- 1 -
|
~ Employment
Development
EDD Department I llllll lllll llllll lllll llll lllll lllll 111111111111111111 •
State of California 01AG11151
AGRICULTURAL EMPLOYER ACCOUNT 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 $100 to one or
more employees in any calendar quarter. Additional information about registering with the EDD is available online at
www.edd.ca.gov/Payroll_Taxes/Am_I_Required_to_Register_as_an_Employer.htm.
Important: This form may not be processed if the required information is missing.
A. I WANT TO □ Register for a New Employer Account Number (Go to Item B.)
(Select only
one box then Existing Employer (Enter Employer Account Number when reporting an Update,
complete the Account Number: – –
Purchase, Sale, Reopen, Close, or Change in Status.)
items specified I I I 11 I I I ID
for that selection.) Update Employer Account Information
□ Address (N, O) □ DBA (I) □ Personal Name Change (F) □ Add/Change/Delete Offi cer/Partner/Member (G)
(Provide the Employer Account Number at the top of Item A, then complete the Items identifi ed above and Item S.)
Effective Date of Update(s): ____/__________/
□ Report a Purchase of Business Date of Purchase Purchase Price □ Entire Business Purchase
(Provide the Seller’s Employer
Account Number at the top of Item A.) ____ /__________ / ______________$ □ 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. TAXPAYER TYPE □ Individual Owner □ Co-Ownership □ General Partnership
(Select only one (C, D1, D4, E, F, I-K, N-S) (C, D2, D4, E, F, I-K, N-S) (C, D3, D4, E, G, I-K, N-S)
type then proceed
to Item C.) □ Corporation □ Limited Liability Company (LLC) □ Other (Specify)
(C, D4, E, G-S) (C, D4, E, G-S)
C. 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.
D. EMPLOYEE “Employment” does not include service performed by a child under the age of 18 years in the employ of his/her father or
INFORMATION mother, or service performed by an individual in the employ of his/her son, daughter, or spouse, including the employee’s
registered domestic partner. (Section 631 of the California Unemployment Insurance Code) Refer to Information Sheet:
Family Employment (DE 231FAM) at www.edd.ca.gov/Payroll_Taxes/Forms_and_Publications.htm.
D1. INDIVIDUAL Do you-only employ your spouse, parent(s), or minor child(ren) (under 18)? If yes, you are not subject to Yes No
OWNER (Only) Unemployment Insurance (UI) and State Disability Insurance (SDI) but may be subject to Personal Income Tax (PIT). □ □
D2. CO-OWNERSHIP Do you only- employ your minor child(ren) (under 18)? If yes, you are not subject to UI and SDI but may Yes No
(Only) be subject to PIT. □ □
D3. PARTNERSHIP Do you-only employ your parent(s)? If yes, you are not subject to UI and SDI but may be subject to PIT. Yes No
(Consisting of □ □
siblings only.)
D4. DO YOU EMPLOY If yes, please enter: Yes No
NONAGRICULTURAL EDD Account Number: _____-______-__ Business Name:___________________________________ □ □
WORKERS?
DE 1AG Rev. 12 (2-16) (INTERNET) Page 1 of 4 CU
•
|