Form Il-W-4 - Employee'S Illinois Withholding Allowance Certificate (Page 2 of 2) in pdf

Illinois Withholding Allowance Worksheet

General Information

Use this worksheet as a guide to figure your total withholding

If you have more than one job or your spouse works, your withholding

allowances you may enter on your Form IL-W-4.

usually will be more accurate if you claim all of your allowances on the

Form IL-W-4 for the highest-paying job and claim zero on all of your

Complete Step 1.

other IL-W-4 forms.

Complete Step 2 if

You may reduce the number of allowances or request that your

• you (or your spouse) are age 65 or older or legally blind, or

employer withhold an additional amount from your pay, which may help

• you wrote an amount on Line 4 of the Deductions and

avoid having too little tax withheld.

Adjustments Worksheet for federal Form W-4.

Step 1: Figure your basic personal allowances

(including allowances for dependents)

Check all that apply:

No one else can claim me as a dependent.

I can claim my spouse as a dependent.

1 Enter the total number of boxes you checked.

1 _______________

2 Enter the number of dependents (other than you or your spouse) you will claim on your tax return.

2 _______________

3 Add Lines 1 and 2. Enter the result. This is the total number of basic personal allowances to which you are

entitled. You are not required to claim these allowances. The number of basic personal allowances that you

choose to claim will determine how much money is withheld from your pay. See Line 4 for more information. 3 _______________

4 Enter the total number of basic personal allowances you choose to claim on this line and Line 1 of

Form IL-W-4 below. This number may not exceed the amount on Line 3 above, however you can claim as

few as zero. Entering lower numbers here will result in more money being withheld(deducted) from your pay. 4 _______________

Step 2: Figure your additional allowances

Check all that apply:

I am 65 or older.

I am legally blind.

My spouse is 65 or older.

My spouse is legally blind.

5 Enter the total number of boxes you checked.

5 _______________

6 Enter any amount that you reported on Line 4 of the Deductions and Adjustments Worksheet

for federal Form W-4 plus any additional Illinois subtractions or deductions.

6 _______________

7 Divide Line 6 by 1,000. Round to the nearest whole number. Enter the result on Line 7.

7 _______________

8 Add Lines 5 and 7. Enter the result. This is the total number of additional allowances to which

you are entitled. You are not required to claim these allowances. The number of additional allowances

that you choose to claim will determine how much money is withheld from your pay.

8 _______________

9 Enter the total number of additional allowances you elect to claim on Line 2 of Form IL-W-4, below. This

number may not exceed the amount on Line 8 above, however you can claim as few as zero. Entering lower

numbers here will result in more money being withheld(deducted) from your pay.

9 _______________

IMPORTANT: If you want to have additional amounts withheld from your pay, you may enter a dollar amount on Line 3 of Form IL-W-4

below. This amount will be deducted from your pay in addition to the amounts that are withheld as a result of the allowances you have

claimed.

Cut here and give the certificate to your employer. Keep the top portion for your records

Illinois Department of Revenue

IL-W-4

Employee’s Illinois Withholding Allowance Certificate

Enter the total number of basic allowances that you

____ ____ ____ - ____ ____ - ____ ____ ____ ____

are claiming (Step 1, Line 4, of the worksheet).

____________

Social Security number

Enter the total number of additional allowances that

________________________________________________________________________

____________

you are claiming (Step 2, Line 9, of the worksheet).

Name

Enter the additional amount you want withheld

________________________________________________________________________

____________

(deducted) from each pay.

Street address

I certify that I am entitled to the number of withholding allowances claimed on

________________________________________________________________________

City

State

ZIP

this certificate.

Check the box if you are exempt from federal and Illinois

______________________________________________________________________

Your signature

Date

Income Tax withholding and sign and date the certificate.

Employer: Keep this certificate with your records. If you have referred the employee’s federal

certificate to the IRS and the IRS has notified you to disregard it, you may also be required to

This form is authorized under the Illinois Income Tax Act. Disclosure

disregard this certificate. Even if you are not required to refer the employee’s federal certificate to

of this information is required. Failure to provide information may

the IRS, you still may be required to refer this certificate to the Illinois Department of Revenue for

IL-W-4 (R-08/17)

result in this form not being processed and may result in a penalty.

inspection. See Illinois Income Tax Regulations 86 Ill. Adm. Code 100.7110.

Form Il-W-4 - Employee'S Illinois Withholding Allowance Certificate Page 2

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