Form Wt-4a Wisconsin Employee Withholding Agreement
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22014
Form WT-4A
WORKSHEET FOR EMPLOYEE WITHHOLDING AGREEMENT
A.
Single
C.
1. Filing Status:
Check one box
B.
2. Estimated 2014 Wisconsin income. (Caution: Before entering an amount, see the instructions for line 2 on the
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3. Estimated standard deduction and exemptions. (See instructions for line 3 and Standard Deduction Schedules on the
3
4
5
6
7. Estimated net tax liability for 2014. (Subtract line 6 from line 5. If the amount on line 6 exceeds the amount on
7
8. Amount previously withheld and amount paid by Wisconsin Estimated Income Tax Voucher for 2014. (If you
8
9. Amount which will be withheld from spouse's wages during the balance of 2014. (Complete this line only if you
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10. Remaining amount to be withheld from your wages. (Add lines 8 and 9 and subtract the total from the amount
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WISCONSIN
2014
WT-4A
EMPLOYEE WITHHOLDING AGREEMENT
Employee's Last Name
First Name and Initial
This agreement
April 30, 2015
expires on:
Social Security Number
Employer's Name
City, State and Zip Code
City, State and Zip Code
1. Remaining amount to be withheld. (From line 10 of employee withholding worksheet
1
2
Wis. Dept. of Revenue
PO Box 8906
3. Amount to be withheld each payroll period. (Divide line 1 by the number of payroll
Madison WI 53708-8906
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EMPLOYER – Retain this
I declare that to the best of my knowledge and belief the information contained in this agreement is true, correct and complete.
(Signature of employee)
(Date)
INSTRUCTIONS
Who may use this form for 2014
increased number of exemptions. If you are claiming the maximum number
of exemptions allowed and your withholding is still more than your estimated
withheld from his or her wages will be more than the employee's estimated
and employer that a lesser amount will be withheld from the employee's
Note: If you incurred no Wisconsin income tax liability for 2013 and anticipate
wages than is provided for in the Wisconsin income tax withholding tables.
no liability for 2014, you may claim complete exemption from Wisconsin
More than one employer
with your employer. If you are not claiming the maximum number of
the total amount withheld by all employers approximates your anticipated
income tax liability for 2014.
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