Looking for a Minnesota Tax Forms And Templates? Download it for free!

Form Mdes-13 - Report To Determine Liability For Unemployment Tax - Non-Profit - 2001

REPORT TO DETERMINE LIABILITY FOR UNEMPLOYMENT TAX

MINNESOTA DEPARTMENT OF ECONOMIC SECURITY - TAX OFFICE

390 ROBERT ST N

ST PAUL MN

55101-1812

TELEPHONE (651) 296-6141 Fax (651) 297-5283 TDD/TTY (651) 297-3944

1. Please enter your current business name and address here:

___________________

This is your current

Minnesota Unemployment

Tax Account Number (U.C.#).

IMPORTANT:

PLEASE FILL OUT FORM COMPLETELY. INCOMPLETE INFORMATION CAUSES DELAYS IN PROCESSING.

Completion of this form is required of all businesses operating in Minnesota. Additional information is available in the

Minnesota Employer's Unemployment Handbook (MDES-130) or on our Website:

2. Previous Minnesota Unemployment Tax account Number (U.C.#) if assigned __ __ __ __ __ __ __-__ __ __

3. Federal Employer Identification Number (FEIN) __ __-__ __ __ __ __ __ __

4. Business Phone Number (_______) _______-__________

E-mail Address ________________________________________

c Corporation

c Association

c Trust

c Other _______________________________

5. Type of ownership (check one)

c Yes

c No

6. Have you received a 501(c)(3) tax exemption letter from the Federal government?

If yes, attach a photocopy of your federal tax exemption letter.

7. State of incorporation (if applicable) ______________________________________ Date of incorporation ______________

NOTE: CORPORATE OFFICERS WHO PERFORM SERVICES IN MINNESOTA ARE EMPLOYEES BY STATUTE

Date of first services in Minnesota

8. Date employee(s) first performed services in Minnesota, including corporate

officers or shareholders. If none, enter "none".

Date wages were first paid in Minnesota

9. Date first wages were paid for services performed in Minnesota. Include

payments to officers or shareholders who perform services. If none, enter "none".

10. Physical location(s) of business in Minnesota. Do not use a post office box. Attach extra sheet for additional locations.

Street Address

City or Township

State

Zip Code

County

# of Workers

11. Identify the industry and specific product or service which represents the greatest portion of your sales receipts or

revenue for each physical location in Minnesota.

Industry

Specific product or service

__________________________________________________________ ______________________________________________

MDES-13 NON-PROFIT

(rev. 01-01)

Form Mdes-13 - Report To Determine Liability For Unemployment Tax - Non-Profit - 2001

Related Articles

Related forms

Related Categories