Form Dw-4 - Employee'S Withholding Certificate For City Of Detroit Income Tax
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2EMPLOYEE’S WITHHOLDING CERTIFICATE FOR CITY OF DETROIT INCOME TAX
DW-4
1. Print Full Name
Social Security No.
Office, Plant, Dept.
Employee Identification No.
2. Address, Number and Street
City, Township or Village where you reside
State
Zip Code
3. Predominant Place of Employment
City
Under
Renaissance Zone Exemption
25%
40%
60%
80% 100%
Print name of each city where you work for this
employer and circle closest % of total earnings
City
Under
Renaissance Zone Exemption
25%
40%
60%
80% 100%
in each.
Enter number of
4. Exemptions
Regular
Additional exemption if
Additional
YOUR WITHHOLDING
Check
exemptions checked
for yourself
exemption
65 or over at end of year
exemption if blind
EXEMPTIONS:
blocks
which
(See instructions on
Enter number of
5. Exemptions for
Regular
Additional exemption if
Additional
reverse side.)
apply
exemptions checked
your wife (husband)
exemption
65 or over at end of year
exemption if blind
Number
Number
Enter total of
Exemptions for your other
EMPLOYEE: File this form with your
6. (a) Exemptions for your children
6. (b)
line 6 (a plus b)
dependents
employer. Otherwise he must withhold
CITY OF DETROIT income tax from your
earnings without exemption.
7. Add the number of exemptions which you have claimed on lines 4, 5 and 6 above and write the total
EMPLOYER: Keep this certificate with
I certify that the information submitted on this certificate is true, correct and complete to the best of
your records. If the information submitted
my knowledge and belief
by the employee is not believed to be true,
correct and complete, the INCOME TAX
8. Date
Signature
DIRECTOR must be so advised.
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Parent category: Financial