Form W-4s - Request For Federal Income Tax Withholding From Sick Pay - 2017 Page 2
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Form W-4S (2017)
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’re 65 or older or
Caution: If any of the amounts on the worksheet change after you give
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 2017, you may have to reduce your itemized
deductions.
deductions if your income is over $313,800 and you’re married filing
• A nonresident alien individual.
jointly or you’re a qualifying widow(er); $287,650 if you’re head of
• An individual filing a return for a period of less than 12 months
household; $261,500 if you’re single, not head of household and not a
because of a change in his or her annual accounting period.
qualifying widow(er); or $156,900 if you’re married filing separately. See
Pub. 505 for details.
Line 7—Credits
Standard deduction. For 2017, the standard deduction amounts are:
Include on this line any tax credits that you’re 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) .
.
.
.
.
. $12,700*
Line 9—Tax Withholding and Estimated Tax
Head of household .
.
.
.
.
.
.
.
.
.
.
.
. $9,350*
Enter the federal income tax that you expect will be withheld this year
Single or Married filing separately
.
.
.
.
.
.
.
. $6,350*
on income other than sick pay and any payments made or to be made
*If you’re age 65 or older or blind, add to the standard deduction
with 2017 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.
2017 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
$9,325
$0 + 10%
$0
$0
$13,350
$0 + 10%
$0
932.50 + 15%
9,325
1,335 + 15%
13,350
9,325
37,950
13,350
50,800
5,226.25 + 25%
37,950
6,952.50 + 25%
50,800
37,950
91,900
50,800
131,200
91,900
191,650
18,713.75 + 28%
91,900
131,200
212,500
27,052.50 + 28%
131,200
191,650
416,700
46,643.75 + 33%
191,650
212,500
416,700
49,816.50 + 33%
212,500
120,910.25 + 35%
416,700
117,202.50 + 35%
416,700
416,700
418,400
416,700
444,550
418,400
and greater
121,505.25 + 39.6%
418,400
444,550
and greater
126,950 + 39.6%
444,550
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
$18,650
$0 + 10%
$0
$0
$9,325
$0 + 10%
$0
18,650
75,900
1,865 + 15%
18,650
9,325
37,950
932.50 + 15%
9,325
75,900
153,100
10,452.50 + 25%
75,900
37,950
76,550
5,226.25 + 25%
37,950
29,752.50 + 28%
153,100
14,876.25 + 28%
76,550
153,100
233,350
76,550
116,675
233,350
416,700
52,222.50 + 33%
233,350
116,675
208,350
26,111.25 + 33%
116,675
416,700
470,700
112,728 + 35%
416,700
208,350
235,350
56,364 + 35%
208,350
131,628 + 39.6%
470,700
470,700
and greater
235,350
and greater
65,814 + 39.6%
235,350
returns and return information are confidential, as required by Code
Paperwork Reduction Act Notice. We ask for the information on this
section 6103.
form to carry out the Internal Revenue laws of the United States.
The average time and expenses required to complete and file this
You are not required to provide the information requested on a form
form will vary depending on individual circumstances. For estimated
that is subject to the Paperwork Reduction Act unless the form displays
averages, see the instructions for your income tax return.
a valid OMB control number. Books or records relating to a form or its
instructions must be retained as long as their contents may become
If you have suggestions for making this form simpler, we would be
material in the administration of any Internal Revenue law. Generally, tax
happy to hear from you. See the instructions for your income tax return.
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