUCT EXCESS WAGES (TOTAL COLUMN 13).................
$
3. TAXABLE WAGES (ITEM I LESS ITEM 2)..............................
$
4. TAX DUE (TAXABLE WAGES X RATE)..................................
$
DO NOT WRITE HERE
BATCH
DATE
5. INTEREST DUE (1% PER MONTH AFTER DUE
THE TAXABLE BASE AMOUNT
DATE)........................................................................................
$
(BASE WAGES) FOR
2000
IS
$14,800
6. LATE REPORT PENALTY (ADD $50.00).................................
2001
IS
$15,200
$
2002
IS
$15,900
7. LATE PAYMENT PENALTY (ADD 5% OF TAX
2003
IS
$16,600
DUE OR $25.00, WHICHEVER IS GREATER).........................
2004
IS
$16,800
$
8. AMOUNT OF REMITTANCE....................................................
$
"FOR EACH MONTH, REPORT THE NUMBER OF COVERED
WORKERS WHO WORKED DURING OR RECEIVED PAY FOR THE
9. INDICATE IF WAGES ON
MAGNETIC MEDIA
PAYROLL PERIOD WHICH INCLUDED THE 12TH OF THE MONTH"
ORIGINAL
9A
1ST MONTH
2ND MONTH
3RD MONTH
RETURN THIS COPY
SCHEDULE B
10. EMPLOYEE SOCIAL
12. GROSS WAGES FOR
13. THIS QUARTER'S
SECURITY NUMBER
11. NAME OF EMPLOYEE
THIS QUARTER
EXCESS WAGES
TOTAL NUMBER OF PAGES IN THIS REPORT
TOTAL THIS PAGE
INDICATE IF:
____Final Report
____Business has been sold.
Date Sold:_______________New Owner's Name___________________________
____Business has been discontinued:
Date Discontinued_________Address:____________________________________
____FEIN has changed
New FEIN________________City, State, Zip_______________________________
____Change Business Address To:____________________________________________________________________________
____Change Mailing Address To:_____________________________________________________________________________
____Change Phone Number To:______________________________________________________________________________
INCOMPLETE AND/OR UNSIGNED REPORTS ARE SUBJECT TO BEING RETURNED AND TO LATE REPORT PENALTIES BEING ASSESSED.
I certify that this report is true and correct according to law and department regulations, and that no part of the contribution was deducted from any employee's wages.
DATE___________________________ SIGNED
TITLE
REV. 01/04
ES903A
001-0949

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go