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Form Ub-433 - Voluntary Election For Federal/state Income Tax Withholding - Arizona Department Of Economic Security

Form UB-433

Voluntary Election for Federal/State

Income Tax Withholding

Federal law provides that Unemployment Insurance benefits are reportable on your income tax

return. The Internal Revenue Service will provide detailed instructions for completion of your

return. It may also be necessary for you to make estimated tax payments. For more

information about payments, see IRS Publication 505, Tax Withholding and Estimated Tax, or

the instructions to Form 1040-ES.

The IRS web site address is:

Use this form to elect to have federal taxes deducted from your unemployment check, or, you

may choose to have both federal and state taxes deducted. Note: you may not have state

taxes deducted unless you also elect to have federal taxes withheld from your check. You

may also use this form to discontinue previously elected federal or federal and state tax

deductions.

Because Unemployment Insurance benefits are taxable, the Arizona Department of Economic

Security is required to send you a statement (Form 1099G) at the end of the year showing the

total amount of Unemployment Insurance benefits paid. To ensure that you receive this

statement, please report any change of address to your local office if you discontinue filing.

Note: The Name and Address Change Request form (UB-108) may be used to report your

new address.

Form Ub-433 - Voluntary Election For Federal/state Income Tax Withholding - Arizona Department Of Economic Security