65 5300 Form PDF Details

Navigating the obligations and procedures for employer contributions and payroll reporting is fundamental for businesses, and the Iowa Workforce Development Employer's Contribution & Payroll Report 65-5300 form plays a pivotal role in this process. Designed to streamline the reporting of employer contributions towards unemployment insurance, this form incorporates specific sections for detailing the employer's information, including legal business name, Federal Employer Identification Number (FEIN), and contact details, ensuring the state can properly account for and contact businesses as necessary. It meticulously outlines the financial obligations each quarter, setting due dates for submissions and providing a structured method for calculating the total amount owed, including contributions based on wages paid, interest, penalties, and surcharges, if any. Moreover, the form requires employers to certify the accuracy of the information provided, emphasizing the importance of transparency and correctness in financial reporting. Employers are also given guidance on calculating contributions, interest, and penalties, catering to variations in payment amounts due to factors like delinquent payments. By including contact information for assistance and indicating the possibility of information sharing with other state and federal agencies, the form highlights a commitment to compliance, support, and inter-agency cooperation. Additionally, it acknowledges the need for accessibility by providing auxiliary aids and services upon request, ensuring all employers, regardless of disability, have equal access to fulfilling their reporting duties.

QuestionAnswer
Form Name65 5300 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesiowa state tax form 65 5300, 65 5300 pdf, iowa unemployment quarterly return, form 65 5300 printable

Form Preview Example

Iowa Workforce Development

Employer's Contribution & Payroll Report

65-5300 (08-12)

UI Account #

Filing Quarter Filing Year

Unemployment Insurance Tax Bureau

 

 

 

 

 

 

 

Filing Quarter

Due Date

PO Box 4846

 

 

 

 

 

 

 

1st - Jan, Feb, Mar

Apr 30

Des Moines IA 50306-4846

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd - Apr, May, Jun

Jul 31

Phone: 888-848-7442 option #3 then option #7

 

 

 

 

 

 

 

 

 

 

3rd - Jul, Aug, Sep

Oct 31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Information

 

 

 

 

 

 

 

4th - Oct, Nov, Dec

Jan 31

 

 

 

 

 

 

 

 

 

 

 

 

FEIN:

 

Phone:

 

 

 

Ext:

 

 

 

 

Legal Business Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

DBA:

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

State/Province:

 

 

 

Zip+4/Postal Code:

 

 

 

Payment Calculation

If no wages were paid this quarter, enter 0.00 in lines 1 & 2.

1.

Total Wages (All Pages):

$

2.

Taxable Wages (All Pages):

$

3.

State Experience Owed

 

 

(Line 2 x State Experience Rate):

$

4.

Reserve Fund Owed

 

 

(Line 2 x Reserve Fund Rate):

$

5.

Surcharge Owed

 

 

(Line 2 x Surcharge Rate):

$

6.

Contribution Owed (Lines 3 + 4 + 5):

$

7.

Interest Owed:

$

8.

Penalty Owed:

$

9.

Total Owed (Line 6 + 7 + 8):

$

10. Previous Amount Due:

$

11. Previous Credit Available:

$

12. Amount Due (Line 9 + 10 - 11): $

13. Amount Paid:

$

Taxable Wage Base: $

 

State Experience Rate:

%

 

 

 

 

 

 

 

 

 

 

 

 

 

+ Reserve Fund Rate:

%

 

 

 

 

 

 

 

 

 

 

 

 

 

+ Surcharge Fund Rate:

%

 

 

 

 

 

 

 

 

 

 

 

 

 

= Contribution Tax Rate:

%

 

 

 

 

 

 

 

 

 

 

 

 

Calculate Contribution Owed:

How to Calculate Interest Due:

1.Multiply line 6 by 0.0003333 (round to 2 decimals)

2.Then multiply that number by the number of days late.

How to Calculate Penalty Due:

1.Pay the greater of $35.00 or (Penalty Rate X Total Wages)

2.Use the table to the right to determine the Penalty Rate.

Days

1-60

61-120

121-180

181-240

241+

Delinquent

Penalty

0.001

0.002

0.003

0.004

0.005

Rate

 

 

 

 

 

Make checks payable to Iowa Workforce Development. If Amount Due is $1 or less, no payment is required.

I CERTIFY that this report is true and correct and that no part of the contribution was deducted from any employee's wages.

Authorized Signature:

 

Print Preparer's Name:

 

 

Print Signer's Name:

 

 

Preparer's Title:

 

 

Signer's Title:

 

 

 

Preparer's Phone Number:

 

Date Submitted:

 

 

Email:

 

NOTE: Information collected from employers by the Unemployment Insurance Services Division of Iowa Workforce Development may also be provided to various federal and state agencies as required or permitted by federal and state law.

Equal Opportunity Employer/Program

Auxiliary aids & services are available upon request to individuals with disabilities. For deaf and hard of hearing, use Relay 711.

Page __ of ___

Employer's Contribution & Payroll Report

65-5300 (08-12)

UI Account #

Filing Quarter Filing Year

If you need more wage lines or have additional reporting units, copy this page.

Reporting Unit Number:

 

Total Wages for this reporting unit: $

Worksite Address 1:

 

 

 

 

 

 

 

 

Worksite Address 2:

 

 

 

 

 

 

 

 

City:

 

 

 

State/Province:

 

Zip/Postal Code:

 

Wage Information

Enter the wage information for each employee of this Reporting Unit. To get credit for taxable wages paid in another state, you must file

this report online at www.myiowaui.org.

Social Security Number

Employee Name (Last, First, MI)

Total Wages Paid Taxable Wages Paid

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Totals For This Page:

Labor Market Information for this Reporting Unit

If you have any questions about Labor Market Information, call (800) 532-1249 or fax (515) 281-8195.

1. Enter the number of employees (workers) who worked during or

1st Month:

2nd Month:

3rd Month:

received pay for the pay period that includes the 12th of the month:

 

 

 

2.

Enter amount of pay which exceeds regular and recurring payments

$

 

to employees such as bonus, executive pay, severance pay, etc:

 

 

 

 

 

 

3.

If the number of workers increased or decreased

1.

Seasonal Change

 

during the quarter for any of the following reasons,

 

2.

Labor Dispute

 

check the box(es) to indicate the reason(s).

3.Layoff

4.Recall

5.Worksite Opening

6.Worksite Closing

Page __ of ___

Administrative Use Only

FD:

 

LD:

 

Batch #:

 

Delinquent After Date:

 

 

 

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If you want to fill out this PDF form, ensure you type in the information you need in every single field:

1. For starters, while filling out the ia 65 5300, start in the section that has the following fields:

form 65 5300 printable writing process detailed (portion 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Surcharge Owed Line x Surcharge, Contribution Owed Lines , Interest Owed, Penalty Owed, Total Owed Line , Previous Amount Due, Previous Credit Available, Amount Due Line , Contribution Tax Rate, Calculate Contribution Owed, How to Calculate Interest Due , How to Calculate Penalty Due Pay, Days, Delinquent, and Penalty with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

The way to prepare form 65 5300 printable part 2

3. Completing Authorized Signature, Print Signers Name, Signers Title, Date Submitted, Print Preparers Name, Preparers Title, Preparers Phone Number, Email, NOTE Information collected from, Equal Opportunity EmployerProgram, and Page of is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Stage # 3 in completing form 65 5300 printable

Those who work with this form often make mistakes when completing Preparers Title in this part. You should review whatever you type in here.

4. This next section requires some additional information. Ensure you complete all the necessary fields - Employers Contribution Payroll, UI Account , Filing Quarter, Filing Year, If you need more wage lines or, Reporting Unit Number, Total Wages for this reporting, Worksite Address , Worksite Address , City, StateProvince, ZipPostal Code, Wage Information Enter the wage, Social Security Number, and Employee Name Last First MI - to proceed further in your process!

Step number 4 for filling in form 65 5300 printable

5. When you get close to the conclusion of the file, there are several extra requirements that have to be met. Mainly, Labor Market Information for this, Totals For This Page, and Enter the number of employees should all be filled in.

Filling out part 5 in form 65 5300 printable

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