Form Vec-Fc-27 Int - Report To Determine Liability For State Unemployment Tax - 1998
ADVERTISEMENT
1
2COMMONWEALTH OF VIRGINIA
VIRGINIA EMPLOYMENT COMMISSION
P.0. Box 1358
Richmond, Virginia 23218-1358
REPORT TO DETERMINE LIABILITY FOR STATE UNEMPLOYMENT TAX
(PLEASE READ INSTRUCTIONS PRIOR T0 COMPLETING THIS FORM)
1.
Federal ID Number _____________________________________ VEC Account Number _______________________________________
2.
Type of Organization: Individual _______; Partnership _______; Limited Partnership ______; Corporation ______; Government or
Political Sub-Division ______; Other ________.
3.
Name of Employer _________________________________________________________________________________________________
(Enter exact name of legal entity)
Trade Name __________________________________________________________ Telephone Number (
) _________ - ____________
In-Care-Of (if applicable) ___________________________________________________________________________________________
Mailing Address ___________________________________________________________________ Zip Code ______________________
Virginia BUSINESS Location Address __________________________________________________ Zip Code ______________________
(If more than one Va. Location, attach list of other addresses)
4.
If you are a contractor involved with buildings and/or roads, state the type: ___________________________________________________
Do you have a base of operations in any state other than Virginia? Yes _______ No _______.
5.
When did you first have employees working in Virginia? Month _____ Day _____ Year _____. Number of employees working in
Virginia _________. If your business is INACTIVE, give date employment ceased ______________________________ and name of
successor, if any. _______________________________________________________________________________________________
6.
Do you work any individuals in the course of your business or in your home that you do not consider employees? Yes ______ No _____.
7a.
GENERAL EMPLOYERS: Did or will your business have a quarterly payroll of $1,500 or more in Virginia during the current or preceding 3
years? Yes
No
. If yes, enter the earliest quarter and year: Qtr.
Yr.
. If yes, enter the date that you reached $1,500 or more
________. Enter number of weeks during the current or preceding 3 years you had one or more workers performing services for you for some
portion of a day in Virginia: Wks.
Yr.
. Wks.
Yr.
. Wks.
Yr.
. Wks.
Yr.
. Enter the date you reached the 20
th
week for the first time with one (1) or more workers:
.
7b.
AGRICULTURAL EMPLOYERS: Did or will your agricultural operation have a quarterly payroll of $20,000 or more in Virginia during the current
or preceding 3 years? Yes
No
. If yes, enter the earliest quarter and year; Qtr.
Yr.
. If yes, enter the date you
reached $20,000 or more
. Enter number of weeks during the current and preceding 3 calendar years you had 10 or more
agricultural workers performing services for you for some portion of a day in Virginia: Wks.
Yr.
; Wks.
Yr.
. Wks.
Yr.
. Wks.
Yr.
. Enter the date you reached the 20
week for the first time with 10 or more workers:
.
th
(Next page, Please)
FORM VEC-FC-27 INT ( R. 6/98)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal