Form W-4p - Withholding Certificate For Pension Or Annuity Payments - 2017 Page 4
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Form W-4P (2017)
Page
Eligible rollover distribution—20% withholding. Distributions
In the absence of a tax treaty exemption, nonresident aliens,
you receive from qualified pension or annuity plans (for
nonresident alien beneficiaries, and foreign estates generally are
example, 401(k) pension plans and section 457(b) plans
subject to a 30% federal withholding tax under section 1441 on
maintained by a governmental employer) or tax-sheltered
the taxable portion of a periodic or nonperiodic pension or
annuities that are eligible to be rolled over tax free to an IRA or
annuity payment that is from U.S. sources. However, most tax
qualified plan are subject to a flat 20% federal withholding rate.
treaties provide that private pensions and annuities are exempt
The 20% withholding rate is required, and you can’t choose not
from withholding and tax. Also, payments from certain pension
to have income tax withheld from eligible rollover distributions.
plans are exempt from withholding even if no tax treaty applies.
Don’t give Form W-4P to your payer unless you want an
See Pub. 515, Withholding of Tax on Nonresident Aliens and
additional amount withheld. Then, complete line 3 of Form W-4P
Foreign Entities, and Pub. 519, U.S. Tax Guide for Aliens, for
and submit the form to your payer.
details. A foreign person should submit Form W-8BEN,
Certificate of Foreign Status of Beneficial Owner for
Note: The payer won’t withhold federal income tax if the entire
United States Tax Withholding, to the payer before receiving any
distribution is transferred by the plan administrator in a direct
payments. The Form W-8BEN must contain the foreign person’s
rollover to a traditional IRA or another eligible retirement plan (if
taxpayer identification number (TIN).
allowed by the plan), such as a qualified pension plan,
governmental section 457(b) plan, section 403(b) contract, or
Statement of Federal Income Tax Withheld
tax-sheltered annuity.
From Your Pension or Annuity
Distributions that are (a) required by law, (b) one of a specified
By January 31 of next year, your payer will furnish a statement
series of equal payments, or (c) qualifying “hardship”
to you on Form 1099-R, Distributions From Pensions, Annuities,
distributions are not “eligible rollover distributions” and aren’t
Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,
subject to the mandatory 20% federal income tax withholding.
etc., showing the total amount of your pension or annuity
See Pub. 505 for details. See also Nonperiodic payments—10%
payments and the total federal income tax withheld during the
withholding on page 3.
year. If you’re a foreign person who has provided your payer
Tax relief for victims of terrorist attacks. For tax years ending
with Form W-8BEN, your payer instead will furnish a statement
after September 10, 2001, disability payments for injuries
to you on Form 1042-S, Foreign Person’s U.S. Source Income
incurred as a direct result of a terrorist attack directed against
Subject to Withholding, by March 15 of next year.
the United States (or its allies), whether outside or within the
United States, aren’t included in income. You may check the
Privacy Act and Paperwork Reduction Act
box on line 1 of Form W-4P and submit the form to your payer
Notice
to have no federal income tax withheld from these disability
payments. However, you must include in your income any
We ask for the information on this form to carry out the Internal
amounts that you received or you would’ve received in
Revenue laws of the United States. You are required to provide
retirement had you not become disabled as a result of a terrorist
this information only if you want to (a) request federal income
attack. See Pub. 3920, Tax Relief for Victims of Terrorist
tax withholding from periodic pension or annuity payments
Attacks, for more details.
based on your withholding allowances and marital status,
Changing Your “No Withholding” Choice
(b) request additional federal income tax withholding from your
pension or annuity, (c) choose not to have federal income tax
Periodic payments. If you previously chose not to have federal
withheld, when permitted, or (d) change or revoke a previous
income tax withheld and you now want withholding, complete
Form W-4P. To do any of the aforementioned, you are required
another Form W-4P and submit it to your payer. If you want
by sections 3405(e) and 6109 and their regulations to provide
federal income tax withheld at the rate set by law (married with
the information requested on this form. Failure to provide this
three allowances), write “Revoked” next to the checkbox on
information may result in inaccurate withholding on your
line 1 of the form. If you want tax withheld at any different rate,
payment(s). Providing false or fraudulent information may
complete line 2 on the form.
subject you to penalties.
Nonperiodic payments. If you previously chose not to have
Routine uses of this information include giving it to the
federal income tax withheld and you now want withholding,
Department of Justice for civil and criminal litigation, and to
write “Revoked” next to the checkbox on line 1 and submit
cities, states, the District of Columbia, and U.S. commonwealths
Form W-4P to your payer.
and possessions for use in administering their tax laws. We may
Payments to Foreign Persons and Payments
also disclose this information to other countries under a tax
treaty, to federal and state agencies to enforce federal nontax
To Be Delivered Outside the United States
criminal laws, or to federal law enforcement and intelligence
Unless you’re a nonresident alien, withholding (in the manner
agencies to combat terrorism.
described above) is required on any periodic or nonperiodic
You are not required to provide the information requested on
payments that are to be delivered to you outside the United
a form that is subject to the Paperwork Reduction Act unless
States or its possessions. You can’t choose not to have federal
the form displays a valid OMB control number. Books or
income tax withheld on line 1 of Form W-4P. See Pub. 505 for
records relating to a form or its instructions must be retained as
details.
long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax
returns and return information are confidential, as required by
section 6103.
The average time and expenses required to complete and file
this form will vary depending on individual circumstances. For
estimated averages, see the instructions for your income tax
return.
If you have suggestions for making this form simpler, we
would be happy to hear from you. See the instructions for your
income tax return.
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