ANNUAL
RECONCILIATION STATEMENT
Serving the People of California
PLEASE TYPE THIS FORM—DO NOT ALTER PREPRINTED INFORMATION
00071297
YEAR
DELINQUENT IF
NOT POSTMARKED
YEAR ENDED
DUE
OR RECEIVED BY
EMPLOYER ACCOUNT NO.
DO NOT ALTER THIS AREA
P1
P2
C
P
U
S
A
Mo.
Day
Yr.
EFFECTIVE
DATE
FEIN
A. NO WAGES PAID THIS YEAR
CHECK
BOX IF:
ADDITIONAL
FEINS
B. OUT OF BUSINESS / FINAL STATEMENT
>
C. TOTAL SUBJECT WAGES PAID THIS CALENDAR YEAR .....................................................
D. UNEMPLOYMENT INSURANCE (UI)
(Total Employee Wages up to $
per employee per calendar year)
(D1) UI %
(D2) UI TAXABLE WAGES
(D3) UI CONTRIBUTIONS
=
TIMES
E.
EMPLOYMENT TRAINING TAX (ETT)
(E1) ETT %
(E2) ETT CONTRIBUTIONS
=
TIMES
UI Taxable Wages (D2) .........................................
F.
STATE DISABILITY INSURANCE (SDI)
(Total Employee Wages up to $
per employee per calendar year)
SDI EMPLOYEE
(F1) SDI %
(F2) SDI TAXABLE WAGES
(F3) CONTRIBUTIONS WITHHELD
=
TIMES
PIT WITHHELD PER FORMS W-2
AND/OR 1099 R
>
G. CALIFORNIA PERSONAL INCOME TAX (PIT) WITHHELD ..................................................
>
H. SUBTOTAL (Add Items D3, E2, F3 and G) .............................................................................
>
I.
LESS: TAXES AND WITHHOLDINGS PAID FOR THE YEAR ................................................
(DO NOT INCLUDE PENALTY AND INTEREST PAYMENTS)
>
J.
TOTAL TAXES DUE OR OVERPAID (Item H minus Item I) .....................................................
If amount due, prepare a Payroll Tax Deposit, DE 88, and mail to P.O. Box 826276, Sacramento, CA 94230-6276. Mailing payments with DE 7 delays payment processing and may result in
an erroneous penalty and interest charges. Mandatory EFT filers must remit all SDI/PIT deposits by EFT to avoid Non-Compliance Penalty.
HELP US IMPROVE THE QUALITY OF OUR EMPLOYMENT TAX SERVICES. PLEASE RATE OUR CURRENT SERVICES BY ENTERING
THE APPROPRIATE NUMBER IN THE BOX:
4 = EXCELLENT
3 = GOOD
2 = FAIR
1 = POOR
K. Be sure to sign this declaration: I declare that the information herein is true and correct to the best of my knowledge and
belief.
Signature
Title
Phone (
)
Date
DE 7 Rev. 1 (12-97) (INTERNET)
(Owner, Accountant, Preparer, etc.)
SIGN AND MAIL TO: State of California / Employment Development Department / P.O. Box 826286 / Sacramento CA 94230-6286
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