Ui 5G Form PDF Details

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Below are some particulars about ui 5g form. You'll have the estimated time you may need to fill in the form as well as extra details.

QuestionAnswer
Form NameUi 5G Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmt form ui 5 fillable, form ui 5 montana, unemployment motnana, unemployment claim montana

Form Preview Example

Step 1. Check
applicable boxes and provide information requested:

Montana Employer’s Unemployment Insurance (UI)

 

 

Quarter End

Due Date

 

Quarterly Wage Report – Form UI-5G

 

 

 

 

GOVERNMENTAL/REIMBURSABLE

 

 

 

 

 

 

 

Employer Identification Numbers

 

 

 

 

UI Account Number

 

 

 

 

 

 

 

 

 

 

 

Federal ID (FEIN)

 

 

 

 

 

 

 

 

 

 

 

UI Contribution Rate

 

 

 

 

 

UI Administrative Fund Tax Rate

 

 

 

 

UI Total Tax Rate

 

 

A report must be filed even if no wages are paid. Instructions for completing this form are online at http://uid.dli.mt.gov/tax/uitaxforms.asp or call 406-444-3834. File online at UIeServices.mt.gov. If paying by check, please use attached voucher.

No Wages paid for the quarter covering this report

Sold Business Name, address and phone number of new owner: Ceased Employing Last payroll date ______/_____/_____

Change in Name, Address, Phone Number or Federal ID # (list corrections): _________________________________

Amended Report

 

Step 2. Unemployment Insurance Employee Wage Listing

 

 

Check here if wage listing is attached.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee’s Social Security

 

Name of Employee

 

Total Wages

 

 

Number

 

Last Name

 

 

First Name

 

Paid this Quarter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 3. Calculate Tax

 

 

 

State Unemployment

 

Step 4. Number of

 

 

 

 

 

 

 

 

 

Insurance Tax

 

UI Employees

 

 

 

 

 

 

 

 

 

 

1.

Total wages paid this quarter

 

>

 

 

 

 

Number of covered

 

 

 

 

 

 

 

 

 

 

2.

UI total tax rate

 

 

 

 

 

 

 

 

 

 

 

 

workers who worked

 

 

 

 

 

 

 

 

 

 

3.

Total tax (multiply line 1 times line 2)

 

 

 

 

 

 

during, or received pay for

 

 

 

 

 

 

 

 

 

 

the payroll period that

4.

Credits (overpayment from prior quarters)

 

 

 

 

 

 

 

 

 

 

 

 

includes the 12th day of

 

 

 

 

 

 

 

 

 

 

5.

Adjustments to prior quarters (attach explanation)

 

 

 

 

 

 

 

 

 

 

the month:

 

 

 

 

 

 

 

 

 

 

6.

Balance due (line 3 line 4 +/- line 5 -- see instructions)

 

 

 

 

 

1st month ____________

7.

If filing late, add penalty ($25) and interest (line 6 x 1.5% x month(s) past due)

 

 

 

 

 

 

2nd month ____________

 

 

 

 

 

 

 

 

 

 

8.

Payment enclosed (line 6 + 7)

 

>

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd month

 

Make Check Payable to Unemployment Insurance Division. Please use attached voucher.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 5. Signature. Sign and make a copy of this form for your records. Mail your report, additional wage listings and payment with voucher by the due date above, even if no wages are paid or tax is due. Questions? Call (406) 444-3834.

 

 

 

 

 

 

 

 

 

Mail to:

 

I certify the information on this report is true and correct.

Date:

 

 

Unemployment Insurance

 

 

 

 

 

 

 

 

 

Contributions Bureau

 

 

 

 

 

 

 

 

Authorized Signature

Title

Telephone Number

Name/Title of Contact Person

Telephone No

 

PO Box 6339

 

 

 

 

 

 

 

Helena MT 59604-6339

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail this form with your check and voucher to the Unemployment Insurance Contributions Bureau.

UI-5G Revised 7/13

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