Form W-4s - Request For Federal Income Tax Withholding From Sick Pay - 2016 Page 2
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Form W-4S (2016)
Page
Changing your withholding. Form W-4S remains in effect until you
paragraph. If you can be claimed as a dependent on another person’s
change or revoke it. You may do this by giving a new Form W-4S or a
return, see Limited standard deduction for dependents, later.
written notice to the payer of your sick pay. To revoke your previous
Additional amount for the elderly or blind. An additional standard
Form W-4S, complete a new Form W-4S and write “Revoked” in the
deduction of $1,250 is allowed for a married individual (filing jointly or
money amount box, sign it, and give it to the payer.
separately) or qualifying widow(er) who is 65 or older or blind, $2,500 if
65 or older and blind. If both spouses are 65 or older or blind, an
Specific Instructions for Worksheet
additional $2,500 is allowed on a joint return ($2,500 on a separate
return if you can claim an exemption for your spouse). If both spouses
You may use the worksheet on page 1 to estimate the amount of federal
are 65 or older and blind, an additional $5,000 is allowed on a joint
income tax that you want withheld from each sick pay payment. Use
return ($5,000 on a separate return if you can claim an exemption for
your tax return for last year and the worksheet as a basis for estimating
your spouse). An additional $1,550 is allowed for an unmarried individual
your tax, tax credits, and withholding for this year.
(single or head of household) who is 65 or older or blind, $3,100 if 65 or
You may not want to use Form W-4S if you already have your total tax
older and blind.
covered by estimated tax payments or other withholding.
Limited standard deduction for dependents. If you can be claimed
If you expect to file a joint return, be sure to include the income,
as a dependent on another person’s return, your standard deduction is
deductions, credits, and payments of both yourself and your spouse in
the greater of (a) $1,050 or (b) your earned income plus $350 (up to the
figuring the amount you want withheld.
regular standard deduction for your filing status). If you are 65 or older
Caution: If any of the amounts on the worksheet change after you give
or blind, see Pub. 505 for additional amounts that you may claim.
Form W-4S to the payer, you should use a new Form W-4S to request a
Certain individuals not eligible for standard deduction. For the
change in the amount withheld.
following individuals, the standard deduction is zero.
Line 2—Deductions
• A married individual filing a separate return if either spouse itemizes
Itemized deductions. For 2016, you may have to reduce your itemized
deductions.
deductions if your income is over $311,300 and you are married filing
• A nonresident alien individual.
jointly or are a qualifying widow(er); $285,350 if you are head of
• An individual filing a return for a period of less than 12 months
household; $259,400 if you are single and not head of household or a
because of a change in his or her annual accounting period.
qualifying widow(er); or $155,650 if you are married filing separately. See
Pub. 505 for details.
Line 7—Credits
Standard deduction. For 2016, the standard deduction amounts are:
Include on this line any tax credits that you are entitled to claim, such as
the child tax and higher education credits, credit for child and
Standard
dependent care expenses, earned income credit, or credit for the elderly
Filing Status
Deduction
or the disabled.
Married filing jointly or qualifying widow(er) .
.
.
.
.
. $12,600*
Line 9—Tax Withholding and Estimated Tax
Head of household .
.
.
.
.
.
.
.
.
.
.
.
.
$9,300*
Enter the federal income tax that you expect will be withheld this year
Single or Married filing separately
.
.
.
.
.
.
.
.
$6,300*
on income other than sick pay and any payments made or to be made
*If you are age 65 or older or blind, add to the standard deduction
with 2016 estimated tax payments. Include any federal income tax
amount the additional amount that applies to you as shown in the next
already withheld or to be withheld from wages and pensions.
2016 Tax Rate Schedules
Schedule X—Single
Schedule Z—Head of household
If line 5 is:
The tax is:
If line 5 is:
The tax is:
of the
of the
But not
amount
But not
amount
Over—
over—
over—
Over—
over—
over—
$0
$9,275
$0 + 10%
$0
$0
$13,250
$0 + 10%
$0
9,275
37,650
927.50 + 15%
9,275
1,325 + 15%
13,250
13,250
50,400
37,650
91,150
5,183.75 + 25%
37,650
50,400
130,150
6,897.50 + 25%
50,400
18,558.75 + 28%
91,150
91,150
190,150
26,835 + 28%
130,150
130,150
210,800
190,150
413,350
46,278.75 + 33%
190,150
210,800
413,350
49,417 + 33%
210,800
413,350
415,050
119,934.75 + 35%
413,350
413,350
441,000
116,258.50 + 35%
413,350
125,936 + 39.6%
441,000
415,050
and greater
120,529.75 + 39.6%
415,050
441,000
and greater
Schedule Y-2—Married filing separately
Schedule Y-1—Married filing jointly or Qualifying widow(er)
If line 5 is:
The tax is:
If line 5 is:
The tax is:
of the
of the
But not
amount
But not
amount
Over—
over—
over—
Over—
over—
over—
$0
$18,550
$0 + 10%
$0
$0
$9,275
$0 + 10%
$0
18,550
75,300
1,855 + 15%
18,550
9,275
37,650
927.50 + 15%
9,275
75,300
151,900
10,367.50 + 25%
75,300
37,650
75,950
5,183.75 + 25%
37,650
29,517.50 + 28%
151,900
14,758.75 + 28%
75,950
151,900
231,450
75,950
115,725
231,450
413,350
51,791.50 + 33%
231,450
115,725
206,675
25,895.75 + 33%
115,725
413,350
466,950
111,818.50 + 35%
413,350
206,675
233,475
55,909.25 + 35%
206,675
130,578.50 + 39.6%
466,950
65,289.25 + 39.6%
233,475
466,950
and greater
233,475
and greater
Paperwork Reduction Act Notice. We ask for the information on this
returns and return information are confidential, as required by Code
form to carry out the Internal Revenue laws of the United States.
section 6103.
You are not required to provide the information requested on a form
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averages, see the instructions for your income tax return.
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If you have suggestions for making this form simpler, we would be
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