Form Mo W-4 Draft- Employee'S Withholding Allowance Certificate - 2008

ADVERTISEMENT

MISSOURI DEPARTMENT OF REVENUE
TAXATION BUREAU
This certificate is for income tax withholding
P.O. BOX 3340
MO W-4
and child support enforcement purposes only.
JEFFERSON CITY, MO 65105-3340
(REV. 09-2008)
PLEASE TYPE OR PRINT.
FAX:(573) 526-8079
EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE
FULL NAME
SOCIAL SECURITY NUMBER
SINGLE
FILING
MARRIED
STATUS
HEAD OF HOUSEHOLD
HOME ADDRESS (NUMBER AND STREET OR RURAL ROUTE)
CITY OR TOWN, STATE AND ZIP CODE
1. ALLOWANCE FOR YOURSELF: Enter 1 for yourself if your filing status
is single, married, OR head of household. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. ALLOWANCE FOR YOUR SPOUSE: Does your spouse work?
Yes
No
If YES, enter 0. If NO, enter 1 for your spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3. ALLOWANCE FOR DEPENDENTS: Enter the number of dependents you will claim on your tax return. Do not claim
yourself or your spouse or dependents that your spouse has already claimed on his or her Form MO W-4. . . . . . . . . . . . . . . . . . . . 3
4. ADDITIONAL ALLOWANCES: You may claim additional allowances if you itemize your deductions
or have other state tax deductions or credits that lower your tax. Enter the number of additional
allowances you would like to claim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5. TOTAL NUMBER OF ALLOWANCES YOU ARE CLAIMING: Add Lines 1 through 4 and enter total here. . . . . . . . . . . . . . . . . . . . 5
6. ADDITIONAL WITHHOLDING: If you expect to have a balance due (as a result of interest income, dividends, income from a
part-time job, etc.) on your tax return, you may request your employer to withhold an additional amount of tax from each
pay period. To calculate the amount needed, divide the amount of the expected balance due by the number of pay periods
$
in a year. Enter the additional amount to be withheld each pay period here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7. EXEMPT STATUS: If you had a right to a refund of ALL of your Missouri income tax withheld last year because you had NO
tax liability and this year you expect a refund of ALL Missouri income tax withheld because you expect to have NO tax liability,
write “EXEMPT” on Line 7. See information below. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Under penalties of perjury, I certify that I am entitled to the number of withholding allowances claimed on this certificate, or I am entitled to claim exempt status.
EMPLOYEE’S SIGNATURE (Form is not valid unless you sign it.)
DATE
___ ___ / ___ ___ / ___ ___ ___ ___
EMPLOYER’S NAME
FEDERAL EMPLOYER IDENTIFICATION NUMBER
___ ___ ___ ___ ___ ___ ___ ___ ___
EMPLOYER’S ADDRESS
MISSOURI TAX IDENTIFICATION NUMBER
___ ___ ___ ___ ___ ___ ___ ___
NOTICE TO EMPLOYER: Within 20 days of hiring a new employee, send a copy of Form MO W-4 to the: Missouri Department of Revenue, P.O. Box 3340,
Jefferson City, MO 65105-3340 or fax to (573) 526-8079. For additional information regarding new hire reporting, please visit
—E
I
MPLOYEE
NFORMATION
Y
D
N
P
M
I
T
I
Y
E
!
OU
O
OT
AY
ISSOURI
NCOME
AX ON ALL OF THE
NCOME
OU
ARN
Visit to try our online withholding calculator.
Deductions and exemptions reduce the amount of your taxable income. Form MO W-4 is completed so you can have as much “take-home pay” as possible with-
out an income tax liability due to the state of Missouri when you file your return. Deductions and exemptions reduce the amount of your taxable income. If your
income is less than the total of your personal exemption plus your standard deduction, you should mark “EXEMPT” on Line 7 above. The following amounts of
your annual Missouri adjusted gross income will not be taxed by the state of Missouri when you file your individual income tax return.
Single
Married Filing Combined
Head of Household
$2,100 — personal exemption
$ 4,200 — personal exemption
$ 3,500 — personal exemption
$5,450 — standard deduction
$10,900 — standard deduction
$ 8,000 — standard deduction
$7,550 — Total
$15,100 — Combined Total (For both spouses)
$11,500 — Total
+ $1,200 for each dependent
+ $1,200 for each dependent
+ $1,200 for each dependent
+ up to $5,000 for federal tax
+ up to $10,000 for federal tax
+ up to $5,000 for federal tax
Items to Remember:
• If your filing status is married filing combined and your spouse works, do not
• If you have more than one employer, you should claim a smaller number or no
claim an exemption on Form MO W-4 for your spouse.
allowances on each Form MO W-4 filed with employers other than your principal
employer so the amount withheld will be closer to your amount of total tax.
• If you and your spouse have dependents, please be sure only one of you claim
the dependents on your Form MO W-4. If both spouses claim the dependents as
• If you itemize your deductions, instead of using the standard deduction, the
an allowance on Form MO W-4, it may cause you to owe additional Missouri
amount not taxed by Missouri may be a greater or lesser amount.
income tax when you file your return.
MO 860-1598 (09-2008)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go