Form Rt-6a - Employer'S Quarterly Report Continuation Sheet
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1Florida Department of Revenue
RT-6A
R. 01/15
Employer’s Quarterly Report Continuation Sheet
Employers are required to file quarterly tax/wage reports regardless of employment activity or whether any taxes are due.
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 purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not subject to disclosure as public
RT ACCOUNT NUMBER
records. Collection of your SSN is authorized under state and federal law. Visit our website at and select “Privacy Notice” for
more information regarding the state and federal law governing the collection, use, or release of SSNs, including authorized exceptions.
QUARTER ENDING
F.E.I. NUMBER
EMPLOYER’S NAME
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/
/
11. EMPLOYEE’S NAME
12a. EMPLOYEE’S GROSS WAGES PAID THIS QUARTER
(please print first twelve characters of last name and first
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
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12a.
First
Middle
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12b.
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12a.
First
Middle
Name
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12b.
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12a.
First
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12b.
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Last
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12a.
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12b.
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12a.
First
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12b.
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12a.
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12a.
First
Middle
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Initial
12b.
TC
Rule 73B-10.037
13a. Total Gross Wages (add Lines 12a only). Total this page only. Include
Florida Administrative Code
Effective Date 11/14
this and totals from additional pages in Line 2 on page 1 of the RT-6.
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 of the RT-6.
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