Form W-4s - Request For Federal Income Tax Withholding From Sick Pay - 2015 Page 2
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Form W-4S (2015)
Page
Changing your withholding. Form W-4S remains in effect until you
paragraph. If you can be claimed as a dependent on another person’s
change or revoke it. You may do this by giving a new Form W-4S or a
return, see Limited standard deduction for dependents, later.
written notice to the payer of your sick pay. To revoke your previous
Additional amount for the elderly or blind. An additional standard
Form W-4S, complete a new Form W-4S and write “Revoked” in the
deduction of $1,250 is allowed for a married individual (filing jointly or
money amount box, sign it, and give it to the payer.
separately) or qualifying widow(er) who is 65 or older or blind, $2,500 if
65 or older and blind. If both spouses are 65 or older or blind, an
Specific Instructions for Worksheet
additional $2,500 is allowed on a joint return ($2,500 on a separate
return if you can claim an exemption for your spouse). If both spouses
You may use the worksheet on page 1 to estimate the amount of federal
are 65 or older and blind, an additional $5,000 is allowed on a joint
income tax that you want withheld from each sick pay payment. Use
return ($5,000 on a separate return if you can claim an exemption for
your tax return for last year and the worksheet as a basis for estimating
your spouse). An additional $1,550 is allowed for an unmarried individual
your tax, tax credits, and withholding for this year.
(single or head of household) who is 65 or older or blind, $3,100 if 65 or
You may not want to use Form W-4S if you already have your total tax
older and blind.
covered by estimated tax payments or other withholding.
Limited standard deduction for dependents. If you can be claimed
If you expect to file a joint return, be sure to include the income,
as a dependent on another person’s return, your standard deduction is
deductions, credits, and payments of both yourself and your spouse in
the greater of (a) $1,050 or (b) your earned income plus $350 (up to the
figuring the amount you want withheld.
regular standard deduction for your filing status). If you are 65 or older
Caution. If any of the amounts on the worksheet change after you give
or blind, see Pub. 505 for additional amounts that you may claim.
Form W-4S to the payer, you should use a new Form W-4S to request a
Certain individuals not eligible for standard deduction. For the
change in the amount withheld.
following individuals, the standard deduction is zero.
Line 2—Deductions
• A married individual filing a separate return if either spouse itemizes
Itemized deductions. For 2015, you may have to reduce your itemized
deductions.
deductions if your income is over $309,900 and you are married filing
• A nonresident alien individual.
jointly or are a qualifying widow(er); $284,050 if you are head of
• An individual filing a return for a period of less than 12 months
household; $258,250 if you are single and not head of household or a
because of a change in his or her annual accounting period.
qualifying widow(er); or $154,950 if you are married filing separately. See
Pub. 505 for details.
Line 7—Credits
Standard deduction. For 2015, the standard deduction amounts are:
Include on this line any tax credits that you are entitled to claim, such as
the child tax and higher education credits, credit for child and
Standard
dependent care expenses, earned income credit, or credit for the elderly
Filing Status
Deduction
or the disabled.
Married filing jointly or qualifying widow(er) .
.
.
.
.
. $12,600*
Line 9—Tax Withholding and Estimated Tax
Head of household .
.
.
.
.
.
.
.
.
.
.
.
.
$9,250*
Enter the federal income tax that you expect will be withheld this year
Single or Married filing separately
.
.
.
.
.
.
.
.
$6,300*
on income other than sick pay and any payments made or to be made
*If you are age 65 or older or blind, add to the standard deduction
with 2015 estimated tax payments. Include any federal income tax
amount the additional amount that applies to you as shown in the next
already withheld or to be withheld from wages and pensions.
2015 Tax Rate Schedules
Schedule X—Single
Schedule Z—Head of household
If line 5 is:
The tax is:
If line 5 is:
The tax is:
of the
of the
But not
amount
But not
amount
Over—
over—
over—
Over—
over—
over—
$0
$9,225
$0 + 10%
$0
$0
$13,150
$0 + 10%
$0
9,225
37,450
922.50 + 15%
9,225
1,315 + 15%
13,150
13,150
50,200
37,450
90,750
5,156.25 + 25%
37,450
6,872.50 + 25%
50,200
50,200
129,600
18,481.25 + 28%
90,750
90,750
189,300
26,772.50 + 28%
129,600
129,600
209,850
189,300
411,500
46,075.25 + 33%
189,300
49,192.50 + 33%
209,850
209,850
411,500
411,500
413,200
119,401.25 + 35%
411,500
115,737 + 35%
411,500
411,500
439,000
125,362 + 39.6%
439,000
413,200
and greater
119,996.25 + 39.6%
413,200
and greater
439,000
Schedule Y-2—Married filing separately
Schedule Y-1—Married filing jointly or Qualifying widow(er)
If line 5 is:
The tax is:
If line 5 is:
The tax is:
of the
of the
But not
amount
But not
amount
Over—
over—
over—
Over—
over—
over—
$0
$18,450
$0 + 10%
$0
$0
$9,225
$0 + 10%
$0
1,845 + 15%
18,450
18,450
74,900
9,225
37,450
922.50 + 15%
9,225
74,900
151,200
10,312.50 + 25%
74,900
37,450
75,600
5,156.25 + 25%
37,450
151,200
230,450
29,387.50 + 28%
151,200
14,693.75 + 28%
75,600
75,600
115,225
51,577.50 + 33%
230,450
230,450
411,500
115,225
205,750
25,788.75 + 33%
115,225
111,324 + 35%
411,500
411,500
464,850
205,750
232,425
55,662 + 35%
205,750
64,989.25 + 39.6%
232,425
464,850
and greater
129,996.50 + 39.6%
464,850
232,425
and greater
Paperwork Reduction Act Notice. We ask for the information on this
returns and return information are confidential, as required by Code
form to carry out the Internal Revenue laws of the United States.
section 6103.
You are not required to provide the information requested on a form
The average time and expenses required to complete and file this
that is subject to the Paperwork Reduction Act unless the form displays
form will vary depending on individual circumstances. For estimated
a valid OMB control number. Books or records relating to a form or its
averages, see the instructions for your income tax return.
instructions must be retained as long as their contents may become
If you have suggestions for making this form simpler, we would be
material in the administration of any Internal Revenue law. Generally, tax
happy to hear from you. See the instructions for your income tax return.
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