Form Ia W-4p - Withholding Certificate For Pension Or Annuity Payments - 2016
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1Iowa Department of Revenue
2016 IA W-4P
https://tax.iowa.gov
Withholding Certificate for Pension or Annuity Payments
Instructions
Eligibility Requirements
Low-Income Exemption
Military retirement pay for service in the United States
Taxpayers 65 years of age or older are exempt if:
You are single and your income is $24,000 or less,
Armed Forces, the Armed Forces Military Reserve, or the
Your filing status is other than single and the total
National Guard is eligible for exemption from Iowa
income tax. Only military retirement pay received from
income of both spouses is $32,000 or less. Only one
the Defense Finance and Accounting Service (DFAS), or
spouse must be 65 or older to qualify for this
a similar source is eligible for the exemption.
exemption.
Note: Pension exclusion and any reportable Social
Railroad Retirement benefits paid by the Railroad
Security amount must be added to net income for
Retirement Board are not taxable on the Iowa Return.
purposes of determining the low-income exemption.
If you or your spouse receives a pension, an annuity, a
Taxpayers under 65 are exempt if:
self-employed retirement plan, deferred compensation,
Your net income is less than $5,000 and you are
IRA distribution, or other retirement plan benefits, you
claimed as a dependent on another person’s Iowa
may be eligible for a partial exemption for qualified Iowa
return.
residents. To qualify you must be 55 years of age or
You are single and your net income is $9,000 or less
older or disabled. If you are a surviving spouse or
and you are not claimed as a dependent on another
survivor of an individual who would have qualified for the
person’s Iowa return.
exclusion you may also be eligible for a partial
Your filing status is other than single and your
exemption. To be considered disabled you must be
combined net income is $13,500 or less.
receiving
retirement
income
on
the
basis
of
a
Claiming No Exemption
documented disability or you must meet federal or state
Iowa income tax will be withheld on the entire amount
criteria for disability. Federal Civil Service annuitants who
of taxable benefits received if this box is checked
want Iowa tax withheld from federal pensions should call
below.
the Office of Personnel Management toll free at 888-767-
6738 or e-mail retire@opm.gov.
Withholding Choices
Unmarried Iowa residents may choose to have Iowa
Withholding Rates
tax withheld on the annual taxable amount excluding
Payers have the option of withholding at a rate of 5%,
up to $6,000. Married taxpayers may exclude up to
using the withholding formula, or using the withholding
$12,000 from the annual taxable amount.
tables.
Name:
SSN:
Address:
City:
State:
ZIP:
Iowa Income tax is withheld for Iowa residents only.
Are you an Iowa resident? Yes ☐ No ☐
I choose not to have Iowa income tax withheld from my pension/annuity. ............................................................ ☐
Note: If you are an Iowa resident and the taxable portion of your annual distribution is greater than $6,000
($12,000 married Iowa filers), Iowa tax must be withheld if federal tax is being withheld unless you qualify for the
low-income exemption. See Eligibility Requirements above.
I choose to have Iowa income tax withheld from my pension/annuity at a rate of 5% (or based on the withholding
formula if the payer so chooses). Select one of the following:
• claiming no exemption (see instructions) ....................................................................................................... ☐
• excluding $6,000 in benefits each year .......................................................................................................... ☐
• excluding $12,000 in benefits each year (married – status 2, 3, or 4) ............................................................ ☐
Additional amount, if any, to be withheld from each benefit payment (whole dollars): $
.00
Signature:
Date:
Where to Send the IA W-4P
Return the completed form to the person who handles your pension/retirement check, or, if planning to retire, your
current payroll officer. If you are a federal employee, return it to the Office of Personnel Management.
44-020 (07/30/15)
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