Form Id-Ms1 - Employee'S Idaho Military Spouse Withholding Exemption Certificate - 2016

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ID-MS1
EMPLOYEE'S IDAHO MILITARY SPOUSE WITHHOLDING
2016
F
O
EXEMPTION CERTIFICATE
R
EFO00226
M
12-22-15
Print full name
Social Security Number
Street address
City
State
Zip Code
I claim an exemption from Idaho withholding based on the following facts:
• I am the spouse of a service member on active duty stationed in Idaho on official orders, and
• I am domiciled (a permanent resident) in ____________ (state of domicile), and
• I have the same domicile as my servicemember spouse.
Note: All three conditions must be met to qualify for the exemption from Idaho withholding.
Under penalties of perjury, I declare that to the best of my knowledge and belief this form is true, correct, and
complete.
Employee signature
Date
Daytime phone
SIGN
HERE
Employee — do not write in Employer Section below.
Employer Section
Under penalties of perjury, I declare that to the best of my knowledge and belief this form is true, correct, and
complete.
Note: Federal law prohibits photocopying any military identification card except to obtain health care.
Employer signature
Date
SIGN
HERE
Employer, please keep a copy of this document for your records, and send a copy, within 30 days from the
date the employee signs the form, to:
Idaho State Tax Commission
Tax Discovery Bureau
PO Box 36
Boise ID 83722-0036
This exemption is valid through December 31, 2016. A new Form ID-MS1 is required each year.

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