REPORT UC-018 (01/01) PAGE 1
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
PO BOX 52027
PHOENIX, AZ 85072-2027
ARIZONA ACCOUNT NUMBER
CALENDAR QUARTER ENDING
Business Name and Address
TO AVOID PENALTY MAIL BY
FEDERAL ID NO.
USE BLACK INK ONLY
UNEMPLOYMENT TAX AND WAGE REPORT
Telephone (602) 248-9354
A. NUMBER OF EMPLOYEES -
C. WAGE SUMMARY - Computation of payment due.
(See instructions for assistance)
Report for each month, the number of full and part-time
covered workers who worked during or received pay
1. TOTAL WAGES PAID IN QUARTER
.
subject to UI Taxes for the payroll period which
From Section B. Wage Listing
includes the 12th of the month.
.
2.
SUBTRACT EXCESS WAGES
Cannot exceed Line 1 - see instructions
3. TAXABLE WAGES PAID
.
Up to $7000 per Employee - Line 1 minus line 2
4. TAX DUE
.
Line 3 X Tax Rate of
The decimal equivalent=
5. ADD INTEREST DUE
.
1% of Tax Due for each month payment is late
6. ADD PENALTY FOR LATE REPORT
.
0.10% of Line 1 ($35 min / $200 max)
7. ADD JOB TRAINING TAX DUE
.
B. WAGES - List all employees in Social Security
0.10% of Line 3 (Effective January 1, 2001)
Number order, or alphabetically by last name. Please
8. TOTAL PAYMENT DUE
use white paper in the same format for additional
.
employees. If you have ten or more employees,
Check Payable to DES-Unemployment Tax
consider reporting via magnetic media. Ask for
9. AMOUNT PAID
.
"Arizona Magnetic Media Reporting" (PAU-430). We
support diskette, tape, and cartridge media.
LIEN MAY BE FILED WITHOUT FURTHER NOTICE ON DELINQUENT TAXES.
1. Employee Social Security Number
2. Employee Name (Last, First)
3. Total Wages Paid in Quarter
TOTAL WAGES THIS PAGE
TOTAL WAGES ALL PAGES
Signature:
Title:
Prepared by:
Date:
Telephone: (
)
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