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ARIZONA W4

Employee’s Arizona Withholding Election

Download W4 Instructions

Arizona W4

Step 1 of 3

33%

Name*
First Middle Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code

Download W4 Instructions
Choose either box 1 or box 2:
Box 1. Withhold from gross taxable wages at the percentage checked (check only one percentage):
- 0.8%
- 1.3%
- 1.8%
- 2.7%
- 3.6%
- 4.2%
- 5.1%
Check this box and enter an extra amount to be withheld from each paycheck
- Extra Amount
Amount
Box 2. I elect an Arizona withholding percentage of zero, and I certify that I expect to have no Arizona tax liability for the current taxable year.
- No Arizona tax liability

Under penalties of perjury, I certify that I have examined this certificate and to the best of my knowledge and belief, it is true, correct, and complete.*
- I certify the above statement
Social Security Number*
Employee Signature – Type Your Name*
Today's Date*
My IP Address is: 44.192.115.114
This form was submitted on: 09/21/2023