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De 6 Form

00060198
You must FILE this report even if you had no payroll. If you had no payroll, complete
Items C or D and P.
QUARTERLY WAGE
AND WITHHOLDING REPORT
PLEASE TYPE THIS FORM PER INSTRUCTIONS ON REVERSE
DE 6 Rev. 5 (1-08) (INTERNET)MAIL TO: State of California/Employment Development Department /P.O. Box 826288/Sacramento, CA 94230-6288
QUARTER
ENDED
DUE
Page number _______ of ______
Check this box if you are reporting ONLY Voluntary Plan DI wages on this page.
Report PIT Wages and PIT Withheld, if appropriate. (See instructions for Item B.)
C. NO PAYROLL D.OUT OF BUSINESS/FINAL REPORT
Preparer’s
SignatureTitle Phone ( ) Date
DELINQUENT IF
NOT POSTMARKED
OR RECEIVED BY
(Owner, Accountant, Preparer, etc.)
YR QTR
EMPLOYER ACCOUNT NO.
Mo.Day Yr. WIC
DO NOT ALTER THIS AREA
P1 C T S W A
EFFECTIVE DATE
A.EMPLOYEES full-time and part-time who worked during
or received pay subject to UI for the payroll period which
includes the 12th of the month.
.
E.SOCIAL SECURITY NUMBER F. EMPLOYEE NAME (FIRST NAME) (M.I.) (LAST NAME)
G. TOTAL SUBJECT WAGES H. PIT WAGES I. PIT WITHHELD
E. SOCIAL SECURITY NUMBER F. EMPLOYEE NAME (FIRST NAME) (M.I.) (LAST NAME)
G. TOTAL SUBJECT WAGES H. PIT WAGES I. PIT WITHHELD
.
E. SOCIAL SECURITY NUMBER F. EMPLOYEE NAME (FIRST NAME) (M.I.) (LAST NAME)
G. TOTAL SUBJECT WAGES H. PIT WAGES I. PIT WITHHELD
E. SOCIAL SECURITY NUMBER F. EMPLOYEE NAME (FIRST NAME) (M.I.) (LAST NAME)
G. TOTAL SUBJECT WAGES H. PIT WAGES I. PIT WITHHELD
E. SOCIAL SECURITY NUMBER F. EMPLOYEE NAME (FIRST NAME) (M.I.) (LAST NAME)
G. TOTAL SUBJECT WAGES H. PIT WAGES I. PIT WITHHELD
E. SOCIAL SECURITY NUMBER F. EMPLOYEE NAME (FIRST NAME) (M.I.) (LAST NAME)
G. TOTAL SUBJECT WAGES H. PIT WAGES I. PIT WITHHELD
E. SOCIAL SECURITY NUMBER F. EMPLOYEE NAME (FIRST NAME) (M.I.) (LAST NAME)
G. TOTAL SUBJECT WAGES H. PIT WAGES I. PIT WITHHELD
.
J. TOTAL SUBJECT WAGES THIS PAGE K. TOTAL PIT WAGES THIS PAGE L. TOTAL PIT WITHHELD THIS PAGE
M. GRAND TOTAL SUBJECT WAGES N. GRAND TOTAL PIT WAGES O. GRAND TOTAL PIT WITHHELD
.
3rd Mo.2nd Mo.
1st Mo.
.
P. I declare that the information herein is true and correct to the best of my knowledge and belief.
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CU
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B.
Date
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Fast, Easy, and Convenient!
Visit EDD's Web site at www.edd.ca.gov
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INSTRUCTIONS FOR COMPLETING QUARTERLY WAGE AND WITHHOLDING REPORT
PLEASE TYPE ALL INFORMATION - TYPE DOUBLE SPACE ONLY – DO NOT SINGLE SPACE
ITEM C.NO PAYROLL: Check this box if you had no payroll this quarter. Enter zeroes in each box in Item A and in Items M, N, and O.
ITEM D.OUT OF BUSINESS/FINAL REPORT: Check this box if this is your final report and you will not be reporting wages in any subsequent quarter.You
must also complete an Annual Reconciliation Statement (DE 7) and pay any amounts due with a Payroll Tax Deposit (DE 88), within 10 days of quit-
ting business to avoid penalty and interest charges. In the date line, please indicate the date your business closed.
ITEM E.SOCIAL SECURITY NUMBER (SSN): Enter the SSN of each employee or individual to whom you paid wages in subject employment, paid PIT
wages, and/or from whom you withheld state income taxes during the quarter. If someone does not have an SSN, report their name, wages and/or
withholdings without the SSN and TAKE IMMEDIATE STEPS TO SECURE ONE. Report the correct SSN to EDD as soon as possible on a Tax and
Wage Adjustment Form (DE 678).
ITEM F. EMPLOYEE NAME: Enter the name of each employee or individual to whom you paid wages in subject employment, paid PIT wages, and/or from
whom you withheld state income taxes during the quarter.
ITEM G.TOTAL SUBJECT WAGES: Enter the total subject wages paid (including cents) to each employee during the quarter. Generally, most wages are
considered “subject” wages. For special classes of employment and payments considered subject wages, refer to the California Employer’s Guide
Appendix under “Types of Employment” and “Types of Payments.
ITEM H.PIT WAGES: Enter the amount of wages paid (including cents) that are subject to California state income taxes, even if you do not withhold PIT from
the wages.You must enter PIT wages even if they are the same as total subject wages. For additional information regarding PIT wages, refer to the
Information Sheet: Personal Income Tax Wages Reported on the Quarterly Wage and Withholding Report (DE 231PIT).
ITEM I.PIT WITHHELD: Enter the amount of PIT withheld from each individual during the quarter.
ITEM J.Enter the total subject wages paid (Item G) for each separate page. Do not carry this total forward from page to page.
ITEM K.Enter the total amount of PIT wages (Item H) for each separate page. Do not carry this total forward from page to page.
ITEM L.Enter the total PIT withheld (Item I) for each separate page. Do not carry this total forward from page to page.
ITEM M.ON PAGE 1 or the last page, enter the grand total of total subject wages paid (Item J) for all pages for the quarter.*
ITEM N.ON PAGE 1 or the last page, enter the grand total of PIT wages (Item K) for all pages for the quarter.*
ITEM O.ON PAGE 1 or the last page, enter the grand total of PIT withheld from all the employees (Item L) for all pages for the quarter.*
*NOTE: Provide separate grand totals for Voluntary Plan DI reporting and special exemption reporting (Religious Exemption, Sole Shareholder,
Third Party Sick Pay). Combine all other wage and withholding reports to arrive at the grand totals for Items M, N, and O.
ITEM P.ON PAGE 1 ONLY, please sign, state your title, enter your telephone number, and date the form.
WAGES AND WITHHOLDINGS TO REPORT ON A SEPARATE DE 6
Prepare a DE 6 to report the types of exemptions listed below. All three exemptions can be reported on one DE 6.Write the exemption title(s) at the top of the
form (e.g., SOLE SHAREHOLDER), and report only those individuals under these categories.Report all other employees or individuals without exemp-
tions on a separate DE 6.
Religious Exemption:Employees who file and are approved by the Department for an exemption from SDI taxes under Section 2902 of the California
Unemployment Insurance Code (CUIC).
Sole Shareholder: An individual who elects and is approved by the Department to be excluded from SDI coverage for benefits and taxes under Section
637.1 of the CUIC.
Third Party Sick Pay: Recipients exempt from SDI taxes under Section 931.5 of the CUIC. Refer to the Employer’s Guide for detailed instructions on how
to report.
For a faster, easier, and more convenient method of reporting your DE 6 information, visit our Web site at www.edd.ca.gov.
Contact our Taxpayer Assistance Center at 1-888-745-3886 voice or TTY 1-800-547-9565 for additional forms or inquiries regarding reporting wages or
the subject status of employees.You may also refer to the California Employer’s Guide (DE 44) for additional information.
IF YOU STILL OWE TAXES when preparing this report, submit a Payroll Tax Deposit (DE 88) with your payment to the address on the DE 88.
Retain a copy of the DE 6(s) for your records. If you have more than seven employees, use additional pages or a format approved by the Department. If using
more than one page, number the pages consecutively at the top of the form. If the form is not preprinted, enter your account number, business name and address,
the year, and quarter the report is for. For information, specifications and approvals of alternate forms, contact the Alternate Forms Coordinator at (916) 255-0649.
ITEM A.NUMBER OF EMPLOYEES: Page 1 only:Enter the number of full-time and part-time workers who worked during or received pay subject to Unem-
ployment Insurance for the payroll period which includes the 12th of the month.Please provide a count for each of the three months. Blank fields
will be identified as missing data.
ITEM B.Check this box ONLY if the employees reported are covered by an employer sponsored Voluntary Plan for the payment of disability benefits. If you also
have employees covered under the State Plan for disability benefits, report their wages and withholdings separately on another page of the DE 6.
I M O G E N E A S A M P L E 1 2 3 4 5 0 0
Please record information in the spaces provided. If you use a typewriter or printer, ignore the boxes and type in UPPER CASE as shown.
When reporting dollar amounts, use DOLLARS AND CENTS. Do not use dashes or slashes.
.
EMPLOYEE FIRST NAME M.I. EMPLOYEE LAST NAMETOTAL SUBJECT WAGES
If you must hand write this form, print each letter or number in a separate box as shown. Do not write commas or decimal points.
TOTAL SUBJECT WAGES
EMPLOYEE FIRST NAME M.I. EMPLOYEE LAST NAME
.
IMOGENE A SAMPLE 12345.67
DE 6 Rev. 5 (1-08) (INTERNET) Page 2 of 2 CU
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