Arizona Form A-4 - Employee'S Arizona Withholding Election - 2016
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1Arizona Form
2016
Employee’s Arizona Withholding Election
A-4
Type or print your Full Name
Your Social Security Number
Home Address – number and street or rural route
City or Town
State
ZIP Code
Choose either box 1 or box 2:
1 Withhold from gross taxable wages at the percentage checked (check only one percentage):
0.8%
1.3%
1.8%
2.7%
3.6%
4.2%
5.1%
Check this box and enter an extra amount to be withheld from each paycheck ................
$
2 I elect an Arizona withholding percentage of zero, and I certify that I expect to have
no Arizona tax liability for the current taxable year.
Print
I certify that I have made the election marked above.
SIGNATURE
DATE
Employee’s Instructions
Arizona law requires your employer to withhold Arizona income
Electing a Withholding Percentage of Zero
tax from your wages for work done in Arizona. This amount
You may elect an Arizona withholding percentage of zero
is applied to your Arizona income tax due when you file your
if you expect to have no Arizona income tax liability for the
tax return. The amount withheld is a percentage of your gross
current year. Arizona tax liability is gross tax liability less any
taxable wages of every paycheck. You may also have your
tax credits, such as the family tax credit, school tax credits, or
employer withhold an extra amount from each paycheck.
credits for taxes paid to other states. If you make this election,
Complete this form to select a percentage and any extra
your employer will not withhold Arizona income tax from your
amount to be withheld from each paycheck.
wages for payroll periods beginning after the date you file
the form. Zero withholding does not relieve you from paying
What are my “Gross Taxable Wages”?
Arizona income taxes that might be due at the time you file
your Arizona income tax return. If you have an Arizona tax
For withholding purposes, your “gross taxable wages” are the
liability when you file your return or if at any time during the
wages that will generally be in box 1 of your federal Form W-2.
current year conditions change so that you expect to have a tax
It is your gross wages less any pretax deductions, such as your
liability, you should promptly file a new Form A-4 and choose a
share of health insurance premiums.
percentage that applies to you.
New Employees
Voluntary Withholding Election by Certain
Complete this form in the first five days of employment to select
Nonresident Employees
an Arizona withholding percentage. You may also have your
employer withhold an extra amount from each paycheck. If you
Compensation earned by nonresidents while physically working
in Arizona for temporary periods is subject to Arizona income
do not file this form, the department requires your employer to
tax. However, under Arizona law, compensation paid to certain
withhold 2.7% of your gross taxable wages.
nonresident employees is not subject to Arizona income tax
withholding. These nonresident employees need to review
Current Employees
their situations and determine whether they should elect to
If you want to change the current amount withheld, you must
have Arizona income taxes withheld from their Arizona source
file this form to change the Arizona withholding percentage or
compensation. Nonresident employees may request that their
change the extra amount withheld.
employer withhold Arizona income taxes by completing this
form to elect Arizona income tax withholding.
What Should I do With Form A-4?
Give your completed Form A-4 to your employer.
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