Form DE4453 "Application for Transfer of Reserve Account" - California

What Is Form DE4453?

This is a legal form that was released by the California Employment Development Department - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the California Employment Development Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DE4453 by clicking the link below or browse more documents and templates provided by the California Employment Development Department.

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Download Form DE4453 "Application for Transfer of Reserve Account" - California

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Employment Development Department, MIC 4
PO Box 826880, Sacramento, CA 94280-0001
Fax applications to 1-916-653-5254
e-Services for Business
File electronically at
(edd.ca.gov/e-Services_for_Business)
Do not mail with any other form.
APPLICATION FOR TRANSFER OF RESERVE ACCOUNT
INSTRUCTIONS - Please read and complete this form carefully. If you acquired a business from an employer who was
registered with the Employment Development Department, you may apply for a transfer of all or a part of the reserve account.
(A reserve account is used to determine the Unemployment Insurance tax rate.) Not all reserve account balances are
desirable. If the transfer of your predecessor’s reserve account is approved, you will be subject to all or a percentage of the
predecessor’s benefit charges, which could increase your rate. If you need additional information, please call the Taxpayer
Assistance Center at 1-888-745-3886. Failure to completely answer all questions may result in a delay or denial of approval
of this application. If more space is needed for explanation, attach separate sheets. NOTE: Some reserve account transfers
are required per section 1061 of the California Unemployment Insurance Code. Please use this form to report the percent of
business and employees that were transferred.
ANY APPLICATION FOR
TRANSFER FILED LATER THAN
90 DAYS AFTER ACQUIRING
THE BUSINESS MAY BE
RESTRICTED.
I. Complete the following:
1.
Your eight-digit employer payroll tax account number:
2.
Owner’s full name:
3.
Your business name:
4.
Business address:
5.
Name of business acquired:
6.
Former owner’s eight-digit employer payroll tax account number:
7.
Former owner’s full name:
8.
Former owner’s business location:
8a. Former owner’s phone number: (
)
9.
Date of acquisition:
10. Type of acquisition (check one)
Purchase $
(Agreed upon purchase price.)
Stock purchase
Change in form only. If you checked this box, please call the Taxpayer Assistance Center at 1-888-745-3886
before submitting the application to determine if you were required to obtain a new employer payroll tax account
number. For example, a new number is not required if there was just a name change, change from sole
proprietor to corporation or partnership, partner added or deleted, new federal number obtained, but
same owner, LLC added, etc.
Other (explain)
11. Major assets acquired: (Please check all applicable.)
Place of business
Customers
Trade name
Accounts receivable
Goodwill
Stock in trade
Tools and fixtures
Staff of employees
12. Did you continue the operation of the business you acquired?
Yes
No
If no, please explain:
DE 4453 Rev. 76 (1-20) (INTERNET)
Page 1 of 2
Employment Development Department, MIC 4
PO Box 826880, Sacramento, CA 94280-0001
Fax applications to 1-916-653-5254
e-Services for Business
File electronically at
(edd.ca.gov/e-Services_for_Business)
Do not mail with any other form.
APPLICATION FOR TRANSFER OF RESERVE ACCOUNT
INSTRUCTIONS - Please read and complete this form carefully. If you acquired a business from an employer who was
registered with the Employment Development Department, you may apply for a transfer of all or a part of the reserve account.
(A reserve account is used to determine the Unemployment Insurance tax rate.) Not all reserve account balances are
desirable. If the transfer of your predecessor’s reserve account is approved, you will be subject to all or a percentage of the
predecessor’s benefit charges, which could increase your rate. If you need additional information, please call the Taxpayer
Assistance Center at 1-888-745-3886. Failure to completely answer all questions may result in a delay or denial of approval
of this application. If more space is needed for explanation, attach separate sheets. NOTE: Some reserve account transfers
are required per section 1061 of the California Unemployment Insurance Code. Please use this form to report the percent of
business and employees that were transferred.
ANY APPLICATION FOR
TRANSFER FILED LATER THAN
90 DAYS AFTER ACQUIRING
THE BUSINESS MAY BE
RESTRICTED.
I. Complete the following:
1.
Your eight-digit employer payroll tax account number:
2.
Owner’s full name:
3.
Your business name:
4.
Business address:
5.
Name of business acquired:
6.
Former owner’s eight-digit employer payroll tax account number:
7.
Former owner’s full name:
8.
Former owner’s business location:
8a. Former owner’s phone number: (
)
9.
Date of acquisition:
10. Type of acquisition (check one)
Purchase $
(Agreed upon purchase price.)
Stock purchase
Change in form only. If you checked this box, please call the Taxpayer Assistance Center at 1-888-745-3886
before submitting the application to determine if you were required to obtain a new employer payroll tax account
number. For example, a new number is not required if there was just a name change, change from sole
proprietor to corporation or partnership, partner added or deleted, new federal number obtained, but
same owner, LLC added, etc.
Other (explain)
11. Major assets acquired: (Please check all applicable.)
Place of business
Customers
Trade name
Accounts receivable
Goodwill
Stock in trade
Tools and fixtures
Staff of employees
12. Did you continue the operation of the business you acquired?
Yes
No
If no, please explain:
DE 4453 Rev. 76 (1-20) (INTERNET)
Page 1 of 2
13. Is there common ownership, management, or control of the business at the time of transfer?
Yes
No
14. Number of workers employed by seller just before sale:
15. Number of former owner’s workers now employed by you:
16. Are you a labor contractor, employment agency, or other provider of employment services?
Yes
No
If yes, explain operation:
17. Did you purchase an employment agency?
Yes
No
If you answer yes, please explain the operation:
18. Portion of the business acquired from the former owner:
(a)
ALL of the business: (If you checked this section, you are requesting a complete reserve account transfer
which cannot be processed unless the former owner’s employer payroll tax account number is inactive. If
possible, please provide a letter from the former owner to inactivate their account as of the date of acquisition.
Go directly to Section III.)
(b)
PART of the business: (If you checked this section, complete Sections II and III.)
II.
1. That portion of the business acquired was started by its original owner on:
(date).
Please complete either item number 2 or item number 3.
% of the former owner’s business. Go to Section III.
2. The portion of the business we acquired is
3. The taxable wages, for the portion of the former owner’s business, which we acquired, were as follows: (USE ONLY
WAGES UP TO THE $7,000 ANNUAL LIMIT FOR EACH EMPLOYEE FOR CALENDAR YEARS LISTED BELOW.)
Please provide the taxable wages for the years shown below for the portion of the business you acquired through the
quarter of acquisition.
For entire calendar years of: 2016 $
2017 $
2018 $
- BY QUARTERS -
JAN. 1 TO MARCH 31
APRIL 1 TO JUNE 30
JULY 1 TO SEPT. 30
OCT. 1 TO DEC. 31
2019 $
$
$
$
2020 $
$
$
$
IF YOU CANNOT PROVIDE EXACT FIGURES, please give us your estimate. To obtain the most accurate estimate,
please contact the former owner for the taxable wage information.
DID YOU ESTIMATE THESE FIGURES?
Yes
No
DID THE FORMER OWNER APPROVE THESE FIGURES?
Yes
No
III.
Please list the name and phone number of the person we can contact for further information, if needed.
Print Name:
Phone: (
)
SIGN AND DATE: I/we hereby make application for transfer of reserve account and declare that the above
information is correct to the best of our knowledge and belief.
Signature:
Date:
(Owner, Corporate Officer, Partner, LLC/LLP Member/Manager, or authorized Agent)
Print Name:
Phone: (
)
Title:
DE 4453 Rev. 76 (1-20) (INTERNET)
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