Blank Texas C 83 PDF Form Get Texas C 83 Here

Blank Texas C 83 PDF Form

The Texas C 83 form is a document used for the wage distribution section of a joint application for the partial transfer of compensation experience. This form requires detailed information about both the predecessor and successor companies, including employee wage data for at least four years prior to the acquisition. Proper completion of the Texas C 83 form is essential for ensuring accurate compensation experience transfers and compliance with state regulations.

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The Texas C 83 form serves as a crucial document for businesses involved in the partial transfer of compensation experience, particularly when one company acquires another. This form is specifically designed to facilitate the wage distribution process between a predecessor and successor employer, ensuring that the transfer of compensation experience is accurately reported to the Texas Workforce Commission (TWC). The form requires detailed information, including the names and addresses of both the predecessor and successor, as well as their respective account numbers. Employers must submit wage distribution data for a minimum of four years prior to the acquisition, which allows for a comprehensive overview of employee wages. The form also includes a section for reporting employee names, Social Security numbers, and wage amounts, which must be allocated correctly between the predecessor and successor. This allocation process is essential for maintaining accurate tax records and ensuring compliance with state regulations. Additionally, the Texas C 83 form emphasizes the importance of reviewing and correcting any collected information, providing individuals with the opportunity to ensure the accuracy of their data. By understanding the components and requirements of the Texas C 83 form, employers can navigate the complexities of wage distribution during acquisitions with greater confidence.

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Mail To:

Cashier - Texas Workforce Commission P.O. Box 149037

Austin, TX 78714-9037 512.463.2731 www.texasworkforce.org

WAGE DISTRIBUTION SECTION OF

JOINT APPLICATION FOR PARTIAL TRANSFER OF COMPENSATION EXPERIENCE

(Please submit wage distribution forms for at least four years, if applicable, prior to the year of acquisition.)

Date Quarter Ended

Page No.

of

Pages

Audited by ( AE Number)

Successor’s Name

 

 

 

 

 

Predecessor’s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip Code

 

 

 

City

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

Account Number

 

 

 

 

 

Account Number

 

 

 

 

 

 

 

 

 

 

 

 

( INSTRUCTION : Distribute amounts

in Col. 3 between Col. 4 and Col. 5 )

 

1

 

 

2

 

3

 

4

5

Employee’s

 

Employee’s Name

Total

 

Total

Total

Social Security Number

1st

2nd

Last

Wages as Reported

Wages Applicable

Wages Retained

(in numerical order)

Initial

Initial

Name

By Predecessor

To Successor

By Predecessor

FOOTINGS FOR THIS PAGE

 

 

 

 

 

 

COLUMN 3 TOTALS SHOULD EQUAL LINES

 

 

13 & 14 ON EMPLOYER’S QUARTERLY REPORT

 

 

TOTAL WAGES

Allocate to

 

 

FOR THIS QUARTER

Columns 4 & 5

 

 

TOTAL TAXABLE WAGES

Allocate to

 

 

FOR THIS QUARTER

Columns 4 & 5

 

 

Prepared By

Phone No. (

)

Ext

Individuals may receive, review and correct information that TWC collects about the individual by emailing to mailto:open.records@twc.state.tx.us or writing to TWC Open Records, 101 E. 15th St., Rm. 266, Austin, TX 78778-0001.

C-83 (052013)

Document Specs

Fact Name Details
Form Purpose The Texas C 83 form is used for the joint application for partial transfer of compensation experience.
Governing Law This form is governed by the Texas Unemployment Compensation Act.
Submission Address Mail the completed form to the Texas Workforce Commission, P.O. Box 149037, Austin, TX 78714-9037.
Contact Information You can reach the Texas Workforce Commission at 512.463.2731.
Wage Distribution Requirement Wage distribution forms for at least four years prior to acquisition must be submitted, if applicable.
Employee Information The form requires details such as employee names, Social Security numbers, and wages.
Columns Explanation Amounts in Column 3 must be distributed between Columns 4 and 5.
Correcting Information Individuals can review and correct their information by contacting TWC Open Records.
Form Version The current version of the form is C-83 (052013).
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