Form Rts-72 - Affidavit Of Concurrent Employment

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RTS-72
Affidavit of Concurrent Employment
R. 10/17
TC
Rule 73B-10.037
Florida Administrative Code
Effective Date 10/17
State of
County of
, being duly sworn, does depose and say:
[name of person signing this form (affiant)]
1.
I hold the office indicated for the following common paymaster and related corporation(s) or liability company(ies) LLC
s
(
)
treated as corporations for federal income tax purposes:
Corporate or LLC Name
RT Account Number
Office Held
and I have personal knowledge regarding the facts stated in this affidavit.
2.
I understand that "concurrent employment" means simultaneous employment relationships between an individual, the
common paymaster, and related corporations/LLCs. That those relationships require the performance of services by the
employee for the benefit of the related corporations/LLCs, including the common paymaster, in exchange for wages that, if
deductible for federal income tax, are deductible by the related corporation/LLCs.
3.
That there is "concurrent employment" between the individual, the common paymaster, and the related corporation/LLC(s)
listed below. That the employees perform services for the benefit of the related corporation/LLC(s), including the common
paymaster, in exchange for wages that, if deductible for the purposes of federal income tax, are deductible by the related
corporations/LLCs.
4.
That the name and reemployment tax account number of the common paymaster is:
Name
RT Account Number
5.
That the names and reemployment tax account numbers of the related corporations/LLCs, which are related according to
section (s.) 443.1216(1)(d)3, Florida Statutes (F.S.), are:
RT Account Number
Related Corporation/LLC
(Attach additional sheets, if necessary.)

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