Ncui 604 Form PDF Details

Are you looking for information and advice on how to fill out the NCUI 604 form correctly? This is a key form that plays an important role in the registration process, whether you are registering as an individual or a corporation. Knowing exactly what to include in this document can save a lot of time, effort and confusion. This blog post will provide all the details necessary about filling out this particular form accurately and completely so your application won't be delayed due to inaccuracies or omissions. Keep reading for everything from field-by-field guidance on completing the form precisely according to its specifications, down to tips and tricks for making sure no mistakes are made along the way!

QuestionAnswer
Form NameNcui 604 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesncui 604 online, ncui604, amazon, form ncui 604

Form Preview Example

THIS REPORT IS REQUIRED OF EVERY EMPLOYING UNIT AND WILL BE USED TO DETERMINE LIABILITY UNDER

THE NORTH CAROLINA EMPLOYMENT SECURITY LAW, GENERAL STATUTE 96 AND DIVISION REGULATIONS.

Employer Status Report

Please Read Instructions!

NC Dept. of Commerce

Division of Employment Security

Post Office Box 26504

Raleigh, N.C. 27611-6504

Please Type or Print in Black Ink or File Online www.ncesc.com

Return Within 10 Days

For Agency Use Only:

 

 

Account No.

 

 

 

 

 

 

 

 

 

 

Liable

 

 

A/C/AS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y N

 

 

 

Root

 

OW/OF

 

S Add

 

 

ET AL

S/PR

 

BR

 

Liab Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Del After

 

 

 

 

 

 

 

 

 

Law Sec

 

 

 

M/W

County

 

 

ERA

 

 

Own

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Curr

 

 

P1

 

 

 

P2

 

P3

 

 

 

P4

 

P5

 

Next

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Orig

 

Ind Ctr

 

React Date

 

 

 

L Let

 

 

 

 

St Adj

TA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PC Let

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Federal ID number:__________________

2. N.C. Dept. of Revenue withholding ID number:

3.Enter any previously assigned North Carolina unemployment tax numbers:

4.Employer name:

Enter exact name of legal entity – for further details see instructions)

5.Trade name:

6.Mailing address:

 

Street or P.O. Box

 

 

City

State

Zip Code

7.

Phone number: (_______)_____________________________

8.

 

FAX number: (_______)

 

 

9.

Contact person: ________________________________________________

Title

 

 

 

Phone number: ( ______ )________________________ E-mail Address:

 

 

 

 

 

10.

N.C. business location:

 

 

 

 

 

 

Number of Employees expected

Street (Do not use a post office box)

 

in the next 12 months:

 

 

N.C.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

Zip Code

 

 

County

 

 

 

 

 

 

(Attach a list of ALL NC locations, if there is no NC business location, enter the primary employee’s home address)

11. Check type of ownership:

Individual

Sub-Chapter S Corporation

 

General Partnership

501(c)(3) - Attach a copy

 

Corporation

Governmental

 

Limited Partnership - Attach a list of ALL General

 

Partners

 

12.Enter the principal activity or services performed in your North Carolina operation:

LLC taxed as Individual LLC taxed as Partnership LLC taxed as Corporation

Indian Tribal Governments/Enterprises Disregarded Entity

Other:

13.If you are part of a larger organization and are primarily engaged in providing support services to that organization, check one of the following:

Control, Administrative (Headquarters, etc.)

Storage/Warehouse

Research, Development or Testing

Other

 

14.Enter date you first employed one or more workers in North Carolina: _________/________/___________

MM DD YYYY

For Items 15 through 20, check only the ONE item that applies

15. GENERAL EMPLOYERS:

 

a. Have you or will you have a quarterly payroll of $1,500 or more?

Yes

If yes, enter the date this occurred or will occur.

 

b. Have you or will you employ at least one worker in 20 different calendar weeks during a

calendar year?

 

If yes, enter the date this first occurred or will occur.

Yes

No

_____/_______/_______

 

MM

DD

YYYY

No

_____/_______/_______

 

MM

DD

YYYY

16. Are you an EMPLOYEE LEASING company?

Yes

17.AGRICULTURAL EMPLOYERS:

a. Have you or will you have a quarterly payroll of $20,000 or more?

If yes, enter the date this occurred or will occur

Yes

b. Have you or will you employ at least 10 workers in 20 different calendar weeks during a

calendar year?

 

If yes, enter the date this first occurred or will occur.

Yes

No

 

 

 

No

_____/_______/_______

 

MM

DD

YYYY

No

_____/_______/_______

 

MM

DD

YYYY

NCUI 604 (Rev 01/2012)

OVER PLEASE

18.DOMESTIC EMPLOYERS:

Have you or will you pay $1,000 or more in a calendar quarter for domestic service in a private home, college club, fraternity or sorority? If yes, enter the date this occurred or will occur.

Yes

No ______ /______/ _______

MM DD YYYY

19.NON-PROFIT ORGANIZATIONS: (Attach a copy of Federal Letter of Exemption under Section 501(c)(3) of the Internal

Revenue Code.)

 

 

 

 

Have you or will you employ four or more workers in 20 different calendar weeks

 

 

 

 

during a calendar year? If yes, enter the date this occurred or will occur.

Yes

No ______ /______/ _______

 

 

MM

DD

YYYY

20.GOVERNMENTAL ENTITY: (check one type below)

Federal

State

Local

Other: ________________________________________

21.If you are not otherwise subject to the unemployment tax law under one of the preceding criteria (Items 15- 20), do you wish to voluntarily cover your employees for unemployment insurance?

22.Have you ever paid Federal Unemployment Tax (FUTA)?

If yes, for what year(s)?

________

________

________

________

________

Yes

Yes

No

No

23.If you have acquired, transferred assets or merged with another business, or made any other changes in the ownership of the business, including changes, such as from a sole proprietorship to a corporation or a partnership, complete the following:

a.Name of Former Owner: _____________________________________________________________________________

(Full Organizational Name, including Trade Name)

b.Former Owner’s N.C. UI Tax Number: _______________________________________

c. Former Owner’s Address: ________________________________________

__________________

__ __

__________

Street or P.O. Box

City

State

Zip Code

 

 

 

d. On what date did you acquire or change the business?

______ /______/ _______

 

MM

DD YYYY

e.Did you acquire all or a portion of the former owner’s North Carolina business?

All

Portion (Specify) %______

f.Was the business in operation at the time you acquired it?

Yes

No Date Closed

______ /______/ _______

 

MM

DD YYYY

g. Was the business in bankruptcy at the time you acquired it?

Yes

h.Does the former owner continue to have employees in North Carolina?

No

Yes

No

24.Do you have workers who perform services for your business whom you consider to be self-employed or independent contractors? If yes, see instructions for list to be attached.

Yes

No

25.List owners (parent corporation, sole proprietor, ALL general partners, principal corporate officers, or members.) Attach a list of those for which there is no space below.

______________________

______________________

_______________________

 

____________

_____________________

First Name

Middle Name

Last Name

 

Title

SSN or FEIN

_________________________________________

_______________________

__ __

___________

(____) ____ ______

Street or P.O. Box

City

State

Zip Code

Phone

______________________

______________________

_______________________

 

____________

_____________________

First Name

Middle Name

Last Name

 

Title

SSN or FEIN

_________________________________________

_______________________

__ __

__________

(____) ____ ______

Street or P.O. Box

City

State

Zip Code

Phone

______________________

______________________

_______________________

 

____________

_____________________

First Name

Middle Name

Last Name

 

Title

SSN or FEIN

_________________________________________

_______________________

__ __

__________

(____) ____ ______

Street or P.O. Box

City

State

Zip Code

Phone

Be Sure That All Applicable Items Are Completed Before Signing

I certify that the information entered on this form is true and accurate, and that I am authorized by the named employing unit to complete this report for determining unemployment tax liability.

_____________________________________________

___________________________________

______ /______/ ________

Signature

Title

MM

DD

YYYY

NCUI 604 (Rev 02/2012)

How to Edit Ncui 604 Form Online for Free

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1. Begin filling out the ncui604 with a selection of major blank fields. Collect all the information you need and be sure not a single thing omitted!

Completing part 1 of ncui 604 online

2. Your next step is to submit these blanks: Check type of ownership, County Attach a list of ALL NC, Individual General Partnership, SubChapter S Corporation c Attach, LLC taxed as Individual LLC taxed, Enter the principal activity or, If you are part of a larger, Control Administrative, Enter date you first employed one, StorageWarehouse Other, YYYY For Items through check, GENERAL EMPLOYERS, a Have you or will you have a, If yes enter the date this, and Yes.

Part number 2 for filling out ncui 604 online

3. The next part is going to be straightforward - fill in all of the empty fields in calendar year If yes enter the, Yes, MM DD YYYY, NCUI Rev, and OVER PLEASE to complete this process.

How to complete ncui 604 online portion 3

4. It's time to complete the next section! In this case you will have these DOMESTIC EMPLOYERS, Have you or will you pay or more, Yes, MM DD YYYY, NONPROFIT ORGANIZATIONS Attach a, Revenue Code Have you or will you, Yes, MM DD YYYY, GOVERNMENTAL ENTITY check one, Federal, State, Other, If you are not otherwise subject, Have you ever paid Federal, and If yes for what years blanks to complete.

Filling out segment 4 of ncui 604 online

5. And finally, the following last subsection is what you need to wrap up before using the form. The blank fields in question include the following: e Did you acquire all or a portion, f Was the business in operation at, Yes, No Date Closed, g Was the business in bankruptcy, Yes, All, Portion Specify, MM DD YYYY, h Does the former owner continue, Yes, Do you have workers who perform, independent contractors If yes see, Yes, and List owners parent corporation.

Guidelines on how to fill in ncui 604 online portion 5

Be very attentive when filling in independent contractors If yes see and All, since this is the section where most people make errors.

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