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LFlorida Department of Revenue Employer's Quarterly Report RT -6 <br />Employers are required to file quarterly taxhvage reports regardless of employment act vity or whether any taxes are due. mi R. 01/15 <br />Use Black Ink to Complete This Form <br />QUARTER ENDING EMPLOYER'S NAME AT ACCOUNT NUMBER <br />❑❑/❑❑/I❑❑❑❑ ❑❑❑❑❑❑11 <br />10. EMPLOYEE'S SOCIAL SECURITY NUMBER �1. EMPLOYEE'S NAME (please i first twelve characters of lag name and I rst t 2a. EMPLOYEE'S GROSS WAGES <br />eight characters o f first name in boxes) 12b EMPLOYEE'S TAXABLE WAGES <br />-- --------- only the first $7,000paid toeach <br />PAID THIS <br />PAID THIS <br />employeepercalendwyearivtaxable. <br />QUARTER <br />QUARTER <br />1111❑ -1111-1111❑❑ Last <br />Name ❑❑❑❑❑❑❑❑❑❑❑❑ 12a. <br />1111❑:❑❑❑'❑❑LI■❑❑ <br />First. <br />Nam❑❑'❑❑❑.1111 <br />1111❑❑❑❑❑❑ IrnMiddle <br />161131126. <br />11 <br />1111❑ -1111-1111❑❑ Name <br />11111111111111111111111112a. <br />11❑❑�❑❑❑'❑❑11■ <br />1111 <br />Nam12b. <br />Name <br />Middle <br />1111❑❑❑❑❑11 InitialMiddle 11 <br />11❑'111111.11❑ <br />1111❑-1111-1111❑❑ Last <br />Name <br />❑❑❑❑11❑❑❑❑❑❑❑ 12a. <br />1111❑:❑❑❑'❑❑❑�❑❑ <br />Nam <br />Name <br />❑_❑❑❑❑❑❑❑ v1lQdle �I <br />rndd a 121 <br />11,11❑❑.1111 <br />1111❑ -1111-1111❑❑ Laat <br />Name <br />❑❑❑❑❑❑�❑❑❑❑❑ 12a. <br />❑❑11'❑❑11'11111■ <br />❑❑ <br />Firstt <br />Name <br />Liddle <br />❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Iniad ❑ 121 <br />11 <br />711 1111 <br />. <br />11 F1 <br />1111❑-1111—❑❑�❑ Narcie <br />11❑❑❑❑❑❑❑❑❑❑❑ 12a. <br />❑❑❑711❑�111.11 <br />First <br />Name <br />1111❑1111❑❑❑ Middle ❑ <br />Initid 12b. <br />❑❑'1111❑■ <br />1111 <br />❑❑❑—❑-1111❑ Name <br />1111❑1111❑❑❑1111❑❑ 12a. <br />❑❑'❑❑'❑❑. <br />❑ <br />Name <br />1111❑❑❑1111❑ Miti ❑ 121 <br />1111'11❑❑■ <br />1111 <br />1111❑ -1111-1111❑❑ lLast <br />ame <br />❑❑❑❑❑❑❑❑❑❑❑❑ 12a. <br />❑❑❑'❑❑❑'❑❑❑■ <br />1111 <br />Name <br />a <br />mita 126. <br />❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Middle 11 <br />1111'111111 <br />■ <br />1111 <br />1111❑ -1111-1111❑❑ lame <br />❑❑❑❑❑❑❑❑❑❑❑❑ 12a.First <br />❑❑❑'❑❑❑'❑❑❑�❑❑ <br />Nam <br />N ame <br />! 1❑❑❑❑❑ Inhale ❑ 12b. <br />i�11111111111111 <br />1111'111111 <br />1111 <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 />❑ ❑ 11'❑ ❑ ❑,11 <br />❑ <br />11.11 <br />❑ <br />Include this and totals from additional pages in Line 4 on page 1. <br />L 13b. Total Taxable Wages (add Lines 1 on only) Total this page only.111171111 <br />111111 <br />• <br />DO NOT <br />--------------- DET/SCR---- ------------------------------- <br />Mail Reply To: <br />Reemployment Tax <br />Florida Department of Revenue <br />5050 W Tennessee St Bldg L <br />Tallahassee FL 32399-0160 <br />Social security numbers (SSNs) are used by the Florida Department of Revenue as unique <br />identifiers for the administration of Florida's taxes. SSNs obtained for tax administration <br />purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not <br />subject to disclosure as public records. Collection of your SSN is authorized under state <br />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 instructions! <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 />www.myflorida.com/dor <br />