Form 21d - Computation Of Due Payment Form

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Form 21D (Rev. 3/99)
South Dakota Department of Labor
Employer Account Number
Unemployment Insurance Division
PO Box 4730
Employer Name
Aberdeen, SD 57402-4730
Address
Quarter
Quarter
Quarter
Quarter
Computation of Payment Due
3/31
6/30
9/30
12/31
Totals
1. Total gross wages paid in this quarter
2. Wages in excess of $7,000 this quarter
3. Taxable Wages
UI Contribution Rate
% x line 3
4.
5. Investment Fee
% x line 3
6. Total Tax Due
7. Adjustments from prior quarter(s)
see explanation
8. Interest
9. Penalty for Late Filling
10. Penalty for Late Payment
11. Total Remittance
1.
Total Gross Wages Paid. Enter here the total of all gross wages paid within this quarter.
Explanation:
2.
Wages in Excess of $7,000 This Quarter. Enter here the total wages in excess of $7,000 enter in this
quarter not taken in a previous quarter.
3.
Taxable Wages. Subtract line 2 from line 1 and enter the total here.
4.
UI Contribution Fee. Multiply wages from line 3 by the rate listed on line 4. Enter this amount here.
5.
Investment Fee. Multiply wages from line 3 by the rate listed on line 5. Enter this amount here.
6.
Total Tax Due. Add lines 4 and 5 and enter the amount here.
7.
Adjustments from Prior Quarter. Enter the any amounts due or refunds due you from a prior quarter.
This amount will adjust the amount due on line 11.
8.
Interest. Enter the interest due if report is late for the corresponding calendar quarter. The interest
Signature
amount is computed by multiplying the payment due on line 6 by 1.5% per month or fractional part of
a month for each month of delinquency.
9.
Penalty for Late Filing. This penalty is imposed if the employer is late in filing a report. The penalty
is $5 per month or fractional part of a month from the due date of a report. Maximum penalty is $30
per quarter.
Date
10. Penalty for Late Payment. This penalty is imposed if the employer is late in making full payment.
This penalty is $5 per month or fractional part of a month. Maximum penalty is $30 per quarter.
11. Total Remittance. Enter the sum of lines 6,7,8,9 and 10.

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