IRS Form W-4S 2018 Request for Federal Income Tax Withholding From Sick Pay

IRS Form W-4s or the "Request For Federal Income Tax Withholding From Sick Pay" is tax form released and collected by the United States Internal Revenue Service. The January 1, 2018 fillable version of the W-4s Form can be downloaded below in PDF-format.

The IRS-issued "Request For Federal Income Tax Withholding From Sick Pay" is available for digital filing or can be filled out through the Adobe Reader application on your desktop or mobile device.

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W-4S
Request for Federal Income Tax
OMB No. 1545-0074
Withholding From Sick Pay
Form
2018
Give this form to the third-party payer of your sick pay.
Department of the Treasury
Go to www.irs.gov/FormW4S for the latest information.
Internal Revenue Service
Type or print your first name and middle initial
Last name
Your social security number
Home address (number and street or rural route)
City or town, state, and ZIP code
Claim or identification number (if any) .
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I request federal income tax withholding from my sick pay payments. I want the following amount to be
$
withheld from each payment. (See Worksheet below.)
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Employee’s signature
Date
Separate here and give the top part of this form to the payer. Keep the lower part for your records.
Worksheet (Keep for your records. Do not send to the Internal Revenue Service.)
1 Enter amount of adjusted gross income that you expect in 2018
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2 If you plan to itemize deductions on Schedule A (Form 1040), enter the estimated total of your
deductions. See Pub. 505 for details. If you don’t plan to itemize deductions, enter the standard
deduction. (See the instructions on page 2 for the standard deduction amount, including additional
standard deductions for age and blindness.) Note: There is no deduction for personal exemptions
for 2018 .
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2
3 Subtract line 2 from line 1 .
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4 Tax. Figure your tax on line 3 by using the 2018 Tax Rate Schedule X, Y-1, Y-2, or Z on page 2. Do
not use any tax tables, worksheets, or schedules in the 2017 Form 1040, 1040A, or 1040EZ
instructions .
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4
5 Credits (child tax and higher education credits, credit for child and dependent care expenses, etc.) .
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6 Subtract line 5 from line 4 .
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7 Estimated federal income tax withheld or to be withheld from other sources (including amounts
withheld due to a prior Form W-4S) during 2018 or paid or to be paid with 2018 estimated tax
payments
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7
8 Subtract line 7 from line 6 .
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8
9 Enter the number of sick pay payments you expect to receive this year to which this Form W-4S will
apply .
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9
10 Divide line 8 by line 9. Round to the nearest dollar. This is the amount that should be withheld from
each sick pay payment. Be sure it meets the requirements for the amount that should be withheld,
as explained under Amount to be withheld below. If it does, enter this amount on Form W-4S above
10
General Instructions
• Must not reduce the net amount of each sick pay payment that
you receive to less than $10.
Purpose of form. Give this form to the third-party payer of your sick
For payments larger or smaller than a regular full payment of sick
pay, such as an insurance company, if you want federal income tax
pay, the amount withheld will be in the same proportion as your
withheld from the payments. You aren’t required to have federal
regular withholding from sick pay. For example, if your regular full
income tax withheld from sick pay paid by a third party. However, if
payment of $100 a week normally has $25 (25%) withheld, then $20
you choose to request such withholding, Internal Revenue Code
(25%) will be withheld from a partial payment of $80.
sections 3402(o) and 6109 and their regulations require you to
Caution: You may be subject to a penalty if your tax payments
provide the information requested on this form. Don’t use this form if
during the year aren’t at least 90% of the tax shown on your tax
your employer (or its agent) makes the payments because employers
return. For exceptions and details, see Pub. 505, Tax Withholding
are already required to withhold federal income tax from sick pay.
and Estimated Tax. You may pay tax during the year through
Note: If you receive sick pay under a collective bargaining
withholding or estimated tax payments or both. To avoid a penalty,
agreement, see your union representative or employer.
make sure that you have enough tax withheld or make estimated
Definition. Sick pay is a payment that you receive:
tax payments using Form 1040-ES, Estimated Tax for Individuals.
You may estimate your federal income tax liability by using the
• Under a plan to which your employer is a party, and
worksheet above.
• In place of wages for any period when you’re temporarily absent
Sign this form. Form W-4S is not valid unless you sign it.
from work because of your sickness or injury.
Statement of income tax withheld. After the end of the year, you’ll
Amount to be withheld. Enter on this form the amount that you
receive a Form W-2, Wage and Tax Statement, reporting the taxable
want withheld from each payment. The amount that you enter:
sick pay paid and federal income tax withheld during the year.
• Must be in whole dollars (for example, $35, not $34.50).
These amounts are reported to the Internal Revenue Service.
• Must be at least $4 per day, $20 per week, or $88 per month
(continued on back)
based on your payroll period.
W-4S
For Paperwork Reduction Act Notice, see page 2.
Form
(2018)
Cat. No. 10226E

Download IRS Form W-4S 2018 Request for Federal Income Tax Withholding From Sick Pay

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