Florida Revenue Employers Report Form – Fill Out and Use This PDF

Florida Department of Revenue Employer’s

Quarterly Report for Out-of-State Taxable Wages

RT-6NF

R. 01/13

Rule 73B-10.037 Florida Administrative Code

QUARTER ENDING

EMPLOYER’S NAME

/

/

10.

EMPLOYEE’S SOCIAL SECURITY NUMBER

11.

EMPLOYEE’S NAME (please print irst twelve characters of last name and irst eight

12A. EMPLOYEE’S FLORIDA GROSS WAGES PAID THIS QUARTER

characters of irst name in boxes)

12b. EMPLOYEE’S FLORIDA TAXABLE WAGES PAID THIS QUARTER

RT ACCOUNT NUMBER

F.E.I. NUMBER

-

12c. EMPLOYEE’S OUT-OF-STATE TAXABLE WAGES

PAID YEAR-TO-DATE

Social Security

-

-

Number

LAST

Name

FIRST

Middle

Name

INITIAL

Social Security

-

-

Number

LAST

Name

FIRST

Middle

Name

INITIAL

Social Security

-

-

Number

LAST

Name

FIRST

Middle

Name

INITIAL

Social Security

-

-

Number

LAST

Name

FIRST

Middle

Name

INITIAL

Social Security

-

-

Number

LAST

Name

FIRST

Middle

Name

INITIAL

13a. Total Gross Wages (add Lines 12a only). Total this page only. Include this and totals from additional pages in Line 2 on page 1 of the RT-6.

13b. Total Taxable Wages (add Lines 12b only). Total this page only. Include this and totals from additional pages in Line 4 on page 1 of the RT-6.

12a.

12b.

12a.

12b.

12a.

12b.

12a.

12b.

12a.

12b.

13a.

13b.

Only the irst $8,000 paid to each employee per calendar year is taxable.

12c.

12c.

12c.

12c.

12c.

13c. Total Out-of-State Taxable Wages paid year-to-date (add Lines 12c only). Total this page only.

This schedule is used by employers to report employees with out-of-state taxable wages who worked and received wages from the same employer in Florida during the reporting quarter. This schedule is used with the RT-6 wage item report for qualifying employees until the end of the calendar year. This form must be submitted with your

Employer’s Quarterly Report (RT-6, formerly UCT-6).

Line 10 – Enter each employee’s social security number (NINE digits – Do not suppress the leading zeros). Every employee, regardless of age, is required to have a social security number (SSN). If the employee’s SSN is not included, no credit will be given for previously reported taxable wages, and the irst (up to) $8,000 of wages on this quarterly report will be taxed at your reemployment tax rate.

Note: Florida law increased taxable wages from $7,000 to $8,000 beginning with the January 1 through March 31, 2012 quarter. If you are iling a report for a quarter ending before January 1, 2012, the excess wages are wages exceeding $7,000.

Line 11 – Enter each employee’s last name, irst name, and middle initial.

Line 12a – Enter each employee’s Florida gross wages paid for the quarter as deined in Line 2 of the RT-6 INSTRUCTIONS (RT-6N, formerly UCT-6N). Gross wages should not include wage items speciically exempt per section (s.) 443.1217 (2)(b)-(g), Florida Statutes (F.S.).

Line 12b – Enter each employee’s Florida taxable wages paid for the quarter.

Line 12c – Enter each employee’s out-of-state taxable wages paid year-to-date including current reporting quarter, if applicable. Line 12c must include 100% of out-of-state taxable wages, including this quarter, paid for the calendar year.

Line 13a – Enter the total Florida gross wages for this page. All wages from this page and any attached pages must be included in Line 2 on the front of the RT-6.

Line 13b – Enter the total Florida taxable wages for this page. All wages from this page and any attached pages must be included in Line 4 on the front of the RT-6.

Line 13c – Enter the total out-of-state taxable wages paid year-to-date for this page.

Social security numbers are used by the Florida Department of Revenue as unique identiiers for the administration of Florida’s taxes. SSNs obtained for tax administration purposes are conidential under sections 213.053 and 119.071, Florida Statutes, and not subject to disclosure as public records. Collection of your SSN is authorized under state and federal law. Visit our Internet site at www.mylorida.com/dor and select “Privacy Notice” for more information regarding the state and federal law governing the collection, use, or release of SSNs, including authorized exceptions.

Internet Address: www.mylorida.com/dor

Call 800-352-3671 for assistance.