Form W-4v - Voluntary Withholding Certificate From Unemployment Compensation - Maine Department Of Treasury - 2000
ADVERTISEMENT
1and/or State income taxes withheld. It is your responsibility to notify this agency of all change of addresses during
the calendar year. The U.S. Postal Service will not forward Department of Labor mail.
If you repay monies on an overpayment during any calendar year, the repayment amount will not be reflected on
the 1099G issued to you. Keep any receipt sent to you as verification of repayment of an overpayment for
documentation on your tax forms.
6. What Happens If I Want Part Or All Of The Amount Withheld Returned To Me?
Taxes withheld from your unemployment check are forwarded to the Internal Revenue Service (Federal) and/or the
Maine Revenue Service (State). Therefore, taxes withheld are not refundable.
IF YOU CHOOSE TO NOT HAVE TAXES WITHHELD, DO NOT RETURN THE
ATTACHED FORM W-4V.
MAIL THIS FORM TO:
Maine Department of Labor
Bureau of Unemployment Compensation
Benefit Section
P.O. Box 259
Augusta, Maine 04332-0259
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Cut Here
Cut Here
Cut Here
W-4V
|Voluntary Withholding Certificate From
|
Form
|
Unemployment Compensation
|
2000
Department of the Treasury
Internal Revenue Service
____________________________________________________________________________________________
Type or print your full name
|Social Security Number
____________________________________________________________________|
Home mailing address (number and street or rural route
|
____________________________________________________________________|_______________________
City or town, state and ZIP Code
____________________________________________________________________________________________
Complete one or both of the following if you want income taxes withheld from your unemployment check:
YES
NO
1. I want FEDERAL income tax withheld from my weekly unemployment benefits (fixed rate of 15%) [ ]
[ ]
2. I want STATE income tax withheld from my weekly unemployment benefits (fixed rate of 5%)
[ ]
[ ]
I understand that my withholding status can only be changed (start or stop) upon receipt of this form.
____________________________________________________________________________________________
Your Signature
Date
è
è
____________________________________________________________________________________________
Me. I-5 Web (rev. 11/99)
Must Be Completed With Signature To Be Valid
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial