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A |
Did you pay any one household employee cash wages of $1,400
or more in 2005?
(Do not include amounts paid to your spouse, your child under age 21,
your parent (unless you do not have a spouse capable of caring for
a child under 18), or an employee under 18 (unless not a student and
providing household services is his/her primary occupation)
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Yes - Skip question B and C and go to line 1. |
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No - Go to question B. |
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B |
Did you withhold Federal income tax during 2005 for any
household employee? |
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Yes - Skip question C and go to line 3. |
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No - Go to question C. |
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C |
Did you pay total cash wages of $1,000 or more in
any calendar quarter of 2004 or 2005
to all household employees? (Do not count cash
wages paid in 2004 or 2005 to your spouse,
your child under 21, or your parent.) |
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No - Stop. Do not file this schedule. |
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Yes. Skip lines 1 - 4 and go to line 5. |
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1 |
Total cash wages subject to social security taxes |
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2 |
Total cash wages subject to Medicare taxes (if different
from line 1) |
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3 |
Federal income tax withheld, if any |
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4 |
Advance earned income credit (EIC) payments, if any |
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5 |
Did you pay unemployment contributions to only one state? |
Yes
No
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6 |
Did you pay all state unemployment contributions
for 2005 by 4/17/2006? |
Yes
No
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7 |
Were all wages that are taxable for FUTA tax also taxable
for your state's unemployment tax? |
Yes
No
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If 5, 6, &7
are all yes, complete lines 8, 9, & 10 |
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8 |
Name of state where you paid unemployment contributions |
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9 |
State reporting number as shown on state unemployment tax
return |
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10 |
Contributions actually paid to your state unemployment fund |
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11 |
If the answer to question 5, 6, or 7 is No,
complete the following: |
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