Reset Form
STATE OF MICHIGAN
UIA 1110
Authorized by
(Rev 6-15)
MCL 421.1 et seq.
TALENT INVESTMENT AGENCY
UNEMPLOYMENT INSURANCE AGENCY
Cadillac Place - Tax Office - Suite 12-600
3024 W. Grand Blvd
Detroit, MI
48202
PHONE: (313) 456-2080 FAX: (313) 456-2131
To obtain your credit faster, you can file this application on-line through your MiWAM (Michigan Web Account Manager).
CERTIFICATION:
The 2009 FUTA tax was paid
Enter Name and Address
on or before Dec. 31 2010.
(Signature - Form Cannot Be Processed Without Signature)
(Name - Printed)
(Title)
(Date)
(Phone)
YOU MAY BE ELIGIBLE FOR A MICHIGAN TAX CREDIT IF YOU ARE A POSITIVE
BALANCE EMPLOYER
APPLICATION FOR MICHIGAN UNEMPLOYMENT TAX CREDIT IN 2010
The 2009 FUTA tax must be paid in full prior to applying for this credit.
Read important eligibility requirements below before completing application.
Enter Unemployment Insurance Agency (UIA)
____________________
Account Number:
Enter below the additional FUTA taxes reported on IRS Form 940, Schedule A, Part 2, on the
line designated for Michigan.
MICHIGAN Wages
$
=
$_____________
(Total Taxable):
× 0.003
Line A (additional FUTA taxes paid)
REMOVE AND MAIL TOP PORTION TO ADDRESS AT TOP OF FORM
&
RETAIN THIS LOWER PORTION FOR YOUR RECORDS
Computation of Tax Credit
$
Multiply Line A (above) $_____________
× 0.50 =
Enter Total Taxable Wages reported on 2009 UIA
Quarterly Tax Reports
$_____________
$
=
Multiplied by Your 2009 NBC
_____
†
The lesser figure in the two boxes above will be your Michigan tax credit.
†Your NBC (Nonchargeable Benefits Component) is located on your annual tax rate determination for calendar year 2009.
ELIGIBILITY CONDITIONS NECESSARY TO OBTAIN 2010 TAX CREDIT
1.
Your “actual reserve” balance as of June 30, 2008 as shown on your 2009 annual tax rate determination must be
positive. If the “actual reserve” is a negative figure, refer to Voluntary Payment information at
.
2.
In 2009, you were in your 5th or subsequent year of coverage with the UIA (you were a fully experienced employer).
3.
You paid the 2009 FUTA credit reduction to the Internal Revenue Service on or prior to December 31, 2010.
4.
You certify on the application form above, the amount of additional FUTA tax you paid for 2009 as a result of the
credit reduction.
5.
You must have taxable wages with UIA in the 2009 calendar year.
TIA is an equal opportunity employer/program.