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2017-146
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2017-146
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Entry Properties
Last modified
10/10/2017 2:31:15 PM
Creation date
10/6/2017 1:13:44 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
10/03/2017
Control Number
2017-146
Agenda Item Number
12.A.1.
Entity Name
ACS Financial LLC
Subject
Jobs Grant Agreement
Area
Tax Resolution Service
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III II VIII I II III II II VIII I II IIII 1111 <br /> Florida Department of Revenue Employer's Quarterly Report RT-6 <br /> Employers are required to file quarterly tax/wage reports regardless of em ployment activity or whether any taxes are due. R.01/15 <br /> Use Black Ink try Cf rilii4l;'tL' This Form <br /> QUARTER ENDING EMPLOYERS NAME RT ACCOUNT NUMBER <br /> 10, EMPLOYEES SOCIAL SECURITY NUMBER 11.EMPLOYEES NAME Vaasa pont first twelve characters of last name and first 12a EMPLOYEE'S GROSS WAGES PAID THS QUARTER <br /> eight characters of lest name in boxes) 12b EMPLOYEE'S TAXABLE WAGES PAID THIS QUARTER <br /> Only the first$7,000 paid to each employee per calendar year is taxable <br /> _ 11 12a. ■ <br /> 12b. <br /> ■ <br /> 12a. _ ! • <br /> 12b. 2 <br /> 12a. 3 i , <br /> 123. <br /> ,' 12a. <br /> ■ <br /> 12b. ■ <br /> 12a. 1 <br /> 12b. <br /> _ 12a. <br /> ■ <br /> • - 12b. <br /> _ 12a. <br /> 12b. <br /> 12a. <br /> ' 12b. <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. ! , <br /> L.._. 13b.TIncludeotal Taxablethis <br /> Wages(add Llnes 12b only) Totalthis page only. <br /> and totals from additional pages in Llne 4 on page 1. a <br /> DO NOT <br /> DETACH <br /> Mail Reply To: Social security numbers(SSNs)are used by the Florida Department of Revenue as unique <br /> Reemployment 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 website at www.myflorida.com/dor and select'Privacy Notice' <br /> for more information regarding the state and federal law governing the collection,use,or <br /> release of SSNs,including authorized exceptions. <br /> Please save your il1sIntchton ` <br /> Quarterly Report instructions(RT-6N/RTS-3)are only mailed <br /> with new accounts or when there are changes.If you misplace <br /> your instructions,you can download them from <br /> warw.myflorida.com/dor <br />
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