Get Indiana State Form 51778

Indiana State Form 51778 is an essential document required by the Indiana Department of Administration for contractors and vendors. This guide will provide you with clear, step-by-step instructions to successfully complete the form online, ensuring that all necessary information is accurately submitted.

Follow the steps to fill out the Indiana State Form 51778 online.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by entering the legal name of your firm in the designated field.
3. Provide the complete address of your business, including the city, state, and zip code.
4. Input your telephone number and fax number.
5. Enter your firm's website URL.
6. Fill in your federal tax identification number.
7. Indicate your state or country of domicile or incorporation.
8. Provide the location of your firm's headquarters or principal place of business.
9. If applicable, fill in the name of your parent company or holding company.
10. Indicate the state or country of domicile or incorporation of the company listed in the previous step.
11. Provide the address of the parent company if applicable.
12. Enter your Indiana Department of Workforce Development account number.
13. Fill in your Indiana Department of Revenue account number.
14. Specify the number of Indiana resident employees per the most recently completed IRS Form W-2 distribution.
15. State the total number of employees per the most recently completed IRS Form W-2 distribution.
16. Indicate the total amount of payroll paid to Indiana resident employees from the most recent IRS Form W-2 distribution.
17. Provide the total amount of payroll paid to all employees from the most recent IRS Form W-2 distribution.
18. Input the number of Indiana resident employees reported to the Department of Workforce Development for the latest calendar quarter.
19. Indicate the number of Indiana resident shareholders or partners if applicable.
20. Fill in the total amount of this proposal, bid, or current contract.
21. Estimate the amount of that contract to be expended for gross payroll to Indiana resident employees.
22. Indicate the estimated amount to be paid to subcontractors and suppliers located in Indiana.
23. List the subcontractors and suppliers totaling the amount stated earlier.
24. Estimate the amount to be paid to State of Indiana certified minority and/or women-owned business enterprises.
25. List the State of Indiana certified MBE and WBE firms corresponding to the above estimate.
26. If applicable, describe the capital investments made in Indiana.
27. If applicable, provide a description of the economic impact your firm has on Indiana.
28. Finally, the authorized official must affirm the truthfulness of the information by providing a signature, name, title, and date.

Complete your Indiana State Form 51778 online today to ensure accurate and efficient submission.