Instructions for Completing Wage Distribution Request for Joint Application for Partial Transfer of Compensation Experience (Form C-83)

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Overview

The Wage Distribution Request for Joint Application for Partial Transfer of Compensation Experience (Form C-83) is used to separate compensation experience between a predecessor and a successor.

Form C-83 must be submitted for each quarter of the year in which the acquisition occurred and for preceding employment up to a maximum of four calendar years.

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Instructions

Complete the following information.

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  • Date Quarter Ended – Enter the quarter ending date for the wage distribution in date format MM/DD/YY or MM-DD-YY. Forms C-83 are needed for each quarter in the year of acquisition plus four prior years. If the business being acquired does not go back four years, then Forms C-83 are needed back to when the business first began.
    For example:
  • Page No. __ of __ Pages — Enter the number of the current page within the total number of pages, such as "Page No. 1 of 27 Pages."
  • Successor Information — Enter successor name, mailing address and TWC tax account number.
  • Predecessor's Information — Enter predecessor name, mailing address and TWC tax account number.

Numbered Columns

  1. Employee's Social Security Number — Enter each individual employee's nine-digit Social Security number for employees being transferred. The list must be in ascending order by Social Security number.
  2. Employee's Name — Enter first initial, second initial and last name of each employee being transferred.
  3. Total Wages as Reported by Predecessor — Enter the total wages as reported by the predecessor on the Form C-3 and Form C-4 (Wages List). The total in this column must be the sum of Column 4 and Column 5.
  4. Total Wages Applicable To Successor — Enter the total wages for each employee being transferred to the successor.
  5. Total Wages Retained by Predecessor — Enter the total wages for each employee being retained by the predecessor.

Footings

Enter the totals for Columns 3, 4 and 5.

  • Total Wages for This Quarter — Enter the total wages as reported by the predecessor on Line 13 of the Form C-3 (Employer's Quarterly Report) in Column 3. Allocate the amount in Column 3 (total wages amount) between Column 4 (wages applicable to the successor) and Column 5 (wages retained by the predecessor).
  • Total Taxable Wages for This Quarter — Enter the total taxable wages as reported by the predecessor on Line 14 of the Form C-3 (Employer's Quarterly Report) in Column 3. Allocate the amount in Column 3 (total taxable wages amount) between Column 4 (taxable wages applicable to the successor) and Column 5 (taxable wages retained by the predecessor).
  • Prepared By/Phone No/Ext. — Enter preparer information.

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