Form W-4mn - Minnesota Employee Withholding Allowance/exemption Certificate Page 2
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3Form W-4MN Instructions
If you are claiming the same number of Minnesota allowances as federal and the number claimed is 10 or less,
there is no need for you to complete this form.
Employee Instructions
When to Complete
Note: An employee who submits a false Form
• You qualify as exempt from Minnesota
W-4MN may be subject to a $500 penalty.
withholding under the Soldiers and
After you determine the number of federal
Sailors Civil Relief Act. To qualify, you
withholding allowances to claim on federal
Section 1 — Minnesota Allowances
must be the spouse of a military mem-
Form W-4, you must determine the number
Do not claim more than the correct number
ber assigned to duty in Minnesota, be
of Minnesota withholding allowances to
of allowances. If you claim every allow-
domiciled in another state and be present
claim.
ance to which you are entitled and you still
in Minnesota solely to be with your active
expect to owe more income tax for the year
If you claim the same number of Minne-
duty military member spouse. OR
than will be withheld, you may:
sota allowances as federal and the number
• You are a member of an American Indian
claimed is 10 or less, you do not need to
• increase your withholding by claiming
tribe living and working on the reserva-
complete Form W-4MN. Your employer
fewer allowances; or
tion of which you are an enrolled member.
will use the same number as on your federal
• enter into an agreement with your em-
Form W-4 to determine the amount of Min-
If you claim exempt and your wages are
ployer to have additional amounts with-
nesota income tax to withhold.
expected to exceed $200 per week, your em-
held (see line 3 instructions).
ployer is required to furnish a copy of Form
You must complete Form W-4MN and
Line 3. If you claim no Minnesota allow-
W-4MN to the department.
provide it to your employer, if you:
ances on line 2, and you still expect to have
Note: If another person can claim you as a
• choose to claim fewer Minnesota allow-
a balance due on your tax return for the
dependent on his or her federal tax return,
ances than for federal purposes (Min-
year, you may ask your employer to with-
you cannot claim exempt from Minnesota
nesota allowances cannot exceed the
hold an additional amount of tax each pay
withholding if your annual income exceeds
number of federal allowances);
period. If your employer agrees, enter the
$950 and includes more than $300 of un-
additional amount you want withheld from
• claim more than 10 Minnesota allow-
earned income.
each paycheck on line 3.
ances (Note: Your employer is required to
provide copies of your completed Form
If you claim exempt from Minnesota with-
Section 2 — Minnesota Exemption
W-4MN to the department);
holding, provide your employer with a new
If you are exempt from Minnesota with-
Form W-4MN by Feb. 15 of each year.
• request additional Minnesota withhold-
holding, your employer will not withhold
ing be deducted each pay period; or
Minnesota income tax from your pay. To
Use of Information
claim exemption, you must meet one of the
• claim to be exempt from Minnesota in-
All information on Form W-4MN is private
following requirements:
come tax withholding and you reasonably
by state law. It cannot be given to others
expect your wages to exceed $200 per
without your consent, except to the Internal
• You meet the federal requirements; you
week (see Section 2 instructions).
Revenue Service and to other states that
claim exempt from federal withholding
guarantee the same privacy. Your name,
on Form W-4 and you also want to claim
Consider completing a new Form W-4MN
address and Social Security number are re-
exempt from Minnesota withholding; you
whenever your personal or financial situa-
quired for identification. Information about
had no Minnesota income tax liability in
tion changes. If you have not had sufficient
your allowances is required to determine
the prior year; you received a full refund
income tax withheld from your wages, inter-
your correct tax. We ask for your phone
of Minnesota tax withheld; and you
est and/or penalty charges may be assessed
number so we can call you if we have a
expect to have no Minnesota income tax
when you file your individual income tax
question.
liability for the current year. OR
return.
Employer Instructions
All new employees must complete federal
If the employee does not give you a com-
Minnesota than federal allowances, use the
Form W-4 when they first begin work for
pleted Form W-4 or Form W-4MN before
number of federal allowances to determine
the Minnesota withholding (see Section 1).
you. If the employee claims the same num-
the first wage payment, withhold Min-
ber of Minnesota allowances as federal, does
nesota tax as if the employee is single with
For more information, see When to Com-
not request additional Minnesota with-
zero withholding allowances. You are not
plete under Employee Instructions. Keep all
holding be deducted or claims exempt from
required to verify the number of allowances
forms in your records.
Minnesota withholding, there is no need for
claimed by each employee.
If your employee claims exempt from
the employee to complete Form W-4MN.
You should honor each Form W-4MN you
Minnesota withholding, they must provide
When determining Minnesota withhold-
receive unless we notify you or if the em-
you with a new Form W-4MN by Feb. 15 of
ing, use the same number of allowances the
ployee claims more Minnesota than federal
each year. Exempt forms must be submitted
employee listed on Form W-4.
allowances. If the employee claims more
Continued
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