The Nevada Nucs 4072 form is a crucial document used by employers in Nevada to report their quarterly contributions and wage details to the Employment Security Division. This form ensures that all necessary information regarding employee wages, changes in business ownership, and tax obligations is accurately documented. Proper completion of this form is essential for compliance with state regulations and to avoid penalties.
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DO NOT STAPLE THIS FORM
State of Nevada
Department of Employment, Training & Rehabilitation
EMPLOYMENT SECURITY DIVISION
500 E. Third St., Carson City, NV 89713-0030
Telephone (775) 687-4540
Page 1
EMPLOYER'S QUARTERLY CONTRIBUTION
AND WAGE REPORT
PLEASE CORRECT ANY NAME OR ADDRESS INFORMATION BELOW.
1b.
FOR QUARTER ENDING
1e.
FEDERAL I.D. NO.
1a. EMPLOYER ACCOUNT NUMBER
1c.
DELINQUENT AFTER
IMPORTANT
FOR YOUR PROTECTION, VERIFY
YOUR FEDERAL I.D. NO. ABOVE. IF IT
IS IN ERROR, PLEASE ENTER T H E
1d.
YOUR RATES
CORRECT NUMBER HERE:
A REPORT MUST BE FILED
3. TOTAL GROSS WAGES (INCLUDING TIPS) PAID THIS QUARTER
Dollars
Cents
INSTRUCTIONS ENCLOSED
(If you paid no wages, write "NONE," sign report and return.)
(See Instructions)
2.
REPORT OF CHANGES
4. LESS WAGES IN EXCESS OF
PER INDIVIDUAL
If any of the following changes
(Cannot exceed amount in Item 3.)
(See Instructions )
have occurred, please checkthe
appropriate box and provide
5. TAXABLE WAGES PAID THIS QUARTER (Item 3 less Item 4.)
details on page 2.
Business Discontinued
6. UI AMOUNT DUE THIS QUARTER (Item 5 x your
UI
Rate shown in Item 1d.)
Ownership Change
Entire Business Sold
7. CEP AMOUNT DUE THIS QUARTER (Item 5 x the CEP Rate in Item 1d.)
(Add)
Part of Business Sold
(Do not include the CEP amount on federal unemployment tax return Form 940.)
Legal Ownership Change
8. PRIOR CREDIT (Attach "Statement of Employer Account" )
(Subtract)
Business Added
9. CHARGE FOR LATE FILING OF THIS REPORT
(FOR DIVISION USE ONLY)
(One or more days late add $5.00 forfeit.)
10. ADDITIONAL CHARGE FOR LATE FILING, AFTER 10 DAYS
(Item 5 x 1/10% (.001) for each month or part of month delinquent.)
11. INTEREST ON PAST DUE UI CONTRIBUTIONS
(Item 6 x 1% (.01) for each month or part of month delinquent.)
12. TOTAL PAYMENT DUE (Total Items 6 through 11.) MAKE PAYABLE TO NEVADA
EMPLOYMENT SECURITY DIVISION. Please enter Employer Account Number on check .
13. SOCIAL SECURITY
14.
EMPLOYEE NAME
15.
TOTAL TIPS
16. TOTAL GROSS
NUMBER
Do not make adjustments to prior quarters .
REPORTED
WAGES INCLUDING TIPS
17. NUMBER OF WORKERS
LISTED ON THIS REPORT
18. FOR EACH MONTH,
REPORT THE NUMBER OF
WORKERS WHO WORKED
DURING OR RECEIVED
PAY FOR THE PAYROLL
PERIOD WHICH INCLUDES
THE 12TH OF THE MONTH.
1 MO
2 MO
3 MO
19.TOTAL PAGES
20. TOTAL TIPS AND TOTAL
$
THIS REPORT
WAGES THIS PAGE
21. I certify that the information contained on this report and the attachments is true and correct.
__________________________________________________________
_______________________________________________________________
Signed/Title
Name of Preparer if Other Than Employer
(______)________________________(______)___________________
(______)__________________________ ___________________________
Area Code Fax Number
Area Code Telephone Number
Area Code
Telephone Number
Date
NUCS-4072 (Rev.9-02)
E M P L O Y E R ' S R E P O R T O F C H A N G E S
P a g e 2
E m p l o y e r A c c o u n t N u m b e r : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ T e l e p h o n e N u m b e r : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Business Discontinued (no new ownership) ..........................................................
M o n t h / D a y / Y e a r
( P l e a s e n o t i f y t h e D i v i s i o n i f , o r w h e n , b u s i n e s s r e s u m e s . )
E x a c t D a t e o f L a s t P a y r o l l _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
C h a n g e i n B u s i n e s s O w n e r s h i p - C o m p l e t e N E W O W N E R ( S ) s e c t i o n b e l o w .
Sale of Entire Business .............................................................................
Partial Sale (not out of business) ..............................................................
D e s c r i b e P a r t S o l d _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Change in Legal Ownership .....................................................................
( s u c h a s a d d i n g o r d r o p p i n g a p a r t n e r , i n c o r p o r a t i n g , e t c . )
N E W O W N E R ( S )
N e w F e d e r a l I d e n t i f i c a t i o n N u m b e r ( i f a p p l i c a b l e ) :
C h e c k T y p e o f O r g a n i z a t i o n:
S C o r p o r a t i o n
S o l e P r o p r i e t o r
L i m i t e d L i a b i l i t y P a r t n e r s h i p
P u b l i c l y T r a d e d C o r p o r a t i o n
A s s o c i a t i o n
L i m i t e d L i a b i l i t y C o m p a n y
P r i v a t e l y H e l d C o r p o r a t i o n
P a r t n e r s h i p
O t h e r
N a m e a n d a d d r e s s o f n e w o w n e r ( s ) , p a r t n e r ( s ) , c o r p o r a t e o f f i c e r ( s ) , m e m b e r ( s ) , e t c . _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
R e m a r k s _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
New Business Units Added to Present Ownership .................................................
T r a d e N a m e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
L o c a t i o n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
N a t u r e o f O p e r a t i o n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
P r e v i o u s O w n e r ( s ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
N U C S - 4 0 7 2 ( R e v . 9 - 0 2 )
STATE OF NEVADA
DEPARTMENT OF EMPLOYMENT, TRAINING AND REHABILITATION
500 E. Third Street
Carson City, Nevada 89713-0030
CONTINUATION SHEET
EMPLOYER'S QUARTERLY LIST OF WAGES PAID
EMPLOYER ACCOUNT NUMBER
NAME
ADDRESS
PAGE NUMBER
ENCLOSE THIS FORM WITH THE "EMPLOYER'S QUARTERLY CONTRIBUTION AND WAGE REPORT" (FORM NUCS-4072)
Report Not Complete if Social Security Numbers Are Missing
SOCIAL SECURITY NUMBER
EMPLOYEE'S NAM E
TOTAL TIPS REPORTED
THIS QUARTER
TOTAL WAGES (INCLUDING REPORTED TIPS) THIS QUARTER
TOTAL TIPS AND TOTAL WAGES THIS PAGE
NUCS-4073 (REV 9-00)
Filling out the Nevada Nucs 4072 form is an essential task for employers to report their quarterly contributions and wages. Once you have gathered the necessary information, follow these steps to complete the form accurately and ensure compliance with state regulations.
After completing the form, review it carefully for accuracy. Once confirmed, submit the form along with any required attachments to the appropriate division. Timely submission is crucial to avoid penalties or additional charges.
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A Non-disclosure Agreement (NDA) is a legal contract that establishes a confidential relationship between parties, ensuring that sensitive information remains protected. In Arizona, this form is essential for businesses and individuals who wish to share proprietary information without the risk of it being disclosed to unauthorized entities. For those looking to understand the nuances of the Arizona Non-disclosure Agreement, you can find more information at https://arizonapdfforms.com/non-disclosure-agreement/, which can help safeguard your intellectual property and maintain your competitive edge.
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What is the Nevada Nucs 4072 form used for?
The Nevada Nucs 4072 form is primarily used by employers to report their quarterly contribution and wage information to the Nevada Department of Employment, Training & Rehabilitation. This form helps the state keep track of unemployment insurance contributions and ensures that employers are compliant with state regulations regarding employee wages and benefits.
Who needs to file the Nucs 4072 form?
Any employer who has employees in Nevada and is subject to unemployment insurance laws must file the Nucs 4072 form. This includes businesses of all sizes, from small sole proprietorships to large corporations. If you paid any wages during the quarter, it is essential to submit this form, even if the total wages are zero.
What information is required on the Nucs 4072 form?
The form requires several key pieces of information, including your employer account number, federal identification number, total gross wages paid during the quarter, and any changes in business ownership or structure. Additionally, you must report the total taxable wages and any amounts due for unemployment insurance contributions. It’s critical to ensure all details are accurate to avoid penalties.
What happens if I file the Nucs 4072 form late?
If the Nucs 4072 form is filed late, there are penalties that may apply. For each day that the report is late, a $5.00 fee will be added. If the report is more than ten days late, additional charges will accrue based on the amount due. Interest on past-due contributions may also apply, increasing the total amount owed. Timely filing is crucial to avoid these unnecessary costs.
How do I submit the Nucs 4072 form?
The Nucs 4072 form can be submitted by mailing it to the Nevada Employment Security Division at the address provided on the form. Ensure that you do not staple the form and that you include any necessary attachments, such as the "Statement of Employer Account" if applicable. Double-check all information for accuracy before sending to prevent delays in processing.
Failing to verify the Federal I.D. number. This number must be accurate to avoid delays.
Not correcting any name or address information before submission. Ensure all details are up-to-date.
Leaving the total gross wages section incomplete. This includes wages and tips for the quarter.
Forgetting to report changes in ownership or business status. Check the appropriate boxes if changes occurred.
Neglecting to include taxable wages accurately. This is calculated by subtracting excess wages from total gross wages.
Overlooking the UI amount due calculation. This is based on taxable wages and the UI rate provided.
Not signing the report. A signature is required to certify the accuracy of the information provided.
Failing to attach necessary documents, such as the Statement of Employer Account when applicable.
Missing the due date for filing. Late submissions incur additional charges.
Not keeping a copy of the submitted form for personal records. This can be important for future reference.
The Nevada Nucs 4072 form is essential for employers in Nevada to report their quarterly contributions and wages. Along with this form, several other documents may be necessary to ensure compliance with state regulations. Below are four commonly used forms and documents that often accompany the Nucs 4072 form.
Understanding these accompanying documents is crucial for employers to fulfill their reporting obligations accurately. Properly completing and submitting the Nucs 4072 and related forms helps ensure compliance with state and federal employment regulations.