Form Uia 1021 is a form used to request a waiver of the automatic three-year stay on removal that is triggered when an alien files a motion to reopen removal proceedings. This form may be filed by an alien who is subject to removal and has prima facie eligibility for relief from removal. The form must be accompanied by evidence that demonstrates the alien’s eligibility for relief. In order to file Form Uia 1021, an alien must first file a motion to reopen proceedings. In order to request a waiver of the automatic three-year stay on removal, an alien must complete Form Uia 1021 and submit it with accompanying evidence demonstrating eligibility for relief from removal. The form must be filed with a motion to reopen proceedings and can be used by any individual who meets the requirements for relief and is subject to deportation or removal from the United States. With careful preparation, completing this form can provide much needed assistance in avoiding unnecessary delays caused by
| Question | Answer |
|---|---|
| Form Name | Form Uia 1021 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | uia_UC1021_7608 4_7 uia 1021 form |
UIA 1021
(Rev.
UNEMPLOYMENT INSURANCE AGENCY
Tax Ofice – Suite
3024 W. Grand Boulevard – Detroit, Michigan 48202
Phone: (313)
www.michigan.gov/uia
AMENDED QUARTERLY TAX REPORT
UIA Employer Account No.: |
Calendar Qtr. Ending: |
Federal Emp. I.D. No. (FEIN):
Authorized by |
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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
1. Reason for Adjustment |
COLUMN I |
COLUMN II |
COLUMN III |
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(If additional space is required, use reverse side of form): |
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Previously |
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Reported |
Corrected |
Diference |
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Amounts |
Amounts |
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2. |
gross quarterly wages |
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3. |
Excess wages |
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4. |
Taxable wages (subtract Line 3 from Line 2) |
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5. |
Tax Rate |
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6. |
Total Tax (Multiply Line 4 by Line 5) |
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7. |
Tax Paid |
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CERTIfICATION: I declare that I have examined this report, and to the best of my knowledge and belief, it is true, correct and complete.
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_________________________ |
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signature |
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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
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)
RETURN ThIs fORM TO ThE ADDREss AbOvE OR fAx TO (313)
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*10211105* |
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LARA is an equal opportunity employer/program. |
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