Form It 4 - Employee'S Withholding Exemption Certificate - Ohio Department Of Taxation

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IT 4

Rev. 5/07

Notice to Employee

1. For state purposes, an individual may claim only natural de-

For further information, consult the Ohio Department of Taxa-

pendency exemptions. This includes the taxpayer, spouse

tion,

Personal and School District Income Tax Division,

and each dependent. Dependents are the same as defined

your employer.

in the Internal Revenue Code and as claimed in the taxpayer’s

3. If you expect to owe more Ohio income tax than will be

federal income tax return for the taxable year for which the

withheld, you may claim a smaller number of exemptions;

taxpayer would have been permitted to claim had the tax-

or under an agreement with your employer, you may have

payer filed such a return.

an additional amount withheld each pay period.

2. You may file a new certificate at any time if the number of your

4. A married couple with both spouses working and filing a

exemptions increases.

joint return will, in many cases, be required to file an indi-

You must file a new certificate within 10 days if the number of

vidual estimated income tax form IT 1040ES even though

exemptions previously claimed by you decreases because:

Ohio income tax is being withheld from their wages. This

(a) Your spouse for whom you have been claiming exemp-

result may occur because the tax on their combined in-

tion is divorced or legally separated, or claims her (or his)

come will be greater than the sum of the taxes withheld

own exemption on a separate certificate.

from the husband’s wages and the wife’s wages. This

(b) The support of a dependent for whom you claimed ex-

requirement to file an individual estimated income tax form

emption is taken over by someone else.

IT 1040ES may also apply to an individual who has two

jobs, both of which are subject to withholding. In lieu of

tion must be dropped for federal purposes.

filing the individual estimated income tax form IT 1040ES,

the individual may provide for additional withholding with

The death of a spouse or a dependent does not affect your

his employer by using line 5.

withholding until the next year but requires the filing of a new

certificate. If possible, file a new certificate by Dec. 1st of the

year in which the death occurs.

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IT 4

Department of

Rev. 5/07

Employee’s Withholding Exemption Certificate

Taxation

Print full name

Social Security number

Home address and ZIP code

Public school district of residence

School district no.

(See The Finder at tax.ohio.gov.)

1. Personal exemption for yourself, enter “1” if claimed ...............................................................................................................

2. If married, personal exemption for your spouse if not separately claimed (enter “1” if claimed) ............................................

3. Exemptions for dependents .......................................................................................................................................................

4. Add the exemptions that you have claimed above and enter total ...........................................................................................

5. Additional withholding per pay period under agreement with employer ..................................................................................

Under the penalties of perjury, I certify that the number of exemptions claimed on this certificate does not exceed the number to which I am entitled.

Signature

Date