Form UIA4101 "Employer's Quarterly Tax Payment Coupon" - Michigan

What Is Form UIA 4101?

Form UIA4101, Employer's Quarterly Tax Payment Coupon, is a form issued by the Michigan Department of Talent and Economic Development. In Michigan, the state Unemployment Insurance (UI) tax is just one of several taxes that employers must pay.

Alternate Name:

  • Michigan Form UIA4101.

The document was released on September 1, 2017. Download a fillable PDF version of the Form UIA4101 down below or find it on the Michigan government website. Form MI-1040ES, Michigan Estimated Income Tax for Individuals is a related form used for making estimated tax returns if you expect your tax return to be over $500.

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Michigan Employer's Quarterly Tax Payment Coupon

Each calendar quarter, the Unemployment Insurance Agency (UIA) mails Form UIA 1028, Employer's Quarterly Wage/Tax Report to American contributing employers. Wage detail information is provided for every covered employee who received wages during the calendar quarter. This form is mailed about a month before the completed form is due back to the UIA. The 4101 is used as a payment transmittal when mailing a quarterly payment.

Your Michigan employer taxes are paid by checks or money orders payable to the state of Michigan - UI. In order to ensure your account is credited, include your 10-digit UI Employer-Account number on your check. To avoid penalties and late payments, your tax return must be received by the following due dates:

1st quarter (January - March) Due April 25th
2nd quarter (April - June) Due July 25th
3rd quarter (July - September) Due October 25th
4th quarter (October - December) Due January 25th

The form should be mailed with the payment attached to the following address: Unemployment Insurance, PO Box 33598, Detroit, MI 48232-5598.

If you have questions about your filing reports, you can contact the Office of Employer Ombudsman at 1-855-4UIAOEO (855-484-2636), 8:30 A.M. to 4:30 P.M. weekdays or via email at OEO@michigan.gov.

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Download Form UIA4101 "Employer's Quarterly Tax Payment Coupon" - Michigan

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UIA 4101
Authorized by
(Rev. 09-17)
MCL 421.1 et seq.
WANDA STOKES
RICK SNYDER
STATE OF MICHIGAN
TIA DIRECTOR
GOVERNOR
TALENT INVESTMENT AGENCY
Unemployment Insurance
Michelle Beebe, Senior Deputy Director
3024 W. Grand Blvd., Detroit, MI 48202
Reset Form
www.michigan.gov/uia
Employer’s Quarterly Tax Payment Coupon
Please use this payment transmittal when mailing your quarterly payment.
Make your check/money order payable to: Unemployment Insurance (UI). In order to ensure your account is
properly credited, please include your 10-digit UI Employer Account Number on your check or money order. In
order to avoid penalties and interest, your tax return and payment must be received by the following due dates:
1st Quarter (January – March) Due April 25th
2nd Quarter (April – June) Due July 25th
3rd Quarter (July – September) Due October 25th
4th Quarter (October – December) Due January 25th
Complete the section below and mail this entire form along with your payment to the address below.
Employer Name: ___________________________________
Federal Employer ID Number: ________________________
UI Employer Account No: ___________________________
(
PLEASE ENTER CORRECT EMPLOYER ACCOUNT NUMBER)
Quarter End Date [MM/DD/YYYY]: _____________________
Payment Amount Enclosed: $____________________________
Mail to Unemployment Insurance, P.O. Box 33598, Detroit, MI 48232-5598.
______________________________________________________________________________________
For UI Use Only. Do Not Write Below Line.
*041011709*
TIA is an equal opportunity employer/program.
UIA 4101
Authorized by
(Rev. 09-17)
MCL 421.1 et seq.
WANDA STOKES
RICK SNYDER
STATE OF MICHIGAN
TIA DIRECTOR
GOVERNOR
TALENT INVESTMENT AGENCY
Unemployment Insurance
Michelle Beebe, Senior Deputy Director
3024 W. Grand Blvd., Detroit, MI 48202
Reset Form
www.michigan.gov/uia
Employer’s Quarterly Tax Payment Coupon
Please use this payment transmittal when mailing your quarterly payment.
Make your check/money order payable to: Unemployment Insurance (UI). In order to ensure your account is
properly credited, please include your 10-digit UI Employer Account Number on your check or money order. In
order to avoid penalties and interest, your tax return and payment must be received by the following due dates:
1st Quarter (January – March) Due April 25th
2nd Quarter (April – June) Due July 25th
3rd Quarter (July – September) Due October 25th
4th Quarter (October – December) Due January 25th
Complete the section below and mail this entire form along with your payment to the address below.
Employer Name: ___________________________________
Federal Employer ID Number: ________________________
UI Employer Account No: ___________________________
(
PLEASE ENTER CORRECT EMPLOYER ACCOUNT NUMBER)
Quarter End Date [MM/DD/YYYY]: _____________________
Payment Amount Enclosed: $____________________________
Mail to Unemployment Insurance, P.O. Box 33598, Detroit, MI 48232-5598.
______________________________________________________________________________________
For UI Use Only. Do Not Write Below Line.
*041011709*
TIA is an equal opportunity employer/program.