Withholding Exemption Certicate
2002
ARIZONA FORM
WEC
For use by nonresident employees who anticipate no Arizona income tax liability for the taxable year based on
eligibility of a tax credit allowance for income taxes paid to the state of domicile or residency. Arizona income tax
returns will still be required if the nonresident employee meets Arizona ling requirements.
See Instructions on Reverse Side
Type or print full name
Social security number
Home address (number and street)
City, state, ZIP code
Employee’s certication: I declare that I am a resident of the state of __________________________________________
_________________ and that I am on a temporary duty assignment for my employer, ____________________________
_____________________________________ , in Arizona. I certify that as a nonresident of Arizona, I anticipate no
Arizona net income tax liability since I am eligible for a tax credit allowance under ARS § 43-1096, as amended, for income
taxes which will be paid to my state of residence or domicile for the year 2002.
Signature ____________________________________________________________ Date _______________________
Employee - File two copies of this certicate with your employer.
Employer - Submit one copy with your next Form A1-QRT, Arizona Quarterly Withholding
Tax Return, to be led with the Department of Revenue. Retain one copy for your records.
ADOR 91-0045 (01) rj