Wisconsin Tax Credit Form Page 2
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1
2NEED ASSISTANCE?
If you have questions about the Working Families Tax Credit, or need assistance in completing the worksheet on page 1,
to:
Email: dorwithholdingtax@revenue.wi.gov
CAUTION
If you claim exemption from the withholding of Wisconsin income tax from your wages and subsequent changes in your
income or marital status will result in your not being eligible for the Working Families Tax Credit, you must revoke the
exemption. To revoke the exemption, you must notify your employer to resume withholding Wisconsin income tax from
your wages. Use Wisconsin Form WT-4A to determine the amount your employer should withhold.
FORM WT-4B
WISCONSIN
DEPARTMENT
OF REVENUE
Employee’s Full Name
Social Security Number
of Wisconsin income tax from the wages I receive during 2010.
from wages you receive during 2010.
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