Fillable And Unemployment Insurance Return - Attachment Quarterly Combined (New York State)

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And Unemployment Insurance Return - Attachment Quarterly Combined (New York State)

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61939417
NYS-45-ATT
(1/19)
Quarterly Combined Withholding, Wage Reporting,
And Unemployment Insurance Return - Attachment
B. Other wages only reported on this page .....
C. Seasonal employer ...................................
Jan 1 - Apr 1 - July 1 - Oct 1 -
Mar 31 Jun 30 Sep 30 Dec 31 Year
1 2 3 4 Y Y
Quarterly employee/payee wage reporting and withholding information
(Do not enter negative numbers in columns c, d, and e; see instructions)
b Lastname,rstname,middleinitial
Page No. of Total this page only ......
Ifrstpage,entergrandtotals
of all pages .................................
Withholdingidenticationnumber:
Received date
Employer legal name:
Mark an Xintheapplicablebox(es):
A. Original or Amended return
Mailto: NYS EMPLOYMENT CONTRIBUTIONS AND TAXES
PO BOX 4119
BINGHAMTON NY 13902-4119
  For ofce use only
Postmark
Contact information
Name Daytimetelephonenumber
(see instructions)
d
Gross federal wages or
distribution(see instr.)
e
Total NYS, NYC, and
Yonkerstaxwithheld
a SocialSecuritynumber
( )
c
Total UI remuneration
paid this quarter
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And Unemployment Insurance Return - Attachment Quarterly Combined (New York State)

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Completed 5 November 2020

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