K-Cns 111 Instructions For Adjustment To Quarterly Wage Report

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Completing the Adjustment to
The K-CNS 111 is to amend a previously filed "Quarterly Wage Report &
Quarterly Wage Report, K-CNS 111
Unemployment Tax Return," K-CNS 100. Complete this adjustment in
This report can be filed online at:
duplicate, and keep one copy for your records.
NOTE: If no tax is due, you may fax the adjustment to 785-291-3425.
If you have questions about the completion of this report, you may call your
closest unemployment tax representative. This is not a free call. You may also
e-mail uitax@dol.ks.gov.
10.
List the correct excess wage figure that should have been reported
1.
Your business name.
on K-CNS 100.
2.
Your 6-digit, employer serial number. This number is Item 2 of your
11.
Number of continuation sheets attached.
"Quarterly Wage Report & Unemployment Tax Return."
3.
Tax Rate. (See K-CNS 100, line 15, for the tax rate for the quarter
12.
The total of Columns 7, 8, 9, and 10 for this page only.
being adjusted.)
13. The total of Columns 7, 8, 9, and 10 for all pages (If there are
4. Calendar year and quarter. Submit a separate adjustment for each
multiple pages necessary, please complete a K-CNS 112).
quarter. Identify quarters as follows:
Quarter - Year
14. Brief reason why this adjustment is necessary.
Quarter Ending March 31 ......................... 1-20XX
Quarter Ending June 30 ........................... 2-20XX
15. Difference in total wages reported and correct total wages.
Quarter Ending September 30 ................. 3-20XX
(a) Line 13, Column 7 minus Line 13, Column 8.
Quarter Ending December 31 .................. 4-20XX
16. Difference in excess wages reported and correct excess wages.
5.
Social Security Number of individual workers.
(a) Line 13, Column 9 minus Line 13, Column 10.
If an individual worker's Social Security Number was incorrectly
reported, list incorrect Social Security Number on one line and the
17. Net difference in taxable wages.
correct number on the line below.
(a) Line 15 plus or minus Line 16.
Individual worker's name (Last, First Initial and Middle Initial).
6.
18. If taxes are due, enter the amount here. If the amount due is $5 or
List only those workers for which corrections are necessary for
greater, accompany this adjustment with a remittance, payable to
either an individual worker's total wages (K-CNS 100, Column 6) or
the
an individual worker's excess wages (K-CNS 100, Column 7).
"Kansas Employment Security Fund."
7.
List the same wage figure shown on K-CNS 100, Column 6.
19. If taxes are overpaid, enter the amount here. If the amount overpaid
is $5 or greater, a credit wiII be issued which can be applied to
List the correct wage figure that should have been reported on
8.
future taxes due, or you may request a refund. For a refund you
K-CNS 100.
must complete and submit an IRS Form W-9 with your written
request for refund.
9.
List the same excess wage figure shown on K-CNS 100, Column 7.
20. Signature of owner, partner or corporate officer. Adjustment must
be signed and dated.
For help in completing this tax return or filing an adjustment to a prior return, you may call your local unemployment tax office.
A list of offices is at
Assistance is also available from our administrative office in Topeka, 785-296-5027. And by e-mail: uitax@dol.ks.gov

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