Fillable Form 12.: NYS-45 (1/19) Quarterly Combined Withholding, Wage (New York State)

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Form 12.: NYS-45 (1/19) Quarterly Combined Withholding, Wage (New York State)

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41919415
Reference these numbers in all correspondence:
NYS-45 (1/19)
Quarterly Combined Withholding, Wage Reporting,
And Unemployment Insurance Return
Postmark
Received date
UI
SK
AI SI
WT
SK
Number of employees
Enter the number of full-time and part-time covered
employees who worked during or received pay for
the week that includes the 12th day of each month.
Part A - Unemployment insurance (UI) information
Part B - Withholding tax (WT) information
20b.
Credit to next quarter
withholding tax
.......
or
21. Total payment due (add lines 9 and 19; make one
remittance payable to NYS Employment Contributions
and Taxes)
..............................................................
* An overpayment of either UI contributions or withholding tax cannot be used to offset an amount due for the other.
Complete Parts D and E on back of form, if required.
Part C – Employee wage and withholding information
Quarterly employee/payee wage reporting and withholding information
(If more than ve employees or if reporting other wages, do not make entries in this section; complete Form NYS-45-ATT.
Do not use negative numbers; see instructions.)
a Social Security number
b Lastname,rstname,middleinitial
c
Total UI remuneration
paid this quarter
d
Gross federal wages or
distribution (see instructions)
e
Total NYS, NYC, and
Yonkers tax withheld
Signature (see instructions) Signer’s name (please print) Title
Date Telephone number
a. First month b. Second month c. Third month
12.
New York State
tax withheld
.........................
13.
New York City
tax withheld
.........................
14.
Yonkers tax
withheld
..............................
15.
Total tax withheld
(add lines 12, 13, and 14)
...........
16.
WT credit from previous
quarter’s return
(see instr.)
......
17.
Form NYS-1 payments made
for quarter
...........................
18.
Total payments
(add lines 16 and 17)
................
19.
Total WT amount due
(if line 15
is greater than line 18, enter difference)
...
20.
Total WT overpaid
(if line 18
is greater than line 15, enter difference
here and mark an X in 20a or 20b)
*
...
20a.
Apply to outstanding
liabilities and/or refund
......
UI Employer
registration number
Withholding
identicationnumber
Employer legal name:
Sign your return: I certify that the information on this return and any attachments is to the best of my knowledge and belief true, correct, and complete.
0 0
0 0
0 0
1.
Total remuneration paid this
quarter
.............................
2.
Remuneration paid this quarter
in excess of the UI wage base
since January 1 (see instr.)
.......
3.
Wages subject to contribution
(subtract line 2 from line 1)
........
4. UI contributions due
Enter your
UI rate
%
5.
Re-employment service fund
(multiply line 3 × .00075)
..............
6.
UI previously underpaid with
interest
.................................
7.
Total of lines 4, 5, and 6
...........
8.
Enter UI previously overpaid
.....
9.
Total UI amounts due
(if line 7 is
greater than line 8, enter difference)
...
10.
Total UI overpaid (if line 8 is
greater than line 7, enter difference
and mark box 11 below)
*
............
11.
Apply to outstanding liabilities
and/or refund
.........................
Totals
(column c must equal remuneration on line 1; see instructions for exceptions)
For ofce use only
1 2 3 4 Y Y
Jan 1 -
Mar 31
Apr 1 -
Jun 30
July 1 -
Sep 30
Oct 1 -
Dec 31
If seasonal employer, mark an X in the box ........
Year
Mark an X in only one box to indicate the quarter (a separate
return must be completed for each quarter) and enter the year.
Aredependenthealthinsurancebenets
available to any employee? ..................... Yes No
41919422
Part D - Form NYS-1 corrections/additions
Use Part D only for corrections/additions for the quarter being reported in Part B of this return. To correct original withholding information
reported on Form(s) NYS-1, complete columns a, b, c, and d. To report additional withholding information not previously submitted on
Form(s) NYS-1, complete only columns c and d. Lines 12 through 15 on the front of this return must reectthesecorrections/additions.
a
Original
last payroll date reported
on Form NYS-1, line A (mmdd)
b
Original
total withheld
reported on Form NYS-1, line 4
c
Correct
last payroll date
(mmdd)
d
Correct
total withheld
Part E - Change of business information
22. This line is not in use for this quarter.
23. If you permanently ceased paying wages, enter the date (mmddyy)ofthenalpayroll
(see Note below) ........
Note: For questions about other changes to your withholding tax account, call the Tax Department at 518-485-6654; for your unemployment insurance
account, call the UI Employer Hotline at 1-888-899-8810. If you are using a paid preparer or a payroll service, the section below must be completed.
Checklist for mailing:
• File original return and keep a copy for your records.
• Complete lines 9 and 19 to ensure proper credit of payment.
• Enter your withholding ID number on your remittance.
• Make remittance payable to NYS Employment Contributions and Taxes.
• Enter your telephone number in boxes below your signature.
• See Need help? on Form NYS-45-I if you need forms or assistance.
NYS-45 (1/19) (back)
Mail to:
NYS EMPLOYMENT
CONTRIBUTIONS AND TAXES
PO BOX 4119
BINGHAMTON NY 13902-4119
Withholding
identication number
24. If you sold or transferred all or part of your business:
• Mark an X to indicate whether in whole or in part
• Enter the date of transfer (mmddyy) ................................................................................................................
• Complete the information below about the acquiring entity
Legal name EIN
Address
Payroll service’s name
Paid
preparer’s
use
Preparer’s signature Date Preparer’s NYTPRIN Preparer’s SSN or PTIN NYTPRIN
excl. code
Preparer’srmname
(or yours, if self-employed) Address Firm’s EIN Telephone number
( )
Payroll
service’s
EIN
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Form 12.: NYS-45 (119) Quarterly Combined Withholding, Wage (New York State)

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Completed 5 November 2020

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