Form K-4 - Kansas Employee'S Withholding Allowance Certificate

Download a blank fillable Form K-4 - Kansas Employee'S Withholding Allowance Certificate in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form K-4 - Kansas Employee'S Withholding Allowance Certificate with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

KANSAS

K- 4

EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE

(Rev. 8-15)

of all STATE income tax withheld because

employer. If your employer does not receive

Use the following instructions to accurately

complete your K-4 form, then detach the

you had no tax liability; and 2) this year you

a K-4 form from you, they must withhold

lower

portion

and

give

your

will receive a full refund of all STATE income

Kansas income tax from your wages without

employer. For assistance, call the

tax withheld because you will have no tax

exemption at the “Single” allowance rate.

Kansas

Department of Revenue at

liability.

Head of household: Generally, you may

785-368-8222.

Basic Instructions: If you are not exempt,

claim head of household filing status on

Purpose of the K-4 form: A completed

complete the Personal Allowance

your tax return only if you are unmarried

withholding allowance certificate will let

Worksheet that follows. The total on line F

and pay more than 50% of the cost of

should not exceed the total exemptions you

keeping up a home for yourself and for

your employer know how much Kansas

claim under “Exemptions and Dependents”

your dependent(s).

income tax should be withheld from your

pay

income

you

earn

from

on your Kansas income tax return.

Nonwage income: If you have a large

Kansas

sources. Because your tax

NOTE: Your status of “Single” or “Joint” may

amount of nonwage Kansas source

situation may change, you may want to

differ from your status claimed on your

income, such as interest or dividends,

refigure your withholding each year.

federal Form W-4).

consider making estimated tax payments

on Form K-40ES. Without these payments,

Exemption from Kansas withholding: To

Using the information from your Personal

qualify for exempt status you must verify

Allowance Worksheet, complete the K-4

you may owe additional Kansas tax when

with the Kansas Department or Revenue

form below, sign it and provide it to your

you file your state income tax return.

that: 1) last year you had the right to a

refund

Personal Allowance Worksheet (Keep for your records)



A Allowance Rate: If you are a single filer mark “Single”

Single



If you are married and your spouse has income mark “Single”

Joint

If you are married and your spouse does not work mark “Joint”

B Enter “0” or “1” if you are married or single and no one else can claim you as a dependent (entering “0” may

help you avoid having too little tax withheld) .

..............................................................................................................

B _________

C Enter “0” or “1” if you are married and only have one job, and your spouse does not work (entering “0” may help

you avoid having too little tax withheld)

.......................................................................................................................

C _________

D Enter “2” if you will file head of household on your tax return (see conditions under Head of household above)

.....

D _________

E Enter the number of dependents you will claim on your tax return. Do not claim yourself or your spouse or

dependents that your spouse has already claimed on their form K-4

. .....................................................................

E _________

F Add lines B through E and enter the total here

..........................................................................................................

F _________



Cut here and give the lower portion to your employer. Keep the top portion for your records.

Kansas Employee’s Withholding Allowance Certificate

K-4

Whether you are entitled to claim a certain number of allowances or exemptions from withholding is subject to review by the

(Rev. 9-12)

Kansas Department of Revenue. Your employer may be required to send a copy of this form to the Kansas Department of Revenue.

1 Print your first name and middle initial

Last Name

2 Social Security Number

Mailing Address

3 Allowance Rate

Mark the allowance rate selected in line A above.

City or Town, State, and ZIP Code



Single

Joint

4 Total number of allowances you are claiming (from line F above)

...........................................................

5 Enter any additional amount you want withheld from each paycheck (this is optional)

...............................

6 I claim exemption from withholding. You must meet the conditions explained in the “Exemption from

withholding” instructions above. If you meet those conditions, write “Exempt” on this line. ....................

Note: The Kansas Department of Revenue will receive your federal W-2 forms for all years claimed Exempt.

Under penalties of perjury, I declare that I have examined this certificate and to the best of my knowledge and belief it is true, correct, and complete.



SIGN

HERE

DATE

7 Employer’s name and address

8 EIN (Employer Identification Number)