Form RT-6NF Fillable Quarterly Report for Out-of-State Wages R.01/15
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

Privacy Notice for more information regarding the state and federal law governing the 10 EMPLOYEE S SOCIAL SECURITY NUMBER 11 EMPLOYEE S NAME (please print first twelve characters of last name and first eight 12a EMPLOYEE S FLORIDA GROSS WAGES PAID THIS QUARTER 12b EMPLOYEE S FLORIDA TAXABLE WAGES PAID THIS QUARTER 12c EMPLOYEE S OUT OF STATE TAXABLE WAGES 13a Total Gross Wages (add Lines 12a only) Total this page only Include this 13b Total Taxable Wages (add Lines 12b only) Total this page only Include this 13c Total Out of State Taxable Wages paid and any attached pages must be included in Line 2 on the front of the RT 6 and totals from additional pages in Line 2 on page 1 of the RT 6 and totals from additional pages in Line 4 on page 1 of the RT 6 Call 800 352 3671 for assistance characters of first name in boxes) collection use or release of SSNs including authorized exceptions defined in Line 2 of the RT 6 Instructions (RT 6N formerly UCT 6N) Gross wages Effective Date 11/14 employees until the end of the calendar year This form must be submitted with your EMPLOYER S NAME Employer s Quarterly Report (RT 6 formerly UCT 6) ending before January 1 2012 F E I NUMBER First First First Florida Administrative Code Florida Department of Revenue Employer s Florida Statutes (F S ) for previously reported taxable wages and the first (up to) $7 000 of wages on this identifiers for the administration of Florida s taxes SSNs obtained for tax administration including current reporting quarter if applicable Line 12c must include 100% of Initial Initial Initial Instructions for Employer s Quarterly Report for Out of State Taxable Wages Internet Address: www myflorida com/dor Line 10 Enter each employee s social security number (NINE digits Do not suppress Line 11 Enter each employee s last name first name and middle initial Line 12a Enter each employee s Florida gross wages paid for the quarter as Line 12b Enter each employee s Florida taxable wages paid for the quarter Line 12c Enter each employee s out of state taxable wages paid year to date Line 13a Enter the total Florida gross wages for this page All wages from this page Line 13b Enter the total Florida taxable wages for this page All wages from this Line 13c Enter the total out of state taxable wages paid year to date for this page Middle Middle Middle not subject to disclosure as public records Collection of your SSN is authorized Note: Florida law decreased the taxable wage base from $8 000 to $7 000 beginning Number Number Number Only the first $7 000 paid to each employee per calendar year is taxable out of state taxable wages including this quarter paid for the calendar year page and any attached pages must be included in Line 4 on the front of the RT 6 PAID YEAR TO DATE purposes are confidential under sections 213 053 and 119 071 Florida Statutes and QUARTER ENDING Quarterly Report for Out of State Taxable Wages quarterly report will be taxed at your reemployment tax rate quarters ending between January 1 2012 and January 1 2015 and $7 000 for quarters R 01/15 reporting quarter This schedule is used with the RT 6 wage item report for qualifying RT 6NF RT ACCOUNT NUMBER Rule 73B 10 037 security number (SSN) If the employee s SSN is not included no credit will be given should not include wage items specifically exempt per section (s ) 443 1217(2)(b) (g) Social Security Social Security Social Security Social security numbers are used by the Florida Department of Revenue as unique the leading zeros) Every employee regardless of age is required to have a social this page only This schedule is used by employers to report employees with out of state taxable under state and federal law Visit our website at www myflorida com/dor and select wages who worked and received wages from the same employer in Florida during the with the January 1 through March 31 2015 quarter The taxable wage base is $8 000 for year to date (add Lines 12c only) Total