Form De 1p - Employers Depositing Only Personal Income Tax Withholding Registration And Update Form - 2016
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1
2001P11151
EMPLOYERS DEPOSITING ONLY PERSONAL INCOME TAX WITHHOLDING
REGISTRATION AND UPDATE FORM
Did you know you can register online anytime? The Employment Development Department (EDD) e-Services for Business online
application is secure, saves paper, postage, and time. You can access the online application at
and follow the easy step-by-step process to complete your registration.
Review the instructions prior to completing this form. Do not submit this form until you have paid wages in excess of $100 to one or
more employees in any calendar quarter. Additional information about registering with the EDD is available online at
Important: This form may not be processed if the required information is missing.
A. I WANT TO
Register for a New Employer Account Number (Go to Item B.)
(Select only
Existing Employer
(Enter Employer Account Number when reporting an Update,
one box then
–
–
Account Number:
Purchase, Sale, Reopen, Close, or Change in Status.)
complete the
Update Employer Account Information
items specifi ed
Address (N, O)
DBA (I)
Personal Name Change (F)
Add/Change/Delete Offi cer/Partner/Member (G)
for that selection.)
(Provide the Employer Account Number at the top of Item A, then complete the Items identifi ed above and Item S.)
Effective Date of Update(s): ____/____/______
Report a Purchase of Business
Date of Purchase
Purchase Price
Entire Business Purchase
(Provide the Seller’s Employer
Account Number at the top of Item A.) ____/____/______
$______________
Partial Business Purchase
Report a Sale of Business
Date of Sale
Entire Business Sold
(Provide the business’ Employer
Account Number at the top of
____/____/______
Partial Business Sold
Item A. Complete Item O.)
Reopen a Previously Closed Account (Provide the previous Employer Account Number at the top of Item A then go to Item B.)
Close Employer Account
Reason for Closing Account
Date of Last Payroll
(Provide the Employer Account
No longer have employees
Number at the top of Item A.)
Out of Business
____/____/______
Report a Change in Status: Business Ownership, Entity Type, or Name
Reason for Change:
Change: From
To
(Provide the Employer Account Number at the top of Item A, and complete the rest of the form.)
Effective Date of Change: ____/____/______
B. EMPLOYER TYPE
COMMERCIAL
NONPROFIT SCHOOL
AGRICULTURE
RED CROSS
(Select type then
NONPROFIT
PUBLIC SCHOOL
CHURCH OR
PUBLIC ENTITY
proceed to Item C.)
RELIGIOUS ORDERS
NONPROFIT 501(c)(3)
DISTRICT HOSPITAL
ANNUITANT PAYER
STATE HOSPITAL
C. TAXPAYER TYPE
Individual Owner
General
Joint Venture
Receivership
Trusteeship
(Select only one
(D-F, I-K, N-S)
Partnership
(D, E, G-K, N-S)
(D, E, G-K, N-S)
(D, E, G-K, N-S)
(D, G, I-K, N-S)
type then complete
the items specifi ed
Husband/Wife Co-
Corporation
Governmental
Association
School District
for that selection.)
Ownership
(D, E, G-S)
(Complete
(D, E, G-S)
(D, E, G-K, N-S)
(D, E, G, I-L, N-S)
sections that
apply.)
Limited Liability
Limited Liability
Estate
Other (Specify):
Company (LLC)
Partnership (LLP)
Administration
______________________________
(D, E, G-S)
(D, E, G-S)
(D, E, G-K, N-S)
D. FIRST PAYROLL
First payroll date wages paid exceeded $100: ____/____/______ (Wages are all compensation for an employee’s
services.) Refer to Information Sheet: Wages
[DE
231A] and Information Sheet: Types of Payments
[DE
231TP] at
DATE
(MM/DD/YYYY)
E. LOCATION OF
Do you have employees working in California?
Yes
No
EMPLOYEE
SERVICES
Do you have employees residing in California that are working outside of California?
Yes
No
F.
INDIVIDUAL
CA Driver
NAME
TITLE
SSN
License
Add Chg.
Del.
OWNER/
Number
CO-OWNER
INFORMATION
(If applicable)
DE 1P Rev. 10 (2-16) (INTERNET)
Page 1 of 4
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