Form Ucs-70 - Application For Common Paymaster

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UCS-70
UC ACCOUNT NUMBER
R. 10/00
Application For Common Paymaster
Complete the following for common paymaster corporation
A common paymaster is any member of a group of related corporations that disburses wages to concurrent
employees on behalf of the related corporations. Concurrent employment is subject to verification.
1. Legal Name
2. Mailing Address
3. Payroll Records Maintained at
4. Telephone Number
5. Effective Date/Common Paymaster
Complete the following for related corporations
If the related corporations have not been assigned an unemployment compensation account number, you must
complete an Employer’s Registration Report (UCS-1) for each such corporation.
Account Number
Legal Name
CORPORATIONS SHALL BE CONSIDERED RELATED CORPORATIONS FOR AN ENTIRE QUARTER, IF THEY
SHALL SATISFY ANY ONE OF THE FOLLOWING FOUR TESTS AT ANY TIME DURING THAT QUARTER:
Please check one of the following
1.
The corporations are members of a “controlled group of corporations” as defined in s. 1563 of the Internal
Revenue code of 1986 or would be members if paragraphs 1563(a)(4) and subsection 1563 (b) did not apply.
(provide copy of IRS approval)
2.
Fifty percent or more of the officers of one corporation are concurrently officers of the other corporation.
Thirty percent or more of the employees of one corporation are concurrently employees of the
other corporation.
3.
If a corporation does not issue stock, either 50% or more of the members of the board of directors or other governing
body of one corporation are members of the board of directors or other governing body of other corporation, or the
holders of 50% or more of the voting power to select such members are concurrently the holders of more than 50% of
that power with respect to the other corporation.
Pursuant to Chapter 443, Florida Statutes, the undersigned hereby affirms that the information given above is true and correct
and is given for the purpose of determining common paymaster status under said Law and is authorized to execute this report on
behalf of the employer named.
Signature
Print Name
Date
Official Position
Internet Address:

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