Free UCT-6 - Florida

Use black ink. Example A - Handwritten Example B - Typed

Florida Department of Revenue Employer's Quarterly Report
Employers are required to file quarterly tax/wage reports regardless of employment activity or whether any taxes are due.
UCT-6 R.01/08
PENALTY AFTER DATE TAx RATE UT ACCOUNT NUMBER

0 1 2 3 4 5 6 7 8 9
QUARTER ENDING

Example A

0123456789
DUE DATE

Example B





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910009999999900680540317500999999900004

Name Mailing Address City/St/ZiP

UCT-6
2. Gross wages paid this quarter (Must total all pages) 3. Wages paid this quarter in excess of $7,000. 4. Taxable wages for this quarter (Line 2 minus Line 3) 5. Tax due (Multiply Line 4 by Tax Rate) 6. Penalty due (See instructions) 7. Interest due (See instructions)
(Only the first $7,000 paid to each employee per calendar year is subject to Florida Unemployment Tax.)

do not make any changes If you do not have an account number you to the pre-printed are required to register (see instructions). information on this form. if changes are needed, F.E.I. NUMBER request and complete an Employer Account Change Form (UCs-3). For oFFiCial Use only PosTmark daTe



/

/

USDollars

Cents

Location Address City/St/ZiP 1. Enter the total number of full-time and part-time covered workers who performed services during or received pay for the payroll period including the 12th of the month. 1st Month 2nd Month 3rd Month

If you are filing as a sole proprietor, is this for domestic (household) employment only?

, , , Reverse Side Must be Completed
8. Total amount due (Line 5 + Line 6 + Line 7) Make check payable to: Florida U.C. Fund No Yes

, , , , , , ,

, , , , , , ,

Under penalties of perjury, I declare that I have read this return and the facts stated in it are true (sections 443.171(5) and 443.141(2) Florida Statutes).

Sign here
Signature of officer Date Preparer's signature Firm's name (or yours if self-employed) and address Date

Title Phone
( )
Preparer's SSN or PTIN

Fax

(

)

Paid preparers only

Preparer check if self-employed FEIN ZIP

Preparer's phone number

( DONOT DETACH

)

Employer'sQuarterlyReportPaymentCoupon
Florida Department of Revenue COMPLETE and MAIL with your REPORT/PAYMENT. Please write your ACCOUNT NUMBER on check. Be sure to SIGN YOUR CHECK. Make check payable to: Florida U.C. Fund

UCT-6 R.01/08

DORUSEONLy
POSTMARkORHANDDELivERyDATE

UTACCOUNTNO. F.E.i.NUMbER






No number? (See instructions.)



U.S.Dollars

Cents

AMOUNTENCLOSED
Name Mailing Address City/St/ZiP (if less than $1.00 no remittance is necessary)

,


,

PAyMENTFORQTR/yR

Check here if you transmitted funds electronically.

UCT-6

9100 0 99999999 0068054031 7 5009999999 0000 4

Employers are required to file quarterly tax/wage reports regardless of employment activity or whether any taxes are due.
QUARTER ENDING EMPLOYER'S NAME UT ACCOUNT NUMBER

Florida Department of Revenue Employer's Quarterly Report

UCT-6 R.01/08





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10. EMPLOYEE'S NAME (please print first twelve characters of last name and first eight
characters of first name in boxes)















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9. EMPLOYEE'S SOCIAL SECURITY NUMBER

11. EMPLOYEE'S GROSS WAGES PAID THIS QUARTER U.S.Dollars Cents







-





-







Last Name First Name




















Middle Initial























Last Name First Name

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, , , , , , , , , , ,














Middle Initial































Last Name First Name






Middle Initial































Last Name First Name






Middle Initial































Last Name First Name






Middle Initial































Last Name First Name






Middle Initial































Last Name First Name






Middle Initial































Last Name First Name






Middle Initial































Last Name First Name






Middle Initial































Last Name First Name






Middle Initial















DONOT DETACH

12. Total Gross Wages This Page (include in Line 2 on Page 1)

Hatepaperwork?Wecanhelp!
File and pay your Florida unemployment tax online.

It's fast, easy, accurate and secure.
Internet Address: www.myflorida.com/dor/eservices Call 800-482-8293 for assistance.

mail reply To: Unemployment Tax Florida Department of Revenue 5050 W Tennessee St Tallahassee FL 32399-0180