Form De 3bhw - Employer Of Household Workers(S) Quarterly Report Of Wages And Withholdings
Download a blank fillable Form De 3bhw - Employer Of Household Workers(S) Quarterly Report Of Wages And Withholdings in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form De 3bhw - Employer Of Household Workers(S) Quarterly Report Of Wages And Withholdings with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1EMPLOYER OF HOUSEHOLD WORKER(S)
QUARTERLY REPORT OF WAGES AND WITHHOLDINGS
APPROVED EXTENSION TO:
Instructions for completion are available on the back of this form
.
PLEASE PRINT OR TYPE ALL INFORMATION IN BLACK INK - DO NOT ALTER PREPRINTED INFORMATION.
DELINQUENT IF
YR
QTR
NOT POSTMARKED
QUARTER ENDED
DUE
OR RECEIVED BY
EMPLOYER ACCOUNT NUMBER
DO NOT ALTER THIS AREA
P1
C
T
S
W
A
DEPT.
USE
Mo.
Day
Yr.
WIC
EFFECTIVE
ONLY
=
=
=
DATE
A. NUMBER OF EMPLOYEES full-time and part-time who
worked during or received pay subject to UI for payroll
period which includes the 12th of the month.
1ST MONTH
2ND MONTH
3RD MONTH
B.
No Payroll This Quarter
C. SOCIAL SECURITY NUMBER
D. EMPLOYEE NAME
(FIRST, MIDDLE INITIAL, LAST)
E. TOTAL SUBJECT WAGES
F. PIT WAGES
G. PIT WITHHELD
C. SOCIAL SECURITY NUMBER
D. EMPLOYEE NAME
(FIRST, MIDDLE INITIAL, LAST)
E. TOTAL SUBJECT WAGES
F. PIT WAGES
G. PIT WITHHELD
C. SOCIAL SECURITY NUMBER
D. EMPLOYEE NAME
(FIRST, MIDDLE INITIAL, LAST)
E. TOTAL SUBJECT WAGES
F. PIT WAGES
G. PIT WITHHELD
C. SOCIAL SECURITY NUMBER
D. EMPLOYEE NAME
(FIRST, MIDDLE INITIAL, LAST)
E. TOTAL SUBJECT WAGES
F. PIT WAGES
G. PIT WITHHELD
H. GRAND TOTAL SUBJECT WAGES
I. GRAND TOTAL PIT WAGES
J. GRAND TOTAL PIT WITHHELD
0.00
0.00
0.00
K. I declare that the information herein is true and correct to the best of my knowledge and belief.
Signature __________________________________ Title ___________________________ Phone (_____)_______________ Date __________________
(Employer, Accountant, Preparer, etc.)
You have received this Employer of Household Worker(s) Quarterly Report of Wages and Withholdings, DE 3BHW, in lieu of the
Quarterly Contribution Return and Report of Wages (Continuation),
DE
9C, because you have elected to pay taxes for your
household workers on an annual basis. This form will be mailed to you quarterly and an Employer of Household Worker(s)
Annual Payroll Tax Return,
DE
3HW, will be mailed to you in the fourth quarter.
This annual process is only available to Domestic employers who pay $20,000 or less in household wages during the calendar
year. If your year-to-date wages reach $20,000 in any quarter of the calendar year, you are required to convert to quarterly filing
as of the beginning of the next calendar quarter. You will be required to file a DE 3HW, DE 3BHWs, and pay the amount due for
the portion of the year that you were an annual filer.
You must file this report even if you had no payroll. If you had no payroll, check Item B and complete the information in Item K.
If you no longer have household worker(s) and would like to inactivate your employer payroll tax account, please see the
"Questions" box on the back of this form for further instructions.
MAIL TO: State of California / Employment Development Department / PO Box 826221 / MIC 28B / Sacramento, CA 94230-6221
DE 3BHW Rev. 9 (7-16) (INTERNET)
Page 1 of 2
CU
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal