Form De 4453 - Application For Transfer Of Reserve Account
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1
2Employment Development Department, MIC 4
PO Box 826880, Sacramento, CA 94280-0001
Fax applications to 916-653-5254
File electronically at
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 [UI] 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 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 (CUIC). 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 account number
1a. Federal Employer Identification Number (FEIN)
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 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 888-745-3886 before
submitting the application to determine if you were required to obtain a new 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
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DE 4453 Rev. 73 (1-17) (INTERNET)
CU
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