Form C-20 - Election By A Domestic Employer To Report Quarterly Wages And Pay Taxes On An Annual Basis

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Mail To:
Cashier - Texas Workforce Commission
P.O. Box 149037
Austin, TX 78714-9037
512.463.2731
Account Number
ELECTION BY A DOMESTIC EMPLOYER TO REPORT QUARTERLY WAGES
AND PAY TAXES ON AN ANNUAL BASIS
1.
Name of employer
making this election
2.
Mailing address of
employer:
Street
City
State
Zip
3. The above named domestic employer hereby elects to report quarterly wages and pay
taxes annually, and agrees to provide wage figures at other times as necessary to
establish wage credits for claims purposes.
4. Quarterly reports and taxes will become due and are required to be reported and paid
by the employer no later than January 31 with respect to wages for employment paid
in the preceding calendar year. The employer will file their quarterly reports on one
combined form which will be mailed to the employer in December of each year.
5. The effective date of this election is the first day of January,
(year) and shall
be for a minimum period of two (2) calendar years, except that the Commission may
terminate this election if the employer becomes liable under another category of
employment. It is understood and agreed that this election must be received no later
than December 31 to be effective at the beginning of the next calendar year. It is also
understood and agreed that this election may be withdrawn by the employer by filing
a written application with the Commission not later than December 31 of the year
prior to the beginning of the year with respect to which the organization wishes to
withdraw.
Date:
Employer
This application must be signed by the
employer or an individual for whom a
Signature ____________________________
valid Written Authorization is on file
with the Texas Workforce Commission
Individuals may receive, review and correct information that TWC collects
about the individual by emailing to open.records@twc.state.tx.us or writing
th
to TWC Open Records, 101 E. 15
St., Rm. 266, Austin, TX 78778-0001.
C-20 (030706)

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