Fillable Form C-1fr - Status Report Farm And Ranch Employment (Page 2 of 2) in pdf

Farm & Ranch Employment Section - Continued

22. If your account has been inactive:

Mo.

Day

Year

A. Enter the date you resumed employing someone on a farm or ranch in Texas.

B. Enter the date you resumed paying wages to someone performing farm or ranch labor in Texas.

23. If the business in Texas was acquired from another legal entity, you must complete items 23-25. If a partial acquisition, the predecessor/ successor may jointly submit

an application for partial transfer of experience.

Previous owner’s TWC account number (if known)

Date of acquisition

Name of previous owner(s)

Address

City

State

What portion of business was acquired? (check one)

all

part (specify)

24. On the date of the acquisition, was the previous owner(s), or any partner(s), officer(s), shareholder(s), other owner(s) or a person related by blood or marriage to any

of these individuals, holding a legal or equitable interest in the predecessor business, also an owner, partner, officer, shareholder, or other owner of a legal or

equitable interest in the successor business?

Yes

If “Yes”, check all that apply:

same owner, officer, partner, or shareholder

sole proprietor incorporating

same parent company

other (describe below)

If “No,” on the date of the acquisition, did the previous owner(s), partner(s), officer(s), shareholder(s), other owner(s) or a person related by blood or marriage to any of

these individuals, holding a legal or equitable interest in the predecessor business, hold an option to purchase such an interest in the successor business?

Yes

25. After the acquisition, did the predecessor continue to:

•

Own or manage the organization that conducts the organization, trade or business?

•

Own or manage the assets necessary to conduct the organization, trade or business?

•

Control through security or lease arrangement the assets necessary to conduct the organization, trade or business?

•

Direct the internal affairs or conduct of the organization, trade or business?

Yes

If “yes” to any of above, describe:

__________________________________________________________________________________________________

Nature of Activity Section

26. Describe fully the nature of activity in Texas and list the principal products or services in order of importance.

____________________________________________________________________________________________________________________________________

Voluntary Election Section

27. A non-liable employer may elect to pay State Unemployment Tax voluntarily. If an employer elects to do so, the employer is obliged to pay taxes for a minimum of two

calendar years, beginning with January 1 of the first year of the election. The employer may withdraw the election by written request, at the end of the 2-year

period, if not yet liable under the Texas unemployment compensation act. To elect this option, complete the following:

Yes, effective Jan. 1,

I wish to cover all employees (except those performing service(s) which are specifically exempt in the Texas Unemployment

Compensation Act).

Signature Section

I hereby certify that the preceding information is true and correct, and that I am authorized to execute this status report on behalf of the employing unit named herein.

(This report must be signed by the owner, officer, partner or individual with a valid written authorization on file with the Texas Workforce Commission)

Date of signature:

Month

Day

Year

Sign here

Title

Driver's license number

State

E-mail address

Individuals may receive, review, and correct information that TWC collects about the individual by emailing to open.records@twc.state.tx.us or writing to TWC Open Records,

101 East 15

St., Rm. 266, Austin, TX 78778-0001.

Page 2 of 2

C-1fr (071315)

Form C-1fr - Status Report Farm And Ranch Employment Page 2

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