EMPLOYER’S NAME A ND ADDRESS                               FS-131 (R-5-18)                                                NJ Taxpayer ID Number/FEIN
AS IT APPEARS ON UEZ CERTIFICATION                         State of New Jersey
                                                 Department of Labor and Workforce Development
                                                          DIVISION OF EMPLOYER ACCOUNTS

                                                                                                                         To be Returned To:
                                                                                                                          Division of Employer Accounts
                                                 ANNUAL CALCULATION OF                                                   Attn:  Art Eng, UEZ Coordinator
                                            EMPLOYER UNEMPLOYMENT TAX REBATE                                              1 John Fitch Plaza, P.O. Box 942 
                                                                                                                          Trenton, NJ  08625-0942

 Total of Taxable All Wages Paid Per NJ-927                                   Total Wages Paid to Eligible Employees*
 
                                   Date UI Taxes           Taxable                     Employer                           Rebate                 Refund*
 Quarter Taxable Wages             Paid                    Wages                       UI Rate*                           %                    (C x D x E)

         A                         B                       C                                  D                           E                             F

 TOTALS

  Please enter the Urban Enterprise Zone(s)/City within which you employ qualified individuals  __________________________________________________________

  Indicate the complete date this business was orginally certified as an Urban Enterprise Zone business  _____________________________________________________

  Person responsible for completing this form: ____________________________________________Phone Number______________________________________________
                                            (please print)

  *See reverse side for the definitions of an eligible employee and instructions for the completion of this application.
                                   I certify that the information provided is true and accurate.

         Signature                                           Title                                                                         Date

which indicates by 

 the date when a business was certified by the

after

Instructions

Attn: Art Eng, UEZ Coordinator Division of Employer Accounts 1 John Fitch Plaza, P.O. Box 942 Trenton, NJ  08625-0942

 employees on the form FS-131A attached, or attach facsimile 
50% for employers entered into the program in 2011 or later 40% for employers entered into the program for years 2007 to 2010 30% for employers entered into the program for years 2003 to 2006 20% for employers entered into the program for years  1999 to 2002 10% for employers entered into the program for year 1998

1. 2. 3. 4. 5. 
Each employee total quarterly wages earned must be between $2,500 and $4,500.00. Each employee must be full-time (works at least 30 hrs. a week) Each employee must have been hired New Jersey Commerce and Economic Growth Commission. The employee must have been paid, and reported on the WR-30, in the quarter prior to the  quarter for which the award is claimed. (The employee first quarter paid can not be claimed  on the application).
qualified
     
1. 2. 3.  4.   
A resident of a New Jersey Urban Enterprise City/Town Zone or A New Jersey resident who has been unemployed or under a NJ public assistance program for at  least 6 months prior to being hired or A New Jersey resident who has been an employee under the Jobs Training Partnership Act  Public Law 97-300.

1. 2.  3.  Prepare form FS-131 as follows: Column A: total taxable wages from form NJ927 for all employees for each quarter Column B: the date UI taxes were paid Column C: Quarterly total taxable wages for employees for whom a rebate is claimed (form FS-131A) Column D: Employer UI rate (found on form NJ927) Column E: Rebate Percentage Column F: is the combination of Columns C x D x E
. Indicate the total wages paid to eligible employees, by quarter under Column C of form FS-131. 

An eligible employee must be one of the following: In addition the eligible employees must meet all of the following for you to be able to claim a rebate for Unemployment Insurance (UI) contributions: An employer’s UI rate for the year 2017 can not be greater than 2.6825% for the period of January 1 through June 30, 2017 and for the period of July 1 through December 31, 2017 the rate can not be greater than 2.6825%  An employer cannot claim a rebate if contribution liability is owed for the year in which the rebate is claimed or for any other year or if quarterly contribution reports are delinquent. To determine the amount of rebate for which you qualify, first identify each employee who meets the criteria above. List the quarter; the name, Social Security number, city or town of residence and date each employee was hired * NOTE: If you operate in multiple UEZ locations an application must be filled for each location. Return the completed application by June 17, 2018, to: Questions regarding UEZ may be directed to (609) 633-6400 ext. 3400 or FAX (609) 292-7801