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                                         NC Dept. of Commerce 
                                         Division of Employment Security
                                         P. 0. Box 26504
                                                                                                                   PRINT CLEAR
                                         Raleigh, NC 27611
                                         Attention: Tax.
                               Amend Employer’s Quarter Tax & Wage Report
1. Employer's Name, Address & Telephone:                         2. Employer ID (s):

                                                                 3. Quarter/Year:
                                                                 4. UI Tax Rate:                 % 

Contact Person's Telephone Number: 
(        ) -          -            ext.  

                FOR AGENCY USE ONLY 

     Ck Amount                 Date      Col.            Initial 
$                                       YES         NO 

                                                                                 As Reported         As Corrected 
5. (A) Wages Paid This Quarter Subject To The Law:  $                       $                      $ 
(B) Less Wages Paid This Quarter In Excess of
                                                                            $                      $ 
     $                           Per Employee This Year: 
(C) Wages Subject To Tax:  $                                                $                      $ 
6. Tax Paid/Due This Quarter:  $                                            $                      $ 
7. Additional Tax Due:  $
8. Interest Due:  $
9. Penalty - Late Payment Due:  $
10. Total  $                                                     Refund:   $                                                  Due: Check Attached
11. (A) Social Security Number (B) Employee’s Name                               (C) As Reported     (D) As Corrected
        -       -                                                           $                      $ 
        -       -                                                           $                      $ 
        -       -                                                           $                      $ 
        -       -                                                           $                      $ 
        -       -                                                           $                      $ 
        -       -                                                           $                      $ 
        -       -                                                           $                      $ 
        -       -                                                           $                      $ 
                                                                            Total:    $ 0.00       Total:    $ 0.00

12. Reason:

13. This information is true and accurate.

Signed:

Title:

Date:

NCUI 685 (Rev.    /012024) 



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                                                                                                                                                                                                                                              PRINT     CLEAR

                                                                                                                        Instructions for Completing the Adjustment to Employer’s Quarterly Tax and Wage Report 
                                                                                                                        (Form NCUI 685) 
                                                                                                                        1.                 Enter the employer's name, mailing address and contact person's telephone number in space provided.
                                                                                                                        2.                 Enter the employer account number assigned by this Agency. If you report your wages under branch account
                                                                                                                                           numbers, enter the consolidated account number on the first line and enter the branch account number under which
                                                                                                                                           the wages were reported on the second account number line.
                                                                                                                        3.                 Enter the quarter and year to be corrected in the format Q-YYYY. Example: 1-2023
                                                                                                                                           Note: A separate Form NCUI 685 for each quarter to be corrected is required.
                                                                                                                        4.                 Enter the tax rate applicable to the year to be corrected.
                                                                                                                        5.                 (A) Wages paid this quarter subject to the law;
                                                                                                                                           (B) Less wages paid this quarter in excess of $               per employee this year; 
                                                                                                                                           (C) Wages subject to tax; enter the amount previously reported for this quarter in the as reported column. Enter the
                                                                                                                                           correct amount in the as corrected column.
                                                                                                                                           Note: The as reported amount should include the amount shown on the original return, plus any previous corrections. 
                                                                                                                                           Note:                                                                        2024-$31,400          202 3   $29,6   00;         wagetaxable                       applicablebase           the correct                Use to the year being corrected: 
                                                                                                                                           2022   28,000;$   2021   26,000;$       2020 $25,200;      2019 $24,300; 

                                                                                                                        6.         Tax due this quarter: Enter the amount previously paid for this quarter in the as reported column. Enter the correct
                                                                                                                                   amount of tax due in the as corrected column.
                                                                                                                        7.         Additional tax due: If the as corrected amount is greater than the as reported amount in Item 6, enter the amount
                                                                                                                                   of                                                                                                                                      due.               tax                                                     additional 
                                                                                                                        8. Interest due: If any additional tax is due, multiply the amount of tax due by the monthly interest rate for each month,
                                                                                                                                   or portion thereof, from the due date to the date paid. The monthly interest rate is.50% from 1/1/2019 through
                                                                                                                                   6/30/2019; 42% from 7/1/2019 through 12/31/2022, .58% from 01/01/22023 through 12/31/2023; .67% from
tosubject is change semi-annually1-1-2024 through 6-30-2024.The                                                                                                    rate                                                                                                    perat                             G.S. 105-241.21 and may be obtained 
Division ofthe nearest contacting Employment Security Office.                                                                      des.nc.gov or                                                                                                                                   by 
late payment penaltyofcompute quarter, for this at the rate due 10is tax additional If any - late payment due:          9.         Penalty                                                                                                              
                                                                                                                                   percent of the amount due.
                                                                                                                        10. Total due: The sum of additional tax due, interest due, and late payment penalty due for this quarter. Indicate in the
                                                                                                                                   spaces provided whether check is attached for additional amount due or refund is due after adjustment.
                                                                                                                        11. The remainder of Form NCUI 685 is to be used to correct individual employee's wages that were previously
                                                                                                                                   reported                                                                                                                                                                                                           incorrectly.
                                                                                                                        Note: Enter only those employees whose wages require corrections. 
                                                                                                                                           (A) Enter the Social Security Number used to report the wages. If incorrect, enter the correct
                                                                                                                                           number above the incorrect number.
                                                                                                                                           (B) Enter the employee's name.
                                                                                                                                           (C) Enter the amount of wages previously reported for the employee for this quarter in the as
                                                                                                                                           reported column
                                                                                                                                           (D) Enter the correct amount in the as corrected column.
                                                                                                                        12. Enter the reason for the adjustment.
                                                                                                                        13. Sign and date the form. Mail it to NC Dept. of Commerce, Division of Employment Security, P. 0. Box 26504,
                                                                                                                                           Raleigh, NC 27611, Attention: Tax.
                                                                                                                        Additional forms may be obtained by downloading from our web site at des.nc.gov. 

                                                                                                                        NCUI 685 (Rev.               /012024) 






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