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Maine W4

Employee’s Withholding Allowance Certificate

Download W4 Instructions

Maine W4

Step 1 of 3

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

Download W4 Instructions
Filing Status
- Single
- Married
- Married, but withholding at higher single rate
Total number of allowances you are claiming
Additional amount, if any, you want withheld from your paycheck
If you do not want any state income tax withheld, check the appropriate box that applies to you (you must qualify – see instructions below). By signing below, you certify that you qualify for the exemption that you select:
If you do not want any state income tax withheld, check the appropriate box that applies to you (you must qualify – see instructions below). By signing below, you certify that you qualify for the exemption that you select:
- a. You claimed “Exempt” on line 7 of your federal Form W-4
- b. You completed federal Form W-4P and checked the box on line 1
- c. You are a resident employee with no Maine tax liability in prior and current years
- d. You are a recipient of periodic retirement payments with no tax liability in prior and current years
- e. Your spouse is a member of the military assigned to a location in Maine and you qualify for exemption under the Military Spouse’s Residency Relief Act. You must attach supporting documents. See instructions

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