Get WA EMS 5208C-2 2011-2024

Update Ownership Information - Required for all Form 5208C-2 The Amended Tax and Wage Report form is available online at www. EMS 5208C-2 3/11 Send completed forms to ESD Employer Status Unit PO Box 9046 Olympia WA 98507-9046 or fax to 360-902-9264 Page. esd. wa*gov/tax-forms. you have not previously reported this information to the department. Your company s business structure determines which information you must report. DIRECTIONS Check the box that represents y our business structure then complete the required information for that structure in the spaces below. Use black ink. Sole proprietorship include the business owner and spouse. Partnership include all partners. po and receive no compensation* Other please specify include information for at least one contact person* Business Name Federal ID Number Preparer s Name UBI Number Preparer s Phone ES Reference Number Last Name First Name Title Social Security Number Phone Number MI Email Address optional Mailing Address City State Zip Code End Date if applicable FOR-PROFIT CORPORATIONS ONLY PLEASE COMPLETE THE FOLLOWING Amount of stock owned zero percent less than 10 percent 10 percent or more Is this person related cers who own 10 percent or more i*e* parent stepparent grandparent spouse children brother sister stepchildren adopted children or grandchildren Yes No www. esd. wa*gov/rcw-wac* You may copy this form if additional space is needed* Please number your pages. esd. wa*gov/tax-forms. you have not previously reported this information to the department. Your company s business structure determines which information you must report. DIRECTIONS Check the box that represents y our business structure then complete the required information for that structure in the spaces below. DIRECTIONS Check the box that represents y our business structure then complete the required information for that structure in the spaces below. Use black ink. Sole proprietorship include the business owner and spouse. Partnership include all partners. Use black ink. Sole proprietorship include the business owner and spouse. Partnership include all partners. po and receive no compensation* Other please specify include information for at least one contact person* Business Name Federal ID Number Preparer s Name UBI Number Preparer s Phone ES Reference Number Last Name First Name Title Social Security Number Phone Number MI Email Address optional Mailing Address City State Zip Code End Date if applicable FOR-PROFIT CORPORATIONS ONLY PLEASE COMPLETE THE FOLLOWING Amount of stock owned zero percent less than 10 percent 10 percent or more Is this person related cers who own 10 percent or more i*e* parent stepparent grandparent spouse children brother sister stepchildren adopted children or grandchildren Yes No www. po and receive no compensation* Other please specify include information for at least one contact person* Business Name Federal ID Number Preparer s Name UBI Number Preparer s Phone ES Reference Number Last Name First Name Title Social Security Number Phone Number MI Email Address optional Mailing Address City State Zip Code End Date if applicable FOR-PROFIT CORPORATIONS ONLY PLEASE COMPLETE THE FOLLOWING Amount of stock owned zero percent less than 10 percent 10 percent or more Is this person related cers who own 10 percent or more i*e* parent stepparent grandparent spouse children brother sister stepchildren adopted children or grandchildren Yes No www. esd. wa*gov/rcw-wac* You may copy this form if additional space is needed* Please number your pages. .