Form Sd/w-4a - Withholding Allowance(S) Computation Worksheet Page 2
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23. Subtract Line 2 from Line 1, but not less than zero.
3. $__________
4. Enter an estimate of your subtraction adjustment to
4. $__________
income for the current year. These include alimony paid,
IRA contributions, State pension exclusion and the
Exclusion for certain persons over 60 years old or
Disabled.
5. Add Lines 3 and 4.
5. $__________
6. Enter an estimate of your non-wage income for the
6. $__________
current year.
7. Subtract Line 6 From Line 5 and enter the result.
7. $__________
8. Divide the amount on Line 7 by $2,000 and enter result
8. __________
here. Round down to nearest whole number.
9. Enter the number from Line G above.
9. __________
10. Add Lines 8 and 9 and enter total here.
10. __________
IF LESS THAN ZERO, SEE SPECIAL INSTRUCTIONS
BELOW*. Report this number of allowances on
Form W-4 and indicate “For Delaware Purposes Only”
to your employer.
*SPECIAL INSTRUCTIONS: If the total on Line 10 is less than zero you will need additional
I.
withholding as a result of non-wage income. You can calculate the amount of additional
withholding as follows:
(1) Multiply number on Line 10 by $110;
(2) Divide the result by the number of pay periods
during the year (e.g. if you are paid monthly,
divide by 12); The result is the additional amount
of withholding required per pay.
EXAMPLE: Total on Line 10 is “-2” and you are paid once a month.
(1) Line H = 2 x $110 = $220.00
(2) Number of pay periods = $220.00/12 = $18.33
You should notify your employer on a “ For Delaware Purposes Only ” W-4 that withholding
allowance should be “0” and an additional $18.33 per pay should be withheld for the current year.
*DF40913029999*
Revised 01/28/13
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