Form Hw-4 - Employee'S Withholding Allowance And Status Certificate (Page 2 of 2) in pdf

FORM HW-4

Page 2

(REV. 2014)

HW-4 Worksheet to Figure Your Withholding Allowances

A. Enter “1” for yourself if no one else can claim you as a dependent ..................................................................................

B. Enter “1” if:

1. You are single and have only 1 job OR

2. You are married, have only 1 job, and your spouse does not work ......................................................

C. Enter “1” for your spouse if:

1. No one else can claim your spouse as a dependent AND

2. Your spouse is not claiming a withholding allowance for himself / herself

on a Form HW-4 ......................................................................................................

D. You may be able to claim additional withholding allowances for age. See Instructions on page 1.

Enter “1” if you or your spouse qualifies. Enter “2” if both you and your spouse qualify ....................................................

E. Enter the number of dependents that you will claim on your tax return. (State qualifications

are the same as the federal) ..............................................................................................................................................

Enter “1” if you will file as head of household on your tax return. See Instructions on page 1.......................................

G. Enter “1” if you estimate that you will have at least $250 of total tax credits ...................................................................

H. If you plan to itemize or claim adjustments to income, complete the worksheet below and enter the number of

withholding allowances here from line 8 ............................................................................................................................

Total. Add lines A through H. Enter the total here and on line 4 of Form HW-4 on page 1. (Note: This amount

may be different from the number of exemptions you claim on your return) .....................................................................

Deductions and Adjustments Worksheet

NOTE: Use this worksheet only if you plan to itemize deductions or claim adjustments to income.

1. Enter an estimate of your current year’s itemized deductions. These include: qualifying home mortgage interest,

charitable contributions, State and local taxes, medical expenses in excess of 10% of your adjusted gross income

for taxable years beginning after December 31, 2012 (for 2013-2016, if either the taxpayer or the taxpayer’s spouse

is age 65 or older at the end of the tax year, the threshold will remain at 7.5% of adjusted gross income), and

miscellaneous deductions. (You may have to reduce your itemized deductions if your income is over $166,800

($83,400 if married filing separately)) ................................................................................................................................

1 $

{

}

$4,400* if married filing jointly or surviving spouse

2. Enter

$3,212* if head of household

............................................................................

2 $

$2,200* if single

$2,200* if married filing separately

3. Line 1 minus line 2. Enter the result, but not less than zero .............................................................................................

3 $

4. Enter an estimate of your current year’s adjustments to income .......................................................................................

4 $

5. Add lines 3 and 4 and enter the total .................................................................................................................................

5 $

6. Enter an estimate of your current year’s nonwage income (such as dividends or interest income) ..................................

6 $

7. Line 5 minus line 6. Enter the result, but not less than zero .............................................................................................

7 $

8. Divide the amount on line 7 by $1,144**. Drop any fraction. Enter the result here and on the HW-4 worksheet,

line H above .......................................................................................................................................................................

Nonresidents and part-year residents: On line 2, enter the amount appropriate to your filing status multiplied by the ratio of your Hawaii adjusted

gross income to total adjusted gross income from all sources.

Nonresidents and part-year residents: Divide the amount on line 7 by $1,144 multiplied by the ratio of your Hawaii adjusted gross income to total

adjusted gross income from all sources.