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Get IA DoR W-4 2021-2024

Savings alimony paid moving expense deduction from federal form 3903 and student loan interest which are reflected on the Iowa 1040 form. Divide this amount by 600 round to the nearest whole number and enter on line 4 of the IA W-4. Submit this information online at www. iowachildsupport. gov Centralized Employee Registry Reporting Form To be completed by the employer within 15 days of hire. Please print or type. or fax to 1-800-759-5881 or mail to Centralized Employee Registry PO Box 10322 Des Moines IA 50306-0322. Garnishment purposes. BOTTOM PORTION OF FORM IA W-4 INSTRUCTIONS EMPLOYEE WITHHOLDING ALLOWANCE CERTIFICATE Exemption from Withholding You should claim exemption from withholding if you are an Iowa resident and both of the following situations apply 1 for 2017 you had a right to a refund of all Iowa income tax withheld because you had no tax liability and 2 for 2018 you expect a refund of all Iowa income tax withheld because you expect to have no tax liability. See Employer Withholding Requirements on the back of this form. Date Employer Name Employer Address FEIN 44-019a 10/04/2017 TOP PORTION OF FORM CENTRALIZED EMPLOYEE REGISTRY REPORTING FORM EMPLOYER REPORTING REQUIREMENTS An employer doing business in Iowa who hires or rehires an employee must complete this section. Submit online at www. iowachildsupport. gov. You may also mail this portion of the page to Centralized Employee Registry PO Box 10322 Des Moines IA 50306-0322 or fax it to 800-759-5881. Submit this information online at www. iowachildsupport. gov Centralized Employee Registry Reporting Form To be completed by the employer within 15 days of hire. Please print or type. or fax to 1-800-759-5881 or mail to Centralized Employee Registry PO Box 10322 Des Moines IA 50306-0322. EMPLOYER INFORMATION - FEIN Required Employer Phone Number FEIN plus last 3-digit suffix used when filing Iowa withholding tax. Name Address City State ZIP Questions For A through D below please see instructions on back for definitions and clarification* A. Is dependent health care coverage available. Yes No B. Approximate date this employee qualifies for coverage MMDDYY. C. Employee start date MMDDYY. D. Address where income withholding and garnishment orders should be sent if different from address above. Employee Date of Birth Last Name Employee Social Security Number First name Middle Initial DETACH HERE 2018 IA W-4 Employee Withholding Allowance Certificate https //tax. iowa*gov Marital Status Single or married but legally separated Married Print your full name Home Address Social Security Number EXEMPTION FROM WITHHOLDING If you do not expect to owe any Iowa income tax and have a right to a full refund of ALL income tax withheld enter EXEMPT here and the year effective here. Nonresidents may not claim this exemption* Check this box if you are claiming an exemption from Iowa tax based on the Military Spouses Residency Relief Act of 2009. If claiming the military spouse exemption enter your state of domicile here. IF YOU ARE NOT EXEMPT COMPLETE THE FOLLOWING Personal allowances.

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