Instructions For Form K-Cns 111 - Employer Adjustment To Quarterly Wage Report - Kansas Department Of Labor
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1Kansas Department of Labor
EMPLOYER ADJUSTMENT TO QUARTERLY WAGE REPORT
K-CNS 111 (Rev. 9-2009)
INSTRUCTIONS
1.
Your firm name, address and ZIP code
12.
Total of columns.
(a)
Total of Column 10a.
(b)
Total of Column 10b.
2.
Calendar year and quarter. Submit a separate adjustment for each quarter.
(c)
Total of Column 11a.
(d)
Total of Column 11b.
Identify quarters as follows:
Quarter - Year
13.
Difference in total wages reported and correct total wages.
Quarter Ending March 31
. . . . . . . . . . . . 1-08
(Line 12b minus line 12a)
Quarter Ending June 30 . . . . . . . . . . . . . . . 2-08
Example 1.
12b
=
000.00
Example 2.
12b
=
500.00
Quarter Ending September 30 . . . . . . . . . . 3-08
12a
=
500.00
12a
=
000.00
Quarter Ending December 31 . . . . . . . . . . 4-08
13
=
-500.00
13
=
+500.00
3.
Brief reason why this adjustment is necessary.
14.
Difference in excess wages reported and correct excess wages.
(Line 12d minus line 12c)
4.
Your 6-digit, Kansas unemployment tax account number. This number is on line
Example 1.
12d
=
000.00
Example 2.
12d
=
500.00
2 of your "Quarterly Wage Report & Unemployment Tax Return."
12c
=
500.00
12c
=
000.00
14
=
+500.00
14
=
-500.00
5.
Tax Rate. (See K-CNS 100, line 15, for the tax rate for the quarter being
adjusted.)
15.
Net difference in taxable wages.
(Line 13 plus line 14.
6.
Page Number. List number of pages used.
Example 1.
13
=
+1,000.00
Example 2.
13
=
-1,000.00
14
=
+1,000.00
14
=
-1,000.00
7.
Signature of owner, partner or corporate officer (an electronic signature is
Total =
+2,000.00
Total =
-2,000.00
acceptable). Adjustment must be signed and dated.
Example 3.
13
=
+2,000.00
Example 4.
13
=
-2,000.00
8.
Social Security Number of individual workers.
14
=
-1,000.00
14
=
+1,000.00
Total =
+1,000.00
Total =
-1,000.00
9.
Individual worker's name (Last, First and Middle Initial).
If the answer is a plus (+), taxes are underpaid, check UP.
10.
Corrections to an individual worker's total wages, K-CNS 100, column 8.
If the answer is a minus (-), taxes are overpaid, circle OP.
LIST ONLY THOSE WORKERS FOR WHICH CORRECTIONS ARE NECESSARY.
(a)
List the same wage figure shown on K-CNS 100.
Tax Due or Overpaid.
(b)
List the correct wage figure that should have been reported on K-CNS 100.
16.
Multiply answer in line 15a by the rate, line 5.
Check UP if taxes are due. If the amount due is $5 or greater, accompany
this adjustment with a remittance, payable to the "Kansas Employment
11.
Corrections to an individual worker's excess wages on K-CNS 100, column 9.
Security Fund."
(a)
List the same excess wage figure shown on K-CNS 100.
(b)
List the correct excess wage figure that should have been reported on
Check OP if taxes are overpaid. If the amount overpaid is $5 or greater, a
K-CNS 100.
credit will be mailed which may be applied to future taxes due. You may
also request a refund.
UNEMPLOYMENT TAX CONTRIBUTIONS
401 SW Topeka Blvd, Topeka KS 66603-3182
Phone - 785-296-5027
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