Revenue Form K-4 - Employee'S Withholding Exemption Certificate - Kentucky Department Of Revenue (2013)

ADVERTISEMENT

Revenue Form K-4
KENTUCKY DEPARTMENT OF REVENUE
Payroll No. __________________________
42A804 (11-13)
EMPLOYEE’S WITHHOLDING EXEMPTION CERTIFICATE
Print Full Name ________________________________________________________________________
Social Security No. ___________________________
Print Home Address ____________________________________________________________________________________________________________________
HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS
EMPLOYEE:
1. If SINGLE, and you claim an exemption, enter “1,” if you do not, enter “0” .............................................................. ________
2. If MARRIED, one exemption each for you and spouse if not claimed on another certificate.
}
Failure to file this form with
(a) If you claim both of these exemptions, enter “2”
your employer will result in
(b) If you claim one of these exemptions, enter “1”
................................................................................................ ________
withholding tax deductions
(c) If you claim neither of these exemptions, enter “0”
3. Exemptions for age and blindness (applicable only to you and your spouse but not to dependents):
from your wages at the
(a) If you or your spouse will be 65 years of age or older at the end of the year, and you claim this exemption,
maximum rate.
enter “4”; if both will be 65 or older, and you claim both of these exemptions, enter “8”.................................. ________
(b) If you or your spouse are blind, and you claim this exemption, enter “4”; if both are blind, and you claim
both of these exemptions, enter “8” ......................................................................................................................... ________
EMPLOYER:
4. If you claim exemptions for one or more dependents, enter the number of such exemptions ................................ ________
5. National Guard exemption (see instruction 1) ............................................................................................................... ________
6. Exemptions for Excess Itemized Deductions (Form K-4A) ............................................................................................ ________
Keep this certificate with
your records.
7. Add the number of exemptions which you have claimed above and enter the total .................................................
8. Additional withholding per pay period under agreement with employer. See instruction 1 ..........................$ _____________
I certify that the number of withholding exemptions claimed on this certificate does not exceed the number to which I am entitled.
Date _________________________________
Signed___________________________________________________________________________________

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form K-4 - Employee's Withholding Exemption Certificate - Kentucky Revenue Cabinet Form K-4 - Employee's Withholding Exemption Certificate - Kentucky Revenue Cabinet Financial
Form A-4 - Employee's Withholding Exemption Certificate - Alabama Department Of Revenue Form A-4 - Employee's Withholding Exemption Certificate - Alabama Department Of Revenue Financial
Form It 4 - Employee's Withholding Exemption Certificate - Ohio Department Of Taxation Form It 4 - Employee's Withholding Exemption Certificate - Ohio Department Of Taxation Financial
Revenue Form K-4 - Employee's Withholding Exemption Certificate - 2013 Revenue Form K-4 - Employee's Withholding Exemption Certificate - 2013 Financial
Revenue Form K-4 - Employee's Withholding Exemption Certificate - 2009 Revenue Form K-4 - Employee's Withholding Exemption Certificate - 2009 Financial
Revenue Form K-4 - Employee's Withholding Exemption Certificate - 2005 Revenue Form K-4 - Employee's Withholding Exemption Certificate - 2005 Financial
Revenue Form K-4 - Employee's Withholding Exemption Certificate Revenue Form K-4 - Employee's Withholding Exemption Certificate Financial
Form L-4 - Employee's Withholding Allowance Certificate - Louisiana Department Of Revenue And Taxation Form L-4 - Employee's Withholding Allowance Certificate - Louisiana Department Of Revenue And Taxation Financial
Form K-4 - Employee's Withholding Exemption Certificate Form K-4 - Employee's Withholding Exemption Certificate Financial
Form K-4 - Employee's Withholding Exemption Certificate Form K-4 - Employee's Withholding Exemption Certificate Financial

Related Categories

Parent category: Legal
Download
Go