Form Deed-13 - Report To Determine Liability For Unemployment Tax - Agricultural - 2003

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REPORT TO DETERMINE LIABILITY FOR UNEMPLOYMENT TAX
MINNESOTA DEPARTMENT OF EMPLOYMENT & ECONOMIC DEVELOPMENT
UI EMPLOYER ACCOUNTS OFFICE - 390 ROBERT ST N - SAINT PAUL MN 55101-1812
TELEPHONE (651) 296-6141 Fax (651) 297-5283 TDD/TTY (651) 634-5062
INTERNET:
-
E-MAIL: deed.tax.liability@state.mn.us
1. Please enter your current business name and address here:
___________________
Enter your current
Minnesota UI Employer
Account Number above
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 (DEED-130) and/or on our Website:
2. Previous Minnesota UI Employer Account Number, if assigned __ __ __ __ __ __ __-__ __ __
3. Federal Employer Identification Number (FEIN) __ __-__ __ __ __ __ __ __
4. Business Phone Number (_______) _______-__________
E-mail Address ________________________________________
5. Type of ownership (check one)
� Individual
� Partnership
� 'S' Corporation
� 'C' Corporation
� Limited Liability Company (LLC)
� Trust
� Other, explain _______________________________________________
6. State of incorporation (if applicable) ______________________________________ Date of incorporation ______________
7. If shares of corporate stock changed hands without formation of a new legal entity, check here: �
Effective date of change: ____________________
8. Date business began operating: ______________________________
NOTE: CORPORATE OFFICERS WHO PERFORM SERVICES IN MINNESOTA ARE EMPLOYEES BY STATUTE.
CERTAIN KINDS OF SERVICES ARE NOT CONSIDERED EMPLOYMENT. FOR MORE SPECIFIC INFORMATION REFER
TO PUBLICATION DEED-130 MINNESOTA EMPLOYER'S UNEMPLOYMENT HANDBOOK AND/OR OUR WEBSITE.
9. Date employee(s) first performed services in Minnesota. If none, enter "none".
Date of first service in Minnesota
10. Date first wages were paid for services performed in Minnesota. Include
Date wages were first paid in Minnesota
payments to officers or shareholders who perform services. If none, enter "none".
11. A. Enter the date you had four or more employees during 20 weeks in a calendar
4 employees for 20 weeks in calendar year
year, excluding officers of a family farm corporation. If none, enter 'none'.
B. Enter the date you had ten or more employees during 20 weeks in a
10 employees for 20 weeks in a calendar year
calendar year anywhere in the United States, including officers of a
family farm corporation. If none, enter 'none'.
C. Enter the date your business paid $20,000 in gross payroll during a calendar
Date $20,000 paid in a calendar quarter
quarter to agricultural employees anywhere in the United States. If none, enter
'none'.
D. If you answered 'none' to parts A, B, and C, project the earliest date that you
Projected 20 weeks/$20,000 payroll
could expect to reach any of the three criteria listed in parts A, B, and C.
DEED-13 AGRICULTURAL
CONTINUED ON NEXT PAGE
(rev. 09-2003)

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