Form Uia 1021 PDF Details

Navigating the complexities of unemployment insurance in Michigan, employers occasionally need to amend previously reported wages due to inaccuracies. This is where the UIA 1021 form, a crucial document issued by the State of Michigan Licensing and Regulatory Affairs and the Unemployment Insurance Agency, comes into play. Aimed exclusively at correcting wage reports submitted in error, the UIA 1021 form helps maintain accurate employment tax records, ensuring that both businesses and their employees are fairly represented in the state's unemployment insurance system. Its structured format requires detailed information about the employer, including the UIA Employer Account Number, Federal Employee Identification Number (FEIN), and specifics about the adjustment needed, including original and corrected figures. It's important to note that this form shouldn't be used for correcting rate errors or incorrect calculations; rather, it serves to align wage data with actual figures. The necessity of such corrections underscores the importance of precision in payroll reporting and the potential financial implications for businesses, including interest on late payments and the possibility of a tax lien if obligations remain unfulfilled. Completing and submitting the UIA 1021 accurately can prevent these outcomes, highlighting the document's significance in the broader context of employment tax compliance in Michigan.

QuestionAnswer
Form NameForm Uia 1021
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesuia_UC1021_7608 4_7 uia 1021 form

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UIA 1021

(Rev. 5-11)State of Michigan Licensing and Regulatory Affairs

UNEMPLOYMENT INSURANCE AGENCY

Tax Ofice – Suite 11-500

3024 W. Grand Boulevard – Detroit, Michigan 48202

Phone: (313) 456-2180 FAX: (313) 456-2130

www.michigan.gov/uia

AMENDED QUARTERLY TAX REPORT

UIA Employer Account No.:

Calendar Qtr. Ending:

Federal Emp. I.D. No. (FEIN):

Authorized by

MCL 421.1, et seq.

Employer Name:

Street Address:

City, State, Zip Code:

AMENDED

REPORT

UsE ThIs REPORT ONLy TO CORRECT wAgEs PREvIOUsLy REPORTED IN ERROR. DO NOT UsE ThIs fORM TO CORRECT RATE ERRORs OR INCORRECT MULTIPLICATION.

ALL LIAbLE EMPLOyERs ARE REqUIRED by sECTION 13 Of ThE MIChIgAN EMPLOyMENT sECURITy ACT (MCL 431.13) AND ADMINIsTRATIvE RULE 421.121 Of ThE UNEMPLOyMENT INsURANCE AgENCy (UIA) TO DIsCLOsE ThEIR TAx LIAbILITy by fILINg qUARTERLy TAx REPORTs. INTEREsT ACCRUEs AT ThE RATE Of 1% PER MONTh (COMPUTED ON A DAy-TO-DAy bAsIs) ON ALL TAxEs REMAININg UNPAID AfTER ThE DUE DATE As PROvIDED by sECTION 15(a) Of ThE ACT. fAILURE TO PAy CAN REsULT IN ThE fILINg Of A TAx LIEN As PROvIDED by sECTION 15(e) Of ThE ACT.

1. Reason for Adjustment

COLUMN I

COLUMN II

COLUMN III

 

(If additional space is required, use reverse side of form):

 

Previously

 

 

 

 

 

 

 

 

Reported

Corrected

Diference

 

 

Amounts

Amounts

 

 

 

 

 

 

2.

gross quarterly wages

 

 

 

 

 

 

 

 

3.

Excess wages

 

 

 

 

 

 

 

 

4.

Taxable wages (subtract Line 3 from Line 2)

 

 

 

 

 

 

 

 

5.

Tax Rate

 

 

 

 

 

 

 

 

6.

Total Tax (Multiply Line 4 by Line 5)

 

 

 

 

 

 

 

 

7.

Tax Paid

 

 

 

 

 

 

 

 

CERTIfICATION: I declare that I have examined this report, and to the best of my knowledge and belief, it is true, correct and complete.

________________________________________________________

_________________________

signature

 

Date

____________________________________________

(_____________)

_________________________

Title

Area Code

Telephone No.

yOUR OvERPAyMENT OR UNDERPAyMENT Is shOwN ON LINE 6, COLUMN III .

If yOU UNDERPAID yOUR TAx, PLEAsE sUbMIT ThE ADDITIONAL TAx DUE wITh ThIs REPORT. MAkE yOUR ChECk PAyAbLE TO sTATE Of MIChIgAN – UNEM- PLOyMENT INsURANCE AgENCy. wRITE yOUR 7-DIgIT UIA EMPLOyER ACCOUNT NUMbER ON yOUR ChECk. INTEREsT ACCRUEs ON LATE PAyMENTs AT ThE RATE Of 1% PER MONTh.

If yOU OvERPAID ThE TAx DUE, DEDUCT ThE OvERPAyMENT ON yOUR NExT qUARTERLy REPORT. If yOU wANT ThE OvERPAyMENT REfUNDED, sUbMIT yOUR REqUEsT, IN wRITINg TO AbOvE ADDREss, UNDER sEPARATE COvER.

RETAIN A COPy Of ThIs REPORT fOR yOUR RECORDs. If yOU NEED AssIsTANCE, TELEPhONE (313) 456-2180.

RETURN ThIs fORM TO ThE ADDREss AbOvE OR fAx TO (313) 456-2130.

*10211105*

LARA is an equal opportunity employer/program.