Blank Nevada Nucs 4072 PDF Template

The Nevada Nucs 4072 form is a crucial document used by employers in Nevada to report their quarterly contributions and wages. This form ensures compliance with state employment regulations and helps maintain accurate records of employee wages and contributions to unemployment insurance. For those ready to complete the form, click the button below to get started.

Fill Out Nevada Nucs 4072

Structure

The Nevada Nucs 4072 form is an essential document for employers in the state, designed to report quarterly contributions and wages. This form requires employers to provide critical information, including their employer account number, federal identification number, and total gross wages paid during the quarter. Employers must also indicate any changes that may affect their business, such as ownership changes or business discontinuation. Accurate reporting is crucial, as the form includes calculations for taxable wages and unemployment insurance amounts due. Additionally, it outlines penalties for late submissions, ensuring that employers are aware of potential fees. By understanding the components of the Nucs 4072 form, employers can maintain compliance with state regulations while managing their payroll responsibilities effectively.

Nevada Nucs 4072 Sample

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)

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

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

(Add)

(FOR DIVISION USE ONLY)

(One or more days late add $5.00 forfeit.)

10. ADDITIONAL CHARGE FOR LATE FILING, AFTER 10 DAYS

(Add)

(Item 5 x 1/10% (.001) for each month or part of month delinquent.)

11. INTEREST ON PAST DUE UI CONTRIBUTIONS

(Add)

(Item 6 x 1% (.01) for each month or part of month delinquent.)

(See Instructions)

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

Dollars

Cents

Dollars

Cents

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 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

M o n t h / D a y / Y e a r

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 .............................................................................

M o n t h / D a y / Y e a r

Partial Sale (not out of business) ..............................................................

M o n t h / D a y / Y e a r

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 . )

M o n t h / D a y / Y e a r

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 .................................................

M o n t h / D a y / Y e a r

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

EMPLOYMENT SECURITY DIVISION

500 E. Third Street

Carson City, Nevada 89713-0030

CONTINUATION SHEET

EMPLOYER'S QUARTERLY LIST OF WAGES PAID

EMPLOYER ACCOUNT NUMBER

NAME

ADDRESS

FOR QUARTER ENDING	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)

Click for Nevada Nucs 4072 PDF

File Attributes

Fact Name	Description
Form Purpose	The Nevada Nucs 4072 form is used to report an employer's quarterly contribution and wage details to the state’s Employment Security Division.
Filing Requirement	Employers must file this report quarterly, even if no wages were paid during the period. If no wages were paid, the employer should write "NONE" and return the signed report.
Late Filing Penalties	A charge of $5.00 applies for reports filed one or more days late. Additional charges may accrue if the report is more than 10 days late.
Tax Calculation	The form calculates the Unemployment Insurance (UI) amount due based on taxable wages. This is derived from the total gross wages minus any excess wages reported.
Governing Laws	This form is governed by Nevada Revised Statutes (NRS) Chapter 612, which outlines the state's unemployment compensation laws.
Employer Verification	Employers must verify their Federal Identification Number (EIN) on the form. If incorrect, they should provide the correct number in the designated area.

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