If you're a business owner, you know that filing your taxes is a necessary evil. But what if there were an easier way to do it? Form UC 9A could be the answer. This form is for businesses that have employees but are not required to file payroll taxes. By using Form UC 9A, you can report all of your employee information on one form, rather than filing separate forms for each employee. Plus, it's easy to use - just fill in the blanks and submit online! So why not give it a try? You may be surprised at how easy tax time can be.
| Question | Answer |
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| Form Name | Form Uc 9A |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 2009, DEDUCTED, UC-52, certifications |
MAIL TO: DIVISION OF EMPLOYER ACCOUNTS, WORKER REFUND UNIT "2009", PO BOX 910, TRENTON, NEW JERSEY
SOCIAL SECURITY NUMBER: |
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State of New Jersey |
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Department of Labor and Workforce Development |
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DIVISION OF EMPLOYER ACCOUNTS |
EMPLOYEE'S NAME: |
EMPLOYEE'S CLAIM FOR REFUND |
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STREET ADDRESS: |
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OF EXCESS CONTRIBUTIONS |
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FOR THE CALENDAR YEAR 2009 |
CITY, STATE AND ZIP CODE: |
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PLEASE READ THE INSTRUCTIONS CAREFULLY ON THE REVERSE BEFORE COMPLETING THIS CLAIM
STATEMENT OF REFUND CLAIMANT
I hereby apply for a refund of worker contributions in excess of $110.54 for New Jersey Unemployment Insurance, in excess of $26.01 for Family Leave Insurance, in excess of $12.28 for New Jersey Workforce Development Partnership Fund and in excess of $144.50 for New Jersey Disability Insurance by reason of having received wages from two or more employers during the above calendar year and in support thereof, submit the following statement of employer certifications of wages and deductions for New Jersey Unemployment Insurance, Family Leave Insurance, Workforce Development Partnership Fund and Disability Insurance. In addition, I have either been determined ineligible or have not applied for this refund as a credit toward my New Jersey Gross Income Tax.
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STATEMENT OF EARNINGS |
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EMPLOYER'S NAME |
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CITY AND STATE |
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WAGES |
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(Use additional sheets, if necessary)
MAKE SURE THAT ALL CERTIFICATIONS ARE ATTACHED BEFORE FILING YOUR CLAIM
FOR INTERNAL USE ONLY
U.I. Refund
F.L.I. Refund
W.F. Refund
D. I. Refund
Total Refund
INSTRUCTIONS FOR COMPLETING
CERTIFICATIONS
COMPLETING
1.TYPE or PRINT* your Social Security Number and your exact name and address at the top of the claim.
2.SIGN and DATE the refund claim.
3.TYPE or PRINT the exact name and location of all your employers who made deductions for New Jersey Family Leave Insurance, Workforce Development Partnership Fund, Unemployment and Disability Insurance from your 2009 wages and state the total amount of wages from which the deductions were made.
*LEGIBLE INFORMATION WILL ENSURE PROPER REIMBURSEMENT
OBTAINING CERTIFICATIONS
Your refund claim must also be accompanied by a certification of the deductions made by each of your employers listed on your claim.
Certification of your wages and deductions can be obtained through one of the following:
1.Have your employer complete form
OR
2.Furnish a copy of your
Mail the completed original
After your claim has been received it will be audited and verified. However, no refunds will be issued prior to August 30, 2010 as claims must be cross matched with Gross Income Tax records to avoid the possibility of issuing duplicate credits and/or refunds. Please allow
If you have any questions concerning your claim you may write to the above address or call
NOTE: IF THE AMOUNT DEDUCTED BY ANY ONE EMPLOYER EXCEEDS THE MAXIMUM FOR EITHER NEW JERSEY FAMILY LEAVE INSURANCE, WORKFORCE DEVELOPMENT PARTNERSHIP FUND, UNEMPLOYMENT OR DISABILITY INSURANCE, YOU SHOULD CONTACT THAT EMPLOYER FOR A REFUND OF THE BALANCE OF THE DEDUCTION.