Form D-4 "Dc Withholding Allowance Certificate" - Washington, D.C.

What Is Form D-4?

This is a legal form that was released by the Washington DC Office of Tax and Revenue - a government authority operating within Washington, D.C.. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Washington DC Office of Tax and Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form D-4 by clicking the link below or browse more documents and templates provided by the Washington Dc Office of Tax and Revenue.

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Download Form D-4 "Dc Withholding Allowance Certificate" - Washington, D.C.

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Government of the
2018
D-4 DC Withholding Allowance Certificate
District of Columbia
Taxpayer identification number (TIN) See instructions.
First name
Last name
M.I.
(number, street and suite/apartment number if applicable)
Home address
City
State
Zip code +4
jointly/qualifying widow(er) with dependent child
(Fill in only one)
1
Tax fi ling status
Single
Married/domestic partners fi ling
Head of household
Married fi ling separately
Married/domestic partners fi ling separately on same return
2
Total number of withholding allowances from worksheet below.
Enter total from Sec. A,
Line i
Enter total from Sec. B,
Line m
Total number of withholding allowances ,
Line n
3
Additional amount, if any, you want withheld from each paycheck
$
4
Before claiming exemption from withholding, read below. If qualifi ed, write “EXEMPT” in this box.
5
My domicile is a state other than the District of Columbia
If yes, give name of state of domicile __________________
Yes
No
I am exempt because: last year I did not owe any DC income tax and had a right to a full refund of all DC income tax withheld from me; and this year I do
not expect to owe any DC income tax and expect a full refund of all DC income tax withheld from me; and I qualify for exempt status on federal Form W-4.
If claiming exemption from withholding, are you a full-time student?
Yes
No
Signature
Under penalties of law, I declare that the information provided on this certifi cate is, to the best of my knowledge, correct.
Employee’s signature
Date
Employer
Keep this certificate with your records. If 10 or more exemptions are claimed or if you suspect this certificate contains false information
please send a copy to: Office of Tax and Revenue, 1101 4th St., SW, Washington, DC 20024 Attn: Compliance Administration
Detach and give the top portion to your employer. Keep the bottom portion for your records.
D-4 DC Withholding Allowance Worksheet
Government of the
District of Columbia
Section A Number of withholding allowances
a Enter 1 for yourself
a
b
Enter 1 if you are filing as a head of household
b
c
Enter 1 if you are 65 or over
c
d Enter 1 if you are blind
d
e
Enter number of dependents
e
f
Enter 1 for your spouse or registered domestic partner filing jointly or filing separately on same return
or if you are a qualifying widow(er)
f
with dependent child
g
g
Enter 1 if married or registered domestic partner filing jointly or filing separately on same return and your spouse or registered domestic
partner is 65 or over
h
h
Enter 1 if married or registered domestic partner filing jointly
or filing separately on same return and your spouse or registered domestic
partner is blind
i
i
Number of allowances
Add Lines a through h, enter here and on Line 2 above, next to "Enter total from Sec. A, Line i".
If you want to claim additional withholding allowances, complete Section B below.
Section B Additional withholding allowances
j
j
Enter estimate of your itemized deductions
k Enter
$6,500 if single, married/registered domestic partners filing separately or a dependent. Enter $9,550 if
head of household. Enter
$13,000 if
married/registered domestic partner filing jointly, married
k
filing separately on the same
return, or qualifying widow(er) with dependent child.
l
l
Subtract Line k from Line j
m
Divide Line l by $4,150. Round to the nearest whole number, enter here and on Line 2 above, next to "Enter total from Sec.B, Line m".
m
n
n
Add Lines
m
and i, enter here and on Line 2 above, next to "Total number of withholding allowances, Line n".
10/2017
Revised
Government of the
2018
D-4 DC Withholding Allowance Certificate
District of Columbia
Taxpayer identification number (TIN) See instructions.
First name
Last name
M.I.
(number, street and suite/apartment number if applicable)
Home address
City
State
Zip code +4
jointly/qualifying widow(er) with dependent child
(Fill in only one)
1
Tax fi ling status
Single
Married/domestic partners fi ling
Head of household
Married fi ling separately
Married/domestic partners fi ling separately on same return
2
Total number of withholding allowances from worksheet below.
Enter total from Sec. A,
Line i
Enter total from Sec. B,
Line m
Total number of withholding allowances ,
Line n
3
Additional amount, if any, you want withheld from each paycheck
$
4
Before claiming exemption from withholding, read below. If qualifi ed, write “EXEMPT” in this box.
5
My domicile is a state other than the District of Columbia
If yes, give name of state of domicile __________________
Yes
No
I am exempt because: last year I did not owe any DC income tax and had a right to a full refund of all DC income tax withheld from me; and this year I do
not expect to owe any DC income tax and expect a full refund of all DC income tax withheld from me; and I qualify for exempt status on federal Form W-4.
If claiming exemption from withholding, are you a full-time student?
Yes
No
Signature
Under penalties of law, I declare that the information provided on this certifi cate is, to the best of my knowledge, correct.
Employee’s signature
Date
Employer
Keep this certificate with your records. If 10 or more exemptions are claimed or if you suspect this certificate contains false information
please send a copy to: Office of Tax and Revenue, 1101 4th St., SW, Washington, DC 20024 Attn: Compliance Administration
Detach and give the top portion to your employer. Keep the bottom portion for your records.
D-4 DC Withholding Allowance Worksheet
Government of the
District of Columbia
Section A Number of withholding allowances
a Enter 1 for yourself
a
b
Enter 1 if you are filing as a head of household
b
c
Enter 1 if you are 65 or over
c
d Enter 1 if you are blind
d
e
Enter number of dependents
e
f
Enter 1 for your spouse or registered domestic partner filing jointly or filing separately on same return
or if you are a qualifying widow(er)
f
with dependent child
g
g
Enter 1 if married or registered domestic partner filing jointly or filing separately on same return and your spouse or registered domestic
partner is 65 or over
h
h
Enter 1 if married or registered domestic partner filing jointly
or filing separately on same return and your spouse or registered domestic
partner is blind
i
i
Number of allowances
Add Lines a through h, enter here and on Line 2 above, next to "Enter total from Sec. A, Line i".
If you want to claim additional withholding allowances, complete Section B below.
Section B Additional withholding allowances
j
j
Enter estimate of your itemized deductions
k Enter
$6,500 if single, married/registered domestic partners filing separately or a dependent. Enter $9,550 if
head of household. Enter
$13,000 if
married/registered domestic partner filing jointly, married
k
filing separately on the same
return, or qualifying widow(er) with dependent child.
l
l
Subtract Line k from Line j
m
Divide Line l by $4,150. Round to the nearest whole number, enter here and on Line 2 above, next to "Enter total from Sec.B, Line m".
m
n
n
Add Lines
m
and i, enter here and on Line 2 above, next to "Total number of withholding allowances, Line n".
10/2017
Revised
Detach and give the top portion to your employer. Keep the bottom portion for your records.
Taxpayer Identification Number(s) (TIN)
How many withholding allowances should you claim?
You must have a TIN, whether it is a Federal Employer Identification
Use the worksheet on the front of this form to figure the number of
Number (FEIN), Social Security Number (SSN), Individual Taxpayer
withholding allowances you should claim. If you want less
Identification Number (ITIN) or Preparer Tax Identification Number
money withheld from your paycheck, you may claim additional
(PTIN).
Section B of the worksheet, Lines j
allowances by completing
Who must file a Form D-4?
through n. However, if you claim too many allowances, you may
Every new employee who resides in DC and is required to have DC
owe additional taxes at the end of the year.
income taxes withheld, must fi ll out Form. D-4 and file it with his/
Should I have an additional amount deducted from my pay-
her employer.
check?
If you are not liable for DC income taxes because you are a
In some instances, even if you claim zero withholding allowances,
nonresident or military spouse, you must file Form D-4A, Certifi cate
you may not have enough tax withheld. You may, upon agreement
of Non-residence in the District of Columbia, with your employer.
with your employer, have more tax withheld by entering on Line 3,
a dollar amount of your choosing.
When should you fi le?
File Form D-4 whenever you start new employment. Once filed with
What to fi le
your employer, it will remain in effect until you file a new certifi cate.
After completing Form D-4, detach the top portion and fi le it with
You may file a new withholding allowance certificate any time the
your employer. Keep the bottom portion for your records.
number of withholding allowances you are entitled to increases.
You must file a new certificate within 10 days if the number of
withholding allowances you claimed decreases.
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