mo w-4 employee's withholding allowance …€™s withholding allowance certificate ... form...
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1. ALLOWANCE FOR YOURSELF:Enter1foryourselfifyourfilingstatus issingle,married,ORheadofhousehold.............................................................................................................................................. 12. ALLOWANCE FOR YOUR SPOUSE: Doesyourspousework? Yes No IfYES,enter0.IfNO,enter1foryourspouse..................................................................................................................................... 23. ALLOWANCE FOR DEPENDENTS: Enterthenumberofdependentsyouwillclaimonyourtaxreturn.Donotclaim yourselforyourspouseordependentsthatyourspousehasalreadyclaimedonhisorherFormMOW-4....................................... 3
4. ADDITIONAL ALLOWANCES: Youmayclaimadditionalallowancesifyouitemizeyourdeductions orhaveotherstatetaxdeductionsorcreditsthatloweryourtax.Enterthenumberofadditional allowancesyouwouldliketoclaim........................................................................................................................................................ 45. TOTAL NUMBER OF ALLOWANCES YOU ARE CLAIMING:AddLines1through4andentertotalhere...................................... 56. ADDITIONAL WITHHOLDING:Ifyouexpecttohaveabalancedue(asaresultofinterestincome,dividends,incomefroma part-timejob,etc.)onyourtaxreturn,youmayrequestyouremployertowithholdanadditionalamountoftaxfromeach payperiod.Tocalculatetheamountneeded,dividetheamountoftheexpectedbalanceduebythenumberofpayperiods inayear.Entertheadditionalamounttobewithheldeachpayperiodhere........................................................................................ 67. EXEMPT STATUS:IfyouhadarighttoarefundofALLofyourMissouriincometaxwithheldlastyearbecauseyouhadNO taxliabilityandthisyearyouexpectarefundofALLMissouriincometaxwithheldbecauseyouexpecttohave NOtaxliability, write“EXEMPT”onLine7.Seeinformationbelow............................................................................................................................... 78.IfyoumeettheconditionssetforthundertheServicememberCivilReliefAct,asamendedbytheMilitarySpousesResidency ReliefActandhavenoMissouritaxliability,write“EXEMPT”online8.Seeinformationbelow........................................................ 8
MISSOURI DEPARTMENT OF REVENUETAXATION DIVISIONP.O. BOX 3340JEFFERSON CITY, MO 65105-3340FAX: (573) 526-8079
EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE
MO W -4(REV.01-2013)
This certificate is for income tax withholdingandchildsupportenforcementpurposesonly.PLEASE TYPE OR PRINT.
FULLNAMEFILINGSTATUS
HOMEADDRESS(NUMBERANDSTREETORRURALROUTE)
SINGLEMARRIEDHEADOFHOUSEHOLD
SOCIALSECURITYNUMBER
CITYORTOWN,STATEANDZIPCODE
EMPLOYEE’SSIGNATURE(Formisnotvalidunlessyousignit.)
Underpenaltiesofperjury,IcertifythatIamentitledtothenumberofwithholdingallowancesclaimedonthiscertificate,orIamentitledtoclaimexemptstatus.DATE(MM/DD/YYYY)
NOTICE TO EMPLOYER: Within 20 days of hiring a new employee, send a copy of Form MO W-4 to the: Missouri Department of Revenue, P.O. Box 3340, Jefferson City, MO 65105-3340 or fax to (573) 526-8079. Foradditionalinformationregardingnewhirereporting,pleasevisitwww.dss.mo.gov/cse/newhire.htm.
EMPLOYER’SNAME
EMPLOYER’SADDRESS
FEDERALEMPLOYERIDENTIFICATIONNUMBER
MISSOURITAXIDENTIFICATIONNUMBER
—EmployEE InformatIon—you Do not pay mIssourI IncomE tax on all of thE IncomE you Earn!
Visit www.dor.mo.gov to try our online withholding calculator.Deductionsandexemptionsreducetheamountofyourtaxableincome.FormMOW-4iscompletedsoyoucanhaveasmuch“take-homepay”aspossiblewithoutanincometaxliabilityduetothestateofMissouriwhenyoufileyourreturn.Deductionsandexemptionsreducetheamountofyourtaxableincome.Ifyourincomeislessthanthetotalofyourpersonalexemptionplusyourstandarddeduction,youshouldmark“EXEMPT”onLine7above.ThefollowingamountsofyourannualMissouriadjustedgrossincomewillnotbetaxedbythestateofMissouriwhenyoufileyourindividualincometaxreturn.
• If your filing status ismarried filing combined and your spouseworks, do not claim anexemptiononFormMOW-4foryourspouse.
• If you and your spouse have dependents, please be sure only one of you claim thedependentsonyourFormMOW-4. Ifbothspousesclaimthedependentsasanallow-anceonFormMOW-4,itmaycauseyoutooweadditionalMissouriincometaxwhenyoufileyourreturn.
• Ifyouhavemorethanoneemployer,youshouldclaimasmallernumberornoallowanceson each FormMOW-4 filed with employers other than your principal employer so theamountwithheldwillbeclosertoyouramountoftotaltax.
• Ifyou itemizeyourdeductions, insteadofusing thestandarddeduction, theamountnottaxedbyMissourimaybeagreaterorlesseramount.
•Ifyouareclaimingan“EXEMPT”statusduetotheMilitarySpousesResidencyReliefActyou mustprovideoneofthefollowingtoyouremployer:LeaveandEarningsStatementofthenon- residentmilitaryservicemember,FormW-2issuedtothenonresidentmilitaryservicemember,a militaryidentificationcard,orspecificmilitaryordersreceivedbytheservicemember.Youmust alsoprovideverificationofresidencysuchasacopyofyourstateincometaxreturnfiledinyour stateofresidence,apropertytaxreceiptfromthestateofresidence,acurrentdriverslicense, vehicleregistrationorvoterIDcard.
$
Single$2,100 — personal exemption$6,100 — standard deduction$8,200 — Total
+ $1,200 for each dependent+ up to $5,000 for federal tax
Married Filing Combined$ 4,200 — personal exemption$12,200 — standard deduction$16,400 — Combined Total (For both spouses)
+ $1,200 for each dependent+ up to $10,000 for federal tax
Head of Household$ 3,500 — personal exemption$ 8,950 — standard deduction$12,450 — Total
+ $1,200 for each dependent+ up to $5,000 for federal tax
Items to Remember:
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MOW-4(01-2013)
TO BE COMPLETED BY EMPLOYEE
TO BE COMPLETED BY EMPLOYER
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DATESERVICESFORPAYFIRSTPERFORMEDBYEMPLOYEE(STARTDATE) (MM/DD/YYYY)
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