Form Dw-4 - Employee'S Withholding Certificate Income Tax - City Of Detroit Page 2

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LINE 3 INSTRUCTIONS — If you work for this employer in more than two cities or communities, print names of the
two Michigan cities or communities where you perform the greatest percentage of your work. Circle the closest percent of
total earnings for work done or services rendered in each city or community listed. The estimated percent of total earnings
from this employer for work done or services performed within taxing cities (line 3 on other side) is for withholding purposes
only. In determining final tax liability this estimate is subject to substantiation and audit.
RENAISSANCE ZONE EXEMPTION — Attach copy of Certification of Qualification.
EXEMPTIONS — An employee is allowed the same number of exemptions for himself and dependents as for federal
income tax purposes, except that additional withholding allowances claimed on Schedule A of Federal Form W-4 are not
allowed for City of Detroit income tax purposes.
CHANGES IN EXEMPTIONS — You should file a new certificate with your employer at any time the number of your
exemptions changes.
CHANGE OF RESIDENCE — You must file a new certificate within 10 days after you change your residence from or
to a taxing city.
CHANGES IN EMPLOYMENT — You must file a new certificate by December 1 of each year if your Line 3 estimate
of the percent of work done or services to be rendered in cities levying an income tax will change for the ensuing year.
FC-65948-O
10021BR-O
REV.2-99
O-8148-1054B

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