Are you starting a business in South Dakota? If so, you may be looking for information on how to properly and efficiently fill out form 55. This blog post will provide comprehensive information about the South Dakota Form 55. We’ll discuss topics such as what it is, who needs to complete it, when it must be completed, and more! Understanding this form thoroughly is essential for setting up your business correctly in South Dakota - keep reading to make sure you have all your bases covered!
| Question | Answer |
|---|---|
| Form Name | South Dakota Form 55 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | form55 sd forms 55 |
Form 55 (rev. 4/14)
APPLICATION FOR EXEMPTION OR TRANSFER OF LIABILITY
South Dakota Department of Labor and Regulation
Unemployment Insurance Division
PO Box 4730, Aberdeen, SD
1. Account Number ____________________
Owner or Corporate Name_________________________________________________________________________
Business Name or DBA ___________________________________________________________________________
Mailing Address _________________________________________________________________________________
Address |
City |
State |
Zip |
(Note: mailing address above will receive all information including debit/credit notices, benefit charges, claim notices and appeals.)
2.I hereby make application for exemption from filing all reports required under the unemployment insurance law of South Dakota. I agree to advise SD Unemployment Insurance Division if I have employment again at any time in the future.
If employment ceased or business was discontinued without a successor, give last date wages were paid __________
or
If business was sold, leased or otherwise transferred, please complete the following:
Effective date of disposition __________________ Date you last paid wages in South Dakota _________________
Are you retaining any part of the business? Yes ___ |
No ___ |
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Disposed of the business by: |
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( ) Sale |
( ) Merger |
( ) Receivership |
( ) LLP |
( ) LLC |
( ) Incorporation |
() Dissolution ( ) Partnership ( ) Other ________________________________________________________
3.Name of successor _______________________________________________ Phone ________________________
Address of successor ____________________________________________________________________________
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Address |
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City |
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State |
Zip |
Type of organization: (Check one) |
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( ) Individual |
( ) Corporation |
( ) LLP |
( ) LLC |
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) Partnership |
( ) Association |
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( ) Other __________________________________________________________________________________ |
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4. It is agreed between the Former Owner and the New Owner that: ( ) All |
( |
) None |
( |
) Portion of the |
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Employer’s Experience Rating Account shall be transferred with assets and liabilities following the account, as
provided in Section
5.This report must be signed by the owner, partner or authorized official.
Signature ______________________________ Title _______________ Phone ____________ Date _______________
For SD DLR use only:
Approved date ________________________ By _________________
Effective date ________________________
Termination date ______________________
Registration