Ui 50A Form PDF Details

The Ui 50A form is a tax document that is used to report income and tax deductions. The form is used by individuals and businesses, and must be filed with the Internal Revenue Service (IRS). The Ui 50A form is due by April 15th of each year. The Ui 50A form can be filled out electronically or manually. If you choose to fill out the form electronically, you can use a software program such as TurboTax or TaxAct. If you choose to fill out the form manually, you can download a copy of the form from the IRS website. The information on the Ui 50A form must be accurate and complete.

This figure offers information about ui 50a form. Before you decide to complete the form, it is worth reading more details on it.

QuestionAnswer
Form NameUi 50A Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesui 50a notice of change, form ui 50a, illinois ui 50a, ides notice of change form

Form Preview Example

Notice of Change

33 South State Street, Chicago, Illinois 60603

Phone: 800-247-4984 | Fax : 217-557-1948

Employer Name

DBA Name

Account #

Address

City, State, ZIP

Please answer these questions carefully. Your answers may impact upon your liability for unemployment insurance contributions.

THE EMPLOYING UNIT NAMED ABOVE GIVES NOTICE OF CHANGE(S) WITH RESPECT

TO ITS BUSINESS EFFECTIVE:

1. Name Change/Address Change/Miscellaneous Changes

Date

 

Name changed without change in legal entity. New name

Doing Business As name changed without change in legal entity. New DBA name

Business address changed. New address

 

 

 

 

(Street)

 

 

 

 

 

 

 

 

 

 

 

(City)

(State)

(Zip)

 

 

)

 

 

 

 

(

 

 

 

 

Telephone number changed. New telephone number

 

 

 

 

 

 

 

 

 

 

Mailing address changed.

If you have multiple mailing addresses, complete UI-1M, Unemployment Insurance Special Mailing Form. If the Mailing Address is for an authorized representative, you must attach a Power of Attorney.

 

 

 

 

(

)

(Street)

(City)

(State)

(ZIP)

(Telephone Number)

2. Request to Close Account

A. Date you discontinued operations in Illinois

 

Explain

 

 

 

 

 

 

 

 

B. Date you ceased employing workers, if you are still operating in Illinois

 

 

 

Explain

 

C. Date on which you ceased paying wages, if later than the date shown in A or B above

The name, business address and telephone number of the person in possession of all of your payroll and employment records which pertain to periods prior to the latest date given in A, B or C

If the business is closing, skip all other questions and sign on the last page.

If you reorganized, sold your business or transferred your employees to another business enterprise, you must also complete the following pages.

UI-50A (Rev. 11/17)

Page 1 of 3

Notice of Change

33 South State Street, Chicago, Illinois 60603

Phone: 800-247-4984 | Fax : 217-557-1948

3.Reorganization, Sale or Other Organizational Change. Check all items that apply to you. If any item in this section is checked, please complete numbers 4 & 5 below.

 

Sale of enterprise:

 

 

Entirely;

 

 

In part (Explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

Lease of enterprise:

 

 

Entirely;

 

 

In part (Explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

Change in type of business structure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From:

 

 

Sole Proprietorship

 

 

 

Partnership

 

 

Corporation

 

Other (Explain, e.g., Limited Liability Company,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trust, Association, Receivership)

 

 

 

 

 

 

 

 

 

 

 

 

 

FEIN

 

 

 

To:

 

 

Sole Proprietorship

 

 

 

Partnership

 

Corporation

 

Other (Explain, e.g., Limited Liability Company,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trust, Association, Receivership)

 

 

 

 

 

 

 

 

 

 

 

 

 

FEIN

 

 

 

 

 

 

 

 

Partnership reorganization (Explain in detail)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate merger, consolidation or reorganization (Explain in detail)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreclosure;

 

Receivership;

 

 

Bankruptcy;

 

 

Assignment for benefit of creditors

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of bankruptcy

 

 

 

 

 

 

 

 

 

 

 

Date

/

 

 

/

 

 

 

Case Number

 

 

 

 

 

Death of:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner;

 

 

 

Partner

 

 

 

 

 

Name of deceased

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. If any of the items in #3 above are checked, furnish the following information:

Date of transaction

Name of new owner

Doing business as (if known)

Illinois U.I. account number (if known)Fed. ID. Number (if known)

Address:

5.Furnish the following information with respect to your Illinois operations if you disposed of or leased only a portion of your business enterprise:

 

 

 

 

 

 

 

 

(If No, skip to E.)

A. Did you operate at more than one location in Illinois?

 

 

Yes

 

 

No

 

 

 

 

 

 

 

Yes

 

No

B. Did the new owner acquire all of your business locations in Illinois?

 

 

 

 

 

 

 

 

C. What number of locations did the new owner acquire?

 

 

 

 

 

 

 

 

 

D. List the name and address of the Illinois business locations you retained or continued to operate:

(If necessary, attach an additonal sheet of paper.)

 

 

 

 

 

 

 

 

 

Name and address

City/Town

 

 

State

 

 

 

Zip

County

Location 1

Location 2

Location 3

Location 4

Location 5

Location 6

UI-50A (Rev. 11/17)

Page 2 of 3

Notice of Change

33 South State Street, Chicago, Illinois 60603

Phone: 800-247-4984 | Fax : 217-557-1948

E. Is the Illinois business still owned,

managed or controlled in any way by the same interests that owned, managed or

 

 

 

 

 

 

 

 

 

 

 

 

controlled the former business?

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. Did the new owner acquire all of the Illinois operations?

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If No, what is the percentage acquired by the new entity?

 

 

 

 

%

 

 

 

 

 

 

 

 

Percent of operations retained by you

 

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G. Is the new owner employing all of the same people that you did on the last day of business?

 

 

Yes

 

 

No

 

 

 

 

If No, how many people were employed by you?

How many of them does the new owner employ?

H. Did the new owner acquire any of your assets?

 

 

 

Yes

 

 

 

 

No

 

If yes, what %?

 

 

Percent of assets retained by you

 

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

I. Did the new owner acquire any of your Illinois trade or business?

 

 

 

Yes

 

 

No

If yes, what %?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J. What was your trade or business ?

K. Is the new owner conducting the Illinois business which the new owner acquired?

 

 

Yes

 

 

No

If No, are you conducting the business?

 

Yes

 

 

No

 

 

 

 

 

 

If neither you nor the new owner, who is conducting the business? Name

Address

 

 

 

 

 

 

 

 

 

 

 

Phone Number

L. Is this business a franchise?

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

If Yes, were you the

 

 

 

 

 

 

 

 

 

 

 

 

Franchisee or the

 

 

 

Franchisor?

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATION: I HEREBY CERTIFY THAT THE FOREGOING INFORMATION AND THAT CONTAINED IN ANY ATTACHED SHEETS SIGNED BY ME IS TRUE AND CORRECT. THIS REPORT MUST BE SIGNED BY OWNER, PARTNER, OFFICER OR AUTHORIZED AGENT WITHIN THE EMPLOYING ENTERPRISE. IF SIGNED BY ANY OTHER PERSON, A POWER OF ATTORNEY MUST BE ON FILE.

BUSINESS NAME

 

 

DATE SIGNED AND SUBMITTED

 

SIGNED BY

 

 

TITLE

 

HOME ADDRESS OF OFFICIAL

 

 

 

 

 

 

HOME TELEPHONE NUMBER (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

This state agency is requesting information that is necessary to accomplish the statutory purpose as outlined under 820 ILCS 405/100-3200. Disclosure of this information is Required. Failure to disclose this information may result in statutorily prescribed liability and sanction, including penalties and/or interest.

UI-50A (Rev. 11/17)

Page 3 of 3

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