Fillable Form Wt-4 - Wisconsin Department Of Revenue printable pdf download

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Employee’s Wisconsin Withholding Exemption Certificate/New Hire Reporting

WT-4

(Print clearly)

Employee’s Section

Employee’s legal name (last, first, middle initial)

Social security number

Single

Married

Employee’s address (number and street)

Date of birth

Married, but withhold at higher Single

rate.

City

State

Zip code

Date of hire

Note: If married, but legally separated,

check the Single box.

FIGURE YOUR TOTAL WITHHOLDING EXEMPTIONS BELOW

Complete Lines 1 through 3 only if your Wisconsin exemptions are different than your federal allowances.

1. (a) Exemption for yourself – enter 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(b) Exemption for your spouse – enter 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(d) Total – add lines (a) through (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Additional amount per pay period you want deducted (if your employer agrees) . . . . . . . . . . . . . . . . . . . . . .

3. I claim complete exemption from withholding (see instructions). Enter “Exempt” . . . . . . . . . . . . . . . . . . . . .

I CERTIFY that the number of withholding exemptions claimed on this certificate does not exceed the number to which I am entitled. If claiming complete exemption from

withholding, I certify that I incurred no liability for Wisconsin income tax for last year and that I anticipate that I will incur no liability for Wisconsin income tax for this year.

Signature

Date Signed

– Provide your information in the employee section.

EMPLOYEE INSTRUCTIONS:

WT-4 Instructions

• WHO MUST FILE:

• LINE 1:

Every Employee is required to file a completed Form WT‑4 with each

(a)‑(c) Number of exemptions – Do not claim more than the correct number

of his or her employers unless the Employee claims the same number

of exemptions. If you expect to owe more income tax for the year than will

of withholding exemptions for Wisconsin withholding tax purpose as for

be withheld if you claim every exemption to which you are entitled, you may

federal withholding tax purpose. Form WT‑4 (or federal Form W‑4 if a

increase your withholding by claiming a smaller number of exemptions on

Form WT‑4 is not filed) will be used by your employer to determine the

lines 1(a)‑(c) or you may enter into an agreement with your employer to have

amount of Wisconsin income tax to be withheld from your paychecks. If

additional amounts withheld (see instruction for line 2).

you have more than one employer, you should claim a smaller number or

no exemptions on each Form WT‑4 filed with employers other than your

income tax purposes may also be claimed as dependents for Wisconsin

principal employer so that the total amount withheld will be closer to your

purposes. The term “dependents” does not include you or your spouse.

actual income tax liability.

Indicate the number of dependents that you are claiming in the space provided.

Your employer may also require you to complete this form to report your

hiring to the Department of Workforce Development.

• LINE 2:

Additional withholding – If you have claimed “zero” exemptions on line 1, but

You may file a new Form WT‑4 any time you wish to change the amount

still expect to have a balance due on your tax return for the year, you may

of withholding from your paychecks, providing the number of exemptions

wish to request your employer to withhold an additional amount of tax for each

you claim does not exceed the number you are entitled to claim.

pay period. If your employer agrees to this additional withholding, enter the

additional amount you want deducted from each of your paychecks on line 2.

• UNDER WITHHOLDING:

If sufficient tax is not withheld from your wages, you may incur additional

• LINE 3:

interest charges under the tax laws. In general, 90% of the net tax shown

Exemption from withholding – You may claim exemption from withholding of

on your income tax return should be withheld.

Wisconsin income tax if you had no liability for income tax for last year, and

you expect to incur no liability for income tax for this year. You may not claim

• OVER WITHHOLDING:

exemption if your return shows tax liability before the allowance of any credit

If you are using Form WT‑4 to claim the maximum number of exemptions

for income tax withheld. If you are exempt, your employer will not withhold

to which you are entitled and your withholding exceeds your expected

Wisconsin income tax from your wages.

income tax liability, you may use Form WT‑4A to minimize the over

withholding.

You must revoke this exemption (1) within 10 days from the time you expect

to incur income tax liability for the year or (2) on or before December 1 if you

• WHEN TO FILE IF YOUR EXEMPTIONS CHANGE:

expect to incur Wisconsin income tax liabilities for the next year. If you want to

You must file a new certificate within 10 days if the number of exemptions

stop or are required to revoke this exemption, you must file a new Form WT‑4

previously claimed by you DECREASES.

with your employer showing the number of withholding exemptions you are

entitled to claim. This certificate for exemption from withholding will expire on

You may file a new certificate at any time if the number of your exemptions

April 30 of next year unless a new Form WT‑4 is filed before that date.

INCREASES.

Employer’s Section

Employer’s name

Federal Employer ID Number

Employer’s payroll address (number and street)

City

State

Zip code

Completed by

Title

Phone number

(

)

EMPLOYER INSTRUCTIONS for Department of Revenue:

EMPLOYER INSTRUCTIONS for New Hire Reporting:

• If you do not have a Federal Employer Identification Number (FEIN), contact

• This report contains the required information for reporting a New Hire to

the Internal Revenue Service to obtain a FEIN.

Wisconsin. If you are reporting new hires electronically, you do not need to

forward a copy of this report to the Department of Workforce Development.

• If the Employee has claimed more than 10 exemptions OR has claimed

Visit to report new hires.

complete exemption from withholding and earns more than $200.00 a week

or is believed to have claimed more exemptions than he or she is entitled to,

• If you do not report new hires electronically, mail the original form to the Depart‑

mail a copy of this certificate to: Wisconsin Department of Revenue, Audit

ment of Workforce Development, New Hire Reporting, PO Box 14431, Madison

Bureau, PO Box 8906, Madison WI 53708 or fax (608) 267‑0834.

WI 53708‑0431 or fax toll free to 1‑800‑277‑8075.

• Keep a copy of this certificate with your records. If you have questions about the

• If you have questions about New Hire requirements, call toll free (888) 300‑HIRE

Department of Revenue requirements, call (608) 266‑8646 or (608) 266‑2776.

(888‑300‑4473). Visit dwd.wisconsin.gov/uinh for more information.

W‑204 (R. 1‑14)

Wisconsin Department of Revenue

Form Wt-4 - Wisconsin Department Of Revenue

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