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~ Employment
Development
EDD Department I IIIIII IIIII IIIII IIIIIII Ill lllll lllll 111111111111111111 •
State of California 001P11151
EMPLOYERS DEPOSITING ONLY PERSONAL INCOME TAX WITHHOLDING
REGISTRATION AND UPDATE FORM
Did you know you can register online anytime? The Employment Development Department (EDD) e-Services for Business online
application is secure, saves paper, postage, and time. You can access the online application at
www.edd.ca.gov/e-Services_for_Business and follow the easy step-by-step process to complete your registration.
Review the instructions prior to completing this form. Do not submit this form until you have paid wages in excess of $100 to one or
more employees in any calendar quarter. Additional information about registering with the EDD is available online at
www.edd.ca.gov/Payroll_Taxes/Am_I_Required_to_Register_as_an_Employer.htm.
Important: This form may not be processed if the required information is missing.
A. I WANT TO □ Register for a New Employer Account Number (Go to Item B.)
(Select only Existing Employer – – (Enter Employer Account Number when reporting an Update,
one box then Account Number:
complete the I I I 11 I I I ID Purchase, Sale, Reopen, Close, or Change in Status.)
items specified Update Employer Account Information
for that selection.) □ Address (N, O) □ DBA (I) □ Personal Name Change (F) □ Add/Change/Delete Officer/Partner/Member (G)
(Provide the Employer Account Number at the top of Item A, then complete the Items identifi ed above and Item S.)
Effective Date of Update(s): ____/____/______
□ Report a Purchase of Business Date of Purchase Purchase Price □ Entire Business Purchase
(Provide the Seller’s Employer
Account Number at the top of Item A.) ____/____/______ $ ______________ □ Partial Business Purchase
□ Report a Sale of Business Date of Sale □ Entire Business Sold
(Provide the business’ Employer
Account Number at the top of ____/____/______ □ Partial Business Sold
Item A. Complete Item O.)
□ Reopen a Previously Closed Account (Provide the previous Employer Account Number at the top of Item A then go to Item B.)
□ Close Employer Account Reason for Closing Account Date of Last Payroll
(Provide the Employer Account □ No longer have employees
Number at the top of Item A.) □ Out of Business ____/____/______
□ Report a Change in Status: Business Ownership, Entity Type, or Name
Reason for Change:
Change: From To
(Provide the Employer Account Number at the top of Item A, and complete the rest of the form.)
Effective Date of Change: ____/____/______
B. EMPLOYER TYPE □ COMMERCIAL □ NONPROFIT SCHOOL □ AGRICULTURE □ RED CROSS
(Select type then NONPROFIT PUBLIC SCHOOL CHURCH OR PUBLIC ENTITY
proceed to Item C.) □ □ □ RELIGIOUS ORDERS □
□ NONPROFIT 501(c)(3) □ DISTRICT HOSPITAL □ ANNUITANT PAYER □ STATE HOSPITAL
C. TAXPAYER TYPE □ Individual Owner □ General □ Joint Venture □ Receivership □ Trusteeship
(Select only one (D-F, I-K, N-S) Partnership (D, E, G-K, N-S) (D, E, G-K, N-S) (D, E, G-K, N-S)
type then complete (D, G, I-K, N-S)
the items specified Husband/Wife Co- Corporation Governmental Association School District
for that selection.) □ Ownership □ (D, E, G-S) □ (Complete □ (D, E, G-S) □ (D, E, G-K, N-S)
(D, E, G, I-L, N-S) sections that
apply.)
□ Limited Liability □ Limited Liability □ Estate □ Other (Specify):
Company (LLC) Partnership (LLP) Administration _ _____________________________
(D, E, G-S) (D, E, G-S) (D, E, G-K, N-S)
D. FIRST P AYROLL First payroll date wages paid exceeded $100: ____/____/______ (Wages are all compensation for an employee’s
DATE services.) Refer to Information Sheet: Wages [DE 231A] and Information Sheet: Types of Payments [DE 231TP] at
(MM/DD/YYYY) www.edd.ca.gov/Payroll_Taxes/Forms_and_Publications.htm.
E. LOCATION OF Do you have employees working in California? Yes No
EMPLOYEE □ □
SERVICES Do you have employees residing in California that are working outside of California? Yes No
□ □
F. INDIVIDUAL CA Driver
OWNER/ NAME TITLE SSN License Add Chg. Del.
CO-OWNER Number
INFORMATION
(If applicable) □ □ □
□ □ □
DE 1P Rev. 10 (2-16) (INTERNET) Page 1 of 4 CU
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