Form Cf-W-4 - Employee'S Withholding Certificate For Michigan Cities Levying An Income Tax 2014
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1Form CF-W-4 — EMPLOYEE’S WITHHOLDING CERTIFICATE
Revised 12/02/2014
FOR MICHIGAN CITIES LEVYING AN INCOME TAX (See list below)
1. Print your full name
Social Security No.
Office, Plant, Dept.
Employee Identification No
2. Address, Number and Street
Apartment
City, Township or Village where you reside
State
Postal Code
Resident City
Nonresident City
EMPLOYEE: File this form with your
EMPLOYER: Keep this certificate with your records. If the
YOUR WITHHOLDING EXEMPTIONS
Exemptions
Exemptions
employer. Otherwise your employer must
information submitted by the employee is not believed to be true,
4. Exemptions for yourself (See cities below)
4
withhold tax for the cities without any allowance
correct and complete, the City Income Tax Department must be
for exemptions.
advised.
5. Exemptions for spouse (See cities below)
5
6. Exemptions for your dependent children
CHECK THE BOX THAT INDICATES THE
CHECK BOX IF
6
APPROXIMATE AMOUNT OF TIME WORKING
CHECK BOX
YOU ARE A
7. Exemptions for your other dependents
MICHIGAN CITIES
7
FOR EMPLOYER IN THE CHECKED
IF YOU ARE A
NONRESIDENT
LEVYING AN INCOME
NONRESIDENT CITY
RESIDENT OF
AND WORK
8. Total number of exemptions claimed
8
TAX AND THE VALUE
A LISTED
FOR
Exemptions allowed by city for taxpayer and spouse, if married.
25%
41%
61%
81%
OF ONE EXEMPTION
UNDER
CITY
EMPLOYER IN
TO
TO
TO
TO
Regular
65 or over at end
Permanently
25%
Blind
Deaf
A LISTED CITY
40%
60%
80%
100%
exemption
of year
Disabled
Albion
4. Taxpayer
$600
5. Spouse
Battle Creek
4. Taxpayer
$750
5. Spouse
Big Rapids
4. Taxpayer
$600
5. Spouse
Detroit
4. Taxpayer
$600
5. Spouse
Flint
4. Taxpayer
$600
5. Spouse
Grand Rapids
4. Taxpayer
$600
5. Spouse
Grayling
4. Taxpayer
$3,000
5. Spouse
Hamtramck
4. Taxpayer
$600
5. Spouse
Highland Park
4. Taxpayer
$600
5. Spouse
Hudson
4. Taxpayer
$1,000
5. Spouse
Ionia
4. Taxpayer
$700
5. Spouse
Jackson
4. Taxpayer
$600
5. Spouse
Lansing
4. Taxpayer
$600
5. Spouse
Lapeer
4. Taxpayer
$600
5. Spouse
Muskegon
4. Taxpayer
$600
5. Spouse
Muskegon Heights
4. Taxpayer
$600
5. Spouse
Pontiac
4. Taxpayer
$600
5. Spouse
Port Huron
4. Taxpayer
$600
5. Spouse
Portland
4. Taxpayer
$1,000
5. Spouse
Saginaw
4. Taxpayer
$750
5. Spouse
Springfield
4. Taxpayer
$750
5. Spouse
Walker
4. Taxpayer
$600
5. Spouse
I am not a resident
9. Date
10. Signature
of any listed city
I do not expect to
work in any city listed
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