Form K-4u - Kansas Withholding From Unemployment Insurance Benefits
Download a blank fillable Form K-4u - Kansas Withholding From Unemployment Insurance Benefits in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form K-4u - Kansas Withholding From Unemployment Insurance Benefits with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1K- 4U
Kansas Withholding from
Unemployment Insurance Benefits
(Rev. 5/11)
Unemployment benefits you receive are considered taxable income for federal and state income tax purposes. To
authorize state tax withholding from your benefits,
complete this form and mail or fax it to the unemployment call center
(see address and fax number below).
Print your first name and middle initial
Last Name
Social Security Number
Mailing Address
City
State
ZIP Code
I authorize the Kansas Department of Labor to withhold 3.5% of my weekly unemployment insurance benefit to be
remitted to the Kansas Department of Revenue for my state income tax obligation. I understand the deduction will be
made from benefits paid to me after the date of this agreement or as soon as is reasonable for the Kansas Department
of Labor to update my file to reflect this agreement.
This authorization will remain in effect until the Kansas Department of Labor receives written notice from me to
cancel the agreement.
`
CLAIMANT’S
DATE:
SIGNATURE
CANCELLATION
I hereby cancel my authorization for the Kansas Department of Labor to deduct 3.5% of my weekly unemployment
insurance benefit for my Kansas income tax obligation. I understand this action will be effective the date of the agreement
or as soon as is reasonable for the Kansas Department of Labor to update my file to reflect the change.
`
CLAIMANT’S
DATE:
SIGNATURE
MAILING ADDRESS
Kansas Unemployment Contact Center
P.O. Box 3539
Topeka KS 66601-3539
Fax: (785) 296-3249
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial