Form De 9 - Quarterly Contribution Return And Report Of Wages - State Of California
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QUARTERLY CONTRIBUTION
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RETURN AND REPORT OF WAGES
00090111
PLEASE TYPE THIS FORM—DO NOT ALTER PREPRINTED INFORMATION
YR
QTR
DELINQUENT IF
NOT POSTMARKED
QUARTER
DUE
OR RECEIVED BY
ENDED
EMPLOYER ACCOUNT NO.
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12
13
14
DO NOT ALTER THIS AREA
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P1
P2
C
P
U
S
A
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18
T
19
Mo.
Day
Yr.
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EFFECTIVE
21
DATE
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23
FEIN
A.
24
NO WAGES PAID THIS QUARTER
CHECK
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ADDITIONAL
BOX IF:
B.
OUT OF BUSINESS/NO EMPLOYEES
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FEINS
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Date
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C.
TOTAL SUBJECT WAGES PAID THIS QUARTER
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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D.
UNEMPLOYMENT INSURANCE (UI)
(Total Employee Wages up to $
per employee per calendar year)
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(D1) UI Rate %
(D2)
UI TAXABLE WAGES FOR THE QUARTER
(D3) UI CONTRIBUTIONS
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0.00
TIMES
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E.
EMPLOYMENT TRAINING TAX (ETT)
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(E1)
ETT Rate %
(E2) ETT CONTRIBUTIONS
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0.00
TIMES
UI Taxable Wages for the Quarter (D2)
. . . . . .
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F.
STATE DISABILITY INSURANCE (SDI)
(Total Employee Wages up to $
per employee per calendar year)
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(F1)
SDI Rate %
(F2) SDI TAXABLE WAGES FOR THE QUARTER
(F3)
SDI EMPLOYEE CONTRIBUTIONS WITHHELD
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0.00
TIMES
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44
45
46
47
48
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G.
CALIFORNIA PERSONAL INCOME TAX (PIT) WITHHELD
. . . . . . . . . . . . . . . . . . . . . . . . . . .
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0.00
H.
SUBTOTAL (Add Items D3, E2, F3, and G)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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I.
LESS: CONTRIBUTIONS AND WITHHOLDINGS PAID FOR THE QUARTER
. . . . . . .
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(DO NOT INCLUDE PENALTY AND INTEREST PAYMENTS)
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0.00
J.
TOTAL TAXES DUE OR OVERPAID
(Item H minus Item I)
. . . . . . . . . . . . . . . . . . . . . . . . . .
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If amount due, prepare a Payroll Tax Deposit (DE 88), include the correct payment quarter, and mail to: Employment Development Department, P.O. Box 826276, Sacramento, CA
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94230-6276. Mailing payments with the DE 9 form delays payment processing and may result in erroneous penalty and interest charges. Mandatory Electronic Funds Transfer (EFT)
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filers
must remit all SDI/PIT deposits
by EFT to avoid a noncompliance penalty.
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K. Be sure to sign this declaration: I declare that the information herein is true and correct to the best of my knowledge and belief.
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Phone (
)
Signature
Title
Date
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(Owner, Accountant, Preparer, etc.)
SIGN AND MAIL TO: State of California / Employment Development Department / P.O. Box 989071 / West Sacramento CA 95798-9071
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