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Get TX TWC C3DOM 2007-2024

I DECLARE that the information herein is true and correct to the best of my knowledge. ESTIMATED MONTH SIGNATURE TITLE PREPARER S NAME DATE PREPARER S PHONE NUMBER For assistance please contact STATUS DAY YEAR Postmark Date C3 Ex Date C3 DOLLARS CENTS INITIALS C3DOM 12/07 If you are not required to file online mail report and remittance to CASHIER TEXAS WORKFORCE COMMISSION PO BOX 149037 AUSTIN TX 78714-9037. DOMESTIC EMPLOYER S ANNUAL REPORT 1. ACCOUNT NUMBER 2. COUNTY CODE 3. TAX AREA 4. TAX RATE 5. NAICS CODE 11111 6. FEDERAL I. D. NUMBER 7. YEAR DOM 8. EMPLOYER NAME AND ADDRESS Use Envelope STATUS CHANGE FORM to make address and name changes. 9. TELEPHONE NUMBER You must FILE this return even though you had no payroll* If you had no payroll show 0 in item 13 and sign the declaration Item 24 on this form* 9a* PENALTIES WILL BE ASSESSED IF REPORT IS NOT POSTMARKED BY 1st QTR 10. Enter in the boxes the number of employees both full and part-time in pay periods that include the 12th day of the month. Enter Whole Numbers Only 2nd QTR 3rd QTR 4th QTR 1st Month 2nd Month 11. Show the County Code in which you had the greatest number of employees. 3rd Month QUARTER Do not enter data in shaded areas Annual Total 13. Total Gross Wages Paid During each Quarter to Texas Employees If none enter 0 14. Taxable Wages Paid each Quarter up to 9000 annual maximum per employee. If none enter 0. Then summarize all four quarters and enter as annual taxable amount. 15. Tax Due Multiply Annual Total Taxable Wages - Item 14 by Tax Rate Item 4 NOTE For Federal form 940 purposes your Tax Rate includes A UI Obligation Assessment rate of An Employment and Training Assessment Rate of 16. Interest if Tax is Past Due. Multiply the Annual Total Tax Due in line 15 by 1. 5 for each month or part of a month elapsed after the final due date. Maximum interest is 37. 5. 17. Penalty if Report is Past Due. Please refer to the worksheet on the back of the Voucher for instructions on computing late reporting penalty. 18. Add back Balance Due from Prior Periods Subtract Credit or add Debit. 19. Total Due. Sum of lines 15 16 17 18. Make Remittance Payable to TWC. Please include payment Voucher with remittance. 20. SOCIAL SECURITY NUMBER 1ST 2ND INIT INIT 22. TOTAL WAGES PAID DURING EACH QUARTER 21. EMPLOYEE NAME LAST NAME 23. PAGE TOTAL FOR TWC USE ONLY 24. DOMESTIC EMPLOYER S ANNUAL REPORT 1. ACCOUNT NUMBER 2. COUNTY CODE 3. TAX AREA 4. TAX RATE 5. NAICS CODE 11111 6. FEDERAL I. D. NUMBER 7. YEAR DOM 8. EMPLOYER NAME AND ADDRESS Use Envelope STATUS CHANGE FORM to make address and name changes. FEDERAL I. D. NUMBER 7. YEAR DOM 8. EMPLOYER NAME AND ADDRESS Use Envelope STATUS CHANGE FORM to make address and name changes. 9. TELEPHONE NUMBER You must FILE this return even though you had no payroll* If you had no payroll show 0 in item 13 and sign the declaration Item 24 on this form* 9a* PENALTIES WILL BE ASSESSED IF REPORT IS NOT POSTMARKED BY 1st QTR 10. 9. TELEPHONE NUMBER You must FILE this return even though you had no payroll* If you had no payroll show 0 in item 13 and sign the declaration Item 24 on this form* 9a* PENALTIES WILL BE ASSESSED IF REPORT IS NOT POSTMARKED BY 1st QTR 10. Enter in the boxes the number of employees both full and part-time in pay periods that include the 12th day of the month. .

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