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Get CA DE 24 2012-2024

O. Box 826880 Sacramento CA 94280-0001 EDD ACCOUNT NUMBER Corporation/ Owner s Name Business Name DBA Banking Institution PLEASE INDICATE CHANGES/CORRECTIONS THAT APPLY TO YOUR BUSINESS A-1 BELOW A. I further certify that I have the authority to sign on behalf of the above business. Phone Number Signature Print Name / / Date Title Officer Owner Member GP or Authorized Agent Manage your payroll tax account online File reports make deposits update addresses and much more. Enroll now for e-Services for Business at https //eddservices. edd. ca.gov. e-Services for Business. CHANGE OF EMPLOYER ACCOUNT INFORMATION Mail to Employment Development Department Account Services Group MIC 28 P. Address Change/Correction Date of Change NUMBER AND STREET / Enter address information in box 1 CITY STATE AND ZIP CODE PHONE NUMBER B. C. D. E* Business Name DBA Change Personal Name Change i*e* marriage Change of Ownership - Date of Change required Partial Sale Not Out-Of-Business Purchase Price OWNER S NAME S FOLLOWING CHANGE OF OWNERSHIP New FEIN Tax ID Date of Change / / Mark appropriate box below and complete box 2 if Entire Business Sold Enter successor s information in box 2 Other Explain TITLE BUSINESS NAME DBA / CORPORATION NAME MAILING ADDRESS LLC LLP or LP Identification OLD FEIN Tax ID Explain reason for new Tax ID F* Change in Partner s Officer s Member s Manager s etc* Mark appropriate box to Add A Change C or Delete D and enter the new information as required* Attach additional sheet s if needed* A C D DATE OF CHANGE SOCIAL SECURITY NUMBER DRIVER S LICENSE NUMBER INDIVIDUAL S TO BE ADDED/ CHANGED/DELETED G* No wages paid during entire quarter s. Please enter the appropriate year and quarter in the boxes provided* Example YYYY/Q H. Discontinued Paying Wages. Date last wage payment was made / /. All required EDD TAX FORMS have been filed* Attach Copies I. If you currently use a Professional Employer Organization PEO please provide PEO information PEO Name PEO Address PEO EDD Account Number PEO Start Date DE 24 Rev* 6 9-12 INTERNET Page 1 of 2 CU J* Out of Business Without a Successor on. Provide forwarding address in box A-1 Note If business corporation/owner is represented by an authorized agent for employment tax purposes the agent may sign below. A signed and properly executed power of attorney must be attached or on file. THE SIGNATURE OF ANY OTHER PERSON/THIRD PARTY WILL NOT BE ACCEPTED. I certify under penalty of perjury that the above information is true and correct and that these actions are not being taken to receive a more favorable Unemployment Insurance rate. I further certify that I have the authority to sign on behalf of the above business. Phone Number Signature Print Name / / Date Title Officer Owner Member GP or Authorized Agent Manage your payroll tax account online File reports make deposits update addresses and much more. Enroll now for e-Services for Business at https //eddservices. edd. ca*gov* e-Services for Business. Address Change/Correction Date of Change NUMBER AND STREET / Enter address information in box 1 CITY STATE AND ZIP CODE PHONE NUMBER B. C. D. E* Business Name DBA Change Personal Name Change i*e* marriage Change of Ownership - Date of Change required Partial Sale Not Out-Of-Business Purchase Price OWNER S NAME S FOLLOWING CHANGE OF OWNERSHIP New FEIN Tax ID Date of Change / / Mark appropriate box below and complete box 2 if Entire Business Sold Enter successor s information in box 2 Other Explain TITLE BUSINESS NAME DBA / CORPORATION NAME MAILING ADDRESS LLC LLP or LP Identification OLD FEIN Tax ID Explain reason for new Tax ID F* Change in Partner s Officer s Member s Manager s etc* Mark appropriate box to Add A Change C or Delete D and enter the new information as required* Attach additional sheet s if needed* A C D DATE OF CHANGE SOCIAL SECURITY NUMBER DRIVER S LICENSE NUMBER INDIVIDUAL S TO BE ADDED/ CHANGED/DELETED G* No wages paid during entire quarter s. .

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