Arizona Form A-4 - Employee'S Arizona Withholding Percentage Election - 2013
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1ARIZONA FORM
2013
Employee’s Arizona Withholding
A-4
Percentage Election
Type or print your full name
Your social security number
Home address (number and street or rural route)
City or town, state, and ZIP code
Arizona Withholding Percentage Election Options
Choose only one:
1
I choose to have Arizona withholding at the rate of
(check only one box):
0.8%
1.3%
1.8%
2.7%
3.6%
4.2%
5.1% of my gross taxable wages.
Additional amount to be withheld per paycheck $
2
I hereby elect an Arizona withholding percentage of zero, and I certify that I expect to have no Arizona tax liability for the current taxable year.
Print
I certify that I have made the percentage election marked above.
SIGNATURE
DATE
EMPLOYEE’S INSTRUCTIONS
Arizona law requires your employer to withhold Arizona income tax
Electing a Withholding Percentage of Zero
from your wages for work done in Arizona. This amount is applied
You may elect an Arizona withholding percentage of zero if you expect
to your Arizona income tax due when you fi le your tax return. The
to have no Arizona income tax liability for the current year. Arizona tax
amount withheld is a percentage of your gross taxable wages of every
liability is gross tax liability less any tax credits, such as the family tax
paycheck. You may also have your employer withhold an extra amount
credit, school tax credits, or credits for taxes paid to other states. If you
from each paycheck. Complete this form to select a percentage and
make this election, your employer will not withhold Arizona income tax
any extra amount to be withheld from each paycheck.
from your wages for payroll periods beginning after the date you fi le
What are my “Gross Taxable Wages”?
the form. Zero withholding does not relieve you from paying Arizona
income taxes that might be due at the time you fi le your Arizona income
For withholding purposes, your “gross taxable wages” are the wages
tax return. If you have an Arizona tax liability when you fi le your return
that will generally be in box 1 of your federal Form W-2. It is your
or if at any time during the current year conditions change so that you
gross wages less any pretax deductions, such as your share of health
expect to have a tax liability, you should promptly fi le a new Form A-4
insurance premiums.
and choose a percentage that applies to you.
New Employees
Voluntary Withholding Election by Certain Nonresident
Complete this form in the fi rst fi ve days of employment to select an
Employees
Arizona withholding percentage. You may also have your employer
Compensation earned by nonresidents while physically working
withhold an extra amount from each paycheck. If you do not fi le this
in Arizona for temporary periods is subject to Arizona income tax.
form, the department requires your employer to withhold 2.7% of your
However, under Arizona law, compensation paid to certain nonresident
gross taxable wages.
employees is not subject to Arizona income tax withholding. These
Current Employees
nonresident employees need to review their situations and determine
whether they should elect to have Arizona income taxes withheld
If you want to change the current amount withheld, you must fi le this
from their Arizona source compensation. Nonresident employees
form to change the Arizona withholding percentage or change the extra
may request that their employer withhold Arizona income taxes by
amount withheld.
completing this form to elect an Arizona withholding percentage.
What Should I do With Form A-4?
Give your completed Form A-4 to your employer.
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