Form De 9 - Quarterly Contribution Return And Report Of Wages - 2017
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1QUARTERLY CONTRIBUTION
RETURN AND REPORT OF WAGES
REMINDER: File your DE 9 and DE 9C together.
00090112
PLEASE TYPE THIS FORM —DO NOT ALTER PREPRINTED INFORMATION
YR
QTR
DELINQUENT IF
NOT POSTMARKED
QUARTER
DUE
OR RECEIVED BY
ENDED
EMPLOYER ACCOUNT NUMBER
DO NOT ALTER THIS AREA
C
P
U
S
A
P1
P2
T
Mo.
Day
Yr.
EFFECTIVE
DATE
A. NO WAGES PAID THIS QUARTER
B. OUT OF BUSINESS/NO EMPLOYEES
FEIN
OUT OF BUSINESS DATE
B1.
M
M
D
D
Y
Y
Y
Y
ADDITIONAL
FEINS
C. TOTAL SUBJECT WAGES PAID THIS QUARTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
D. UNEMPLOYMENT INSURANCE (UI)
(Total Employee Wages up to $
per employee per calendar year)
(D1) UI Rate %
(D2) UI TAXABLE WAGES FOR THE QUARTER
(D3) UI CONTRIBUTIONS
TIMES
0.00
E. EMPLOYMENT TRAINING TAX (ETT)
(E1) ETT Rate %
(E2) ETT CONTRIBUTIONS
0.00
TIMES
UI Taxable Wages for the Quarter (D2) . . . . . .
F. STATE DISABILITY INSURANCE (SDI)
(Total Employee Wages up to $
per employee per calendar year)
(F1) SDI Rate %
(F2) SDI TAXABLE WAGES FOR THE QUARTER
(F3) SDI EMPLOYEE CONTRIBUTIONS WITHHELD
TIMES
0.00
G. CALIFORNIA PERSONAL INCOME TAX (PIT) WITHHELD . . . . . . . . . . . . . . . . . . . . . . . . .
0.00
H. SUBTOTAL (Add Items D3, E2, F3, and G) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I.
LESS: CONTRIBUTIONS AND WITHHOLDINGS PAID FOR THE QUARTER . . . . . . .
(DO NOT INCLUDE PENALTY AND INTEREST PAYMENTS)
0.00
J. TOTAL TAXES DUE OR OVERPAID
(Item H minus Item I) . . . . . . . . . . . . . . . . . . . . . . . . .
If amount due, prepare a Payroll Tax Deposit, DE 88, include the correct payment quarter, and mail to: Employment Development
Department, PO Box 826276, Sacramento, CA 94230-6276. NOTE: Do not mail payments along with the DE 9 and Quarterly Contribution
Return and Report of Wages (Continuation),
DE
9C, as this may delay processing and result in erroneous penalty and interest charges.
Mandatory Electronic Funds Transfer (EFT) filers must remit all SDI/PIT deposits by EFT to avoid a noncompliance penalty.
K. I declare that the above, to the best of my knowledge and belief, is true and correct. If a refund was claimed, a reasonable effort
was made to refund any erroneous deductions to the affected employee(s).
Phone (
)
Signature ___________________________________ Title ________________________
Required
Date ____________
(Owner, Accountant, Preparer, etc.)
SIGN AND MAIL TO: State of California / Employment Development Department / P O Box 989071 / West Sacramento CA 95798-9071
DE 9 Rev. 3 (3-17 ) (INTERNET)
Page 1 of 2
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