Form K-CNS111 "Adjustment to Quarterly Wage Report" - Kansas

What Is Form K-CNS111?

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

Form Details:

  • Released on June 1, 2010;
  • The latest edition provided by the Kansas Department of Labor;
  • 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 printable version of Form K-CNS111 by clicking the link below or browse more documents and templates provided by the Kansas Department of Labor.

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Download Form K-CNS111 "Adjustment to Quarterly Wage Report" - Kansas

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KANSAS DEPARTMENT OF LABOR
www.dol.ks.gov
K-CNS 111 (Rev. 06-2010)
ADJUSTMENT TO QUARTERLY WAGE REPORT
PRINT CLEARLY in UPPER CASE - use BLACK INK
Q
Y
Y
Y
Y
1.
Business
3.
Rate
2.
Employer
4.
Quarter/Year
Name:
Serial Number
6. Employee
Total Wages This Quarter
Excess Wages This Quarter
5. Social Security Number
7. Total Reported
8. Total Correct
9. Excess Reported
10. Excess Correct
Last Name
FI
MI
Dollars
Cents
Dollars
Cents
Dollars
Cents
Dollars
Cents
11.
Number of
12.
Total for THIS page
continuation
sheets
13.
Total for ALL pages
attached
14.
Adjustment Reason:
15.
Total Wage Difference
16.
Excess Wage Difference
17.
Net Difference Taxable Wages
20.
I certify that the information I have provided on this report is complete, correct and true, to the best of my
knowledge and belief
18.
Tax Due
Signature
19.
Tax Overpaid
Date Signed
M
M
D
D
Y
Y
Y
Y
FILE ONLINE AT: www.uitax.dol.ks.gov OR RETURN TO: Kansas Department of Labor P.O. Box 400, Topeka, KS 66601-0400
KANSAS DEPARTMENT OF LABOR
www.dol.ks.gov
K-CNS 111 (Rev. 06-2010)
ADJUSTMENT TO QUARTERLY WAGE REPORT
PRINT CLEARLY in UPPER CASE - use BLACK INK
Q
Y
Y
Y
Y
1.
Business
3.
Rate
2.
Employer
4.
Quarter/Year
Name:
Serial Number
6. Employee
Total Wages This Quarter
Excess Wages This Quarter
5. Social Security Number
7. Total Reported
8. Total Correct
9. Excess Reported
10. Excess Correct
Last Name
FI
MI
Dollars
Cents
Dollars
Cents
Dollars
Cents
Dollars
Cents
11.
Number of
12.
Total for THIS page
continuation
sheets
13.
Total for ALL pages
attached
14.
Adjustment Reason:
15.
Total Wage Difference
16.
Excess Wage Difference
17.
Net Difference Taxable Wages
20.
I certify that the information I have provided on this report is complete, correct and true, to the best of my
knowledge and belief
18.
Tax Due
Signature
19.
Tax Overpaid
Date Signed
M
M
D
D
Y
Y
Y
Y
FILE ONLINE AT: www.uitax.dol.ks.gov OR RETURN TO: Kansas Department of Labor P.O. Box 400, Topeka, KS 66601-0400