Worksheet For Scheduling An Electronic Payment Only Page 2
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1
2Worksheet for filing Nevada's Employer's
Quarterly
Contribution
and Wage
Report (NUCS-4072) and scheduling an Electronic Payment
EMPLOYER
ACCOUNT
NUMBER
This is your Nevada Unemployment Insurance Account Number. Maximum of nine digits; no
decimals or hyphens with extra digits allowed for transactions
(Box la of NUCS-4072)
:
4 DIGIT
PIN
If this is your first transaction, you will need to change
your temporary PIN to a new 4 digit PIN you select
FOUR
DIGIT
YEAR
AND
ONE
DIGIT
OUARTER
BEING
FILED
Example: first quarter, year 2000 = 20001
(Box I b ofNUCS-4072)
TOTAL
WAGES
PAm
TillS
OUARTER
Enter the total amount of all wages and tips paid in this calendar quarter. Use dollars
and cents; no decimals or commas are allowed for Electronic Payment transactions. For
example, if your total wages for the quarter are $163,161.33, you would enter 16316133
(Box 3 ofNUCS-4072)
LESS WAGES
IN EXCESS
AMOUNT
Enter the total amount of non-taxable wages for this cafendar quarter. This is the amount
of wages that exceed the annual taxable wage limit for individual employees. Use dollars and
cents; no decimals or commas are allowed for Electronic Payment transactions. For example,
if your total wages for the quarter are $4,568.21, you would enter 456821
(Box 4 ofNUCS-4072)
TAXABLE
WAGES
PAm
TillS
QUARTER
Total wages minus excess wages. Use dollars and cents; no decimals or commas are
allowed for Electronic Payment transactions. For example, if your total wages for the
quarter are $158,593.12, you would enter 15859312
(Box 5 ofNUCS-4072)
TOTAL
NUMBER
OF
WORKERS
LISTED
ON
THIS
REPORT
(Box
17 ofNUCS-4072)
For each month, report the number of covered workers who
worked during or received pay for the payroll period which includes
the 12d1 of the month.
(Box 18 ofNUCS-4072)
2od
mo
3rd mo
lstmo
TOTAL
PAYMENT
AMOUNT
Enter the total amount to be transferred from your bank account. Use dollars and cents;
no decimals or commas are allowed for Electronic Payment transactions.
(Box 12 ofNUCS-4072)
Month
Day
4 Digit Year
~
you
would
like
your
Unemployment
Insurance
Account
credited
Transactions
completed
on
State
holidays,
weekends,
or
after
5:00
p.m.
Pacific
Time
will
not
be
processed
until
the
next
regular
business
day.
Confirmation
#
given
for
transaction
processed
IMPORTANT:
You
will
need
this
number
to
inquire
about,
change,
or
cancel
this
transaction
NUCS
-4053EPS
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