Form Rt-6 - Florida Department Of Revenue Employer'S Quarterly Report Page 2
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2Florida Department of Revenue Employer’s Quarterly Report
RT-6
R. 01/15
Employers are required to file quarterly tax/wage reports regardless of employment activity or whether any taxes are due.
Use
Black Ink
to Complete This Form
QUARTER ENDING
RT ACCOUNT NUMBER
EMPLOYER’S NAME
/
/
11. EMPLOYEE’S NAME
(please print first twelve characters of last name and first
12a. EMPLOYEE’S GROSS WAGES PAID THIS QUARTER
10. EMPLOYEE’S SOCIAL SECURITY NUMBER
eight characters of first name in boxes)
12b. EMPLOYEE’S TAXABLE WAGES PAID THIS QUARTER
Only the first $7,000 paid to each employee per calendar year is taxable.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
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Last
Name
12a.
First
Middle
Name
Initial
12b.
13a. Total Gross Wages (add Lines 12a only). Total this page only.
Include this and totals from additional pages in Line 2 on page 1.
13b. Total Taxable Wages (add Lines 12b only). Total this page only.
Include this and totals from additional pages in Line 4 on page 1.
DO NOT
DETACH
Mail Reply To:
Social security numbers (SSNs) are used by the Florida Department of Revenue as unique
identifiers for the administration of Florida’s taxes. SSNs obtained for tax administration
Reemployment Tax
purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not
Florida Department of Revenue
subject to disclosure as public records. Collection of your SSN is authorized under state
5050 W Tennessee St Bldg L
and federal law. Visit our website at and select “Privacy Notice”
Tallahassee FL 32399-0180
for more information regarding the state and federal law governing the collection, use, or
release of SSNs, including authorized exceptions.
Please save your instructions!
Quarterly Report instructions (RT-6N/RTS-3) are only mailed
with new accounts or when there are changes. If you misplace
your instructions, you can download them from
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