MI – Horizons Portal

Download W4 Instructions
Enter the number of personal and dependent exemptions you are claiming
Additional amount you want deducted from each pay (if employer agrees)
I claim exemption from withholding because (does not apply to nonresident members of flow-through entities – see instructions):
- a. A Michigan income tax liability is not expected this year.
- Wages are exempt from withholding
- Permanent home (domicile) is located in a Renaissance Zone
Permanent home (domicile) is located in the following Renaissance Zone
If wages are exempt from withholding. Explain

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

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