Form DE 9, Quarterly Contribution Return Completed Form Examples and Samples
Explore detailed examples of Form DE 9, the Quarterly Contribution Return and Report of Wages, for various types of entities like small businesses and non-profits. See how to accurately fill out this essential form to report wages, withholdings, and unemployment insurance contributions, ensuring compliance and proper regulatory reporting.
DE 9 Example – Small Business Quarterly Return
How this form was filled:
This example demonstrates how a small business, GreenTech Innovations Inc., completes Form DE 9 to report quarterly wages and withholdings. Key details included are the employer's legal name, address, EIN, total subject wages, personal income tax withheld, and unemployment insurance contributions, all correctly entered for the first quarter of 2025.
Information used to fill out the document:
- Business Name: GreenTech Innovations Inc.
- Employer Identification Number (EIN): 98-7654321
- Business Address: 456 Greenway Drive, Eco City, CA, USA
- Quarter Ending: 03/31/2025
- Total Subject Wages: 150,000
- Personal Income Tax With Held: 15,000
- Unemployment Insurance Contributions: 5,000
- Signature: Lisa Smith
- Date: 04/15/2025
What this filled form sample shows:
- Accurate employer details such as business name, address, and EIN
- Comprehensive reporting of wages and withholdings
- Clear entries for unemployment insurance contributions
- Properly formatted signature and date
- Example pertains to Q1 of 2025
Form specifications and details:
| Use Case: | Quarterly wage reporting for a small business |
| Period: | First Quarter of 2025 |
| Purpose: | To report wages, withholdings, and unemployment insurance |
DE 9 Example – Non-Profit Organization Quarterly Return
How this form was filled:
This example illustrates how a non-profit organization, Community Help Foundation, completes Form DE 9 to report quarterly wages and withholdings. Included details are the organization's legal name, address, EIN, total subject wages, personal income tax withheld, and unemployment insurance contributions, meticulously filled for the second quarter of 2025.
Information used to fill out the document:
- Organization Name: Community Help Foundation
- Employer Identification Number (EIN): 12-3456789
- Organization Address: 789 Charity Lane, Kindness City, CA, USA
- Quarter Ending: 06/30/2025
- Total Subject Wages: 80,000
- Personal Income Tax Withheld: 8,000
- Unemployment Insurance Contributions: 2,500
- Signature: John Doe
- Date: 07/15/2025
What this filled form sample shows:
- Detailed organization information such as name, address, and EIN
- Thorough reporting of employee wages and withholdings
- Precise entries for unemployment insurance contributions
- Correctly formatted signature and date
- Example pertains to the second quarter of 2025
Form specifications and details:
| Use Case: | Quarterly wage reporting for a non-profit organization |
| Period: | Second Quarter of 2025 |
| Purpose: | To report wages, withholdings, and unemployment insurance for non-profits |
