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LFlorida Department of Revenue Employer's Quarterly Report LICT-6 <br /> IR.01/11 Ernp yers are required to file quart"taxiwage reports regardless of employment activity or whether any taxes are due. <br /> QUARTER ENDING EMPLOYER'S NAME LIT ACCOUNT NUMBER <br /> [I/[11U [11111 <br /> 11.EMPLOYEE'S NAME(Please print first twelve characters of last name and EFS GROSS WAGES PAID THIS QUARTER <br /> i10.EMPLOYEE'S SOCIAL SECURITY NUMBER i EMPLOYEE'S <br /> I lal� EMPLOYEE'S TAXABLE WAGES PAID THIS QUARTER <br /> Only the first$7.000 paid to each employee per calendar year is taxable. <br /> L lat-1 <br /> as, r-1 I E 0 F-❑El I—]El 11 E 12., L][J 7EI 1111- 1111 <br /> '-'is' "'idifle F", 12b. <br /> Nam. El F1, initial <br /> -1 -- <br /> _ - 11 Ell- ... <br /> -1 F <br /> 2a, <br /> I'larin 111 OT-1 111-111 <br /> E-1 r--1—E 0—E E E 0 La . 1111 —1 El P--,1- 111❑Ll 1211. [ILI <br /> Middle <br /> Name llial <br /> F"t ❑ IF <br /> Namei 12.. <br /> [11. lL-1 El[IF-111E 0!, Ell <br /> L11111 [ILI <br /> First iddle <br /> Name ❑ ll')1itial 12b. <br /> 7 <br /> 7❑ , <br /> Name <br /> HL I k�i—F <br /> ddle F1 <br /> Name itial <br /> 111111 El 1111 Ili 12b. <br /> Last I'Ll Li L, Li Ll <br /> Name Ll <br /> E 110 1[-1—[111—11111-111 EMEEME0000 12. ILI <br /> Mid1lia [� 12b. <br /> Frs, E L-1 E F1 n 1111 F1 Initial F-11 L❑'1]- 1-1 El- 1-10 <br /> Nam <br /> Name E F-I Eli- 1111 <br /> [11IF-1 11—1110—BE 0 E Last,- 1�1111 E E E EI Eil E 1111 1i 12a. ILI F—I <br /> F Middl Fi <br /> rate FJ F,171 -itiale 1121d. <br /> fI <br /> Narn if, <br /> G E❑ Last <br /> L <br /> Name ❑ % ❑ 2.. 11 E 11 1EI F1 <br /> . <br /> Middle I <br /> 1 <br /> 11 E- 11 <br /> Fist11— EEEE1ritual 12b L11E- 11Name 1 <br /> F —F [ 1][ [ Nme 111112.. E1EIEE17 <br /> First Middle E, <br /> i2b. <br /> Name L L]Jff][]E[],P Initial El 0 0 0 El- 011 <br /> 13a.Total Gross Wages(add Lines 12a only). Total this page only. <br /> Include this and totals from additional pages in Line 2 on page 1. ;[111 Ell 1[]1111- 1111 <br /> U 0 <br /> 13b.Total Taxable Wages(add Lines 12b only). Total this page only. <br /> Include this and totals from additional pages in Line 4 on page <br /> L J <br /> DO NOT <br /> bif4da <br /> Mail Reply To: Social security numbers(SSNs)are used by the Florida Department of Revenue as unique <br /> Unemployment Tax identifiers for the administration of Florida's taxes. SSNs obtained for tax administration <br /> Florida Department of Revenue purposes are confidential under sections 213.053 and 119.071,Florida Statutes,and not <br /> 5050 W Tennessee St Bldg L subject to disclosure as public records. Collection of your SSN is authorized under state <br /> Tallahassee FL 32399-0180 and federal law. Visit our Internet site at www.myflorida.com/dor and select"Privacy <br /> Notice"for more information regarding the state and federal law governing the collection, <br /> use,or release of SSNs,including authorized exceptions. <br /> Tired of paperwork?We can help! <br /> File and pay your Florida unemployment tax online. <br /> It's fast,easy,accurate,and secure. <br /> Intemet Address:www.myf1orida.com/dor <br /> 202 <br />