Form GRW-4 Employee's Withholding Certificate for Grand Rapids Income Tax - Grand Rapids, Michigan

Form grw-4 or the "Employee's Withholding Certificate For Grand Rapids Income Tax" is a form issued by the michigan department of treasury.

Download a PDF version of the Form grw-4 down below or find it on the michigan department of treasury Forms website.

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RESIDENT
GRW-4
NONRESIDENT
EMPLOYEE’S WITHHOLDING CERTIFICATE FOR GRAND RAPIDS INCOME TAX
1.
Print Full Name
Social Security No.
Office, Plant, Dept.
Employee Identification No
2.
Address, Number and Street
City, Township or Village where you reside
State
Postal Code
3.
Place of Employment
City
Under
40%
60%
80%
100%
25 %
Print name of each city where you work for this
City
Under
employer and circle closest % of total earnings in each.
40%
60%
80%
100%
25%
Exemptions
Regular
Additional exemption if
Additional
Check
Enter number of exemptions
4.
YOUR
blocks
for yourself
exemption
65 or over at end of year
Exemption if blind
checked
WITHHOLDING
which
Exemptions
Regular
Additional exemption if
Additional
Enter number of exemptions
5.
EXEMPTIONS
apply
for your spouse
exemption
65 or over at end of year
Exemption if blind
checked
EMPLOYEE: File this form with your
Number
Exemptions for your
Number
Enter total of line 6
6. (a)
6. (b)
Exemptions for your children:
employer. Otherwise they must withhold
other dependents:
(a plus b)
GRAND RAPIDS income tax from your
7.
Add the number of exemptions which you have claimed on line 4, 5 and 6 above and write the total
earnings without exemption.
I certify that the information submitted on this certificate is true, correct and complete to the best of my knowledge and belief
EMPLOYER: Keep this certificate with your
Signature
records. If the information submitted by the
8.
Date
employee is not believed to be true, correct
and complete, the CITY INCOME TAX
DEPARTMENT must be so advised.
SEE INSTRUCTIONS
To answer residency questions call the
Income Tax Department at (616) 456-3415.
Revised 7/2004
INSTRUCTIONS FOR COMPLETING EMPLOYEE’S WITHHOLDING CERTIFICATE FOR GRAND RAPIDS INCOME TAX
FORM GRW-4
GENERAL INSTRUCTIONS—Check the box in the
INCREASE IN EXEMPTIONS—You should file a new
upper right hand corner to indicate your residency
certificate at any time if the number of your exemptions
status and enter the requested data on lines 1 and 2.
increases.
LINE 3 INSTRUCTIONS—If you are a nonresident and
DECREASE IN EXEMPTIONS—
work for this employer in two or more cities or
1. You must file a new certificate within 10 days if the
communities, print the names of the two Michigan
number of exemptions previously claimed by you
cities or communities where you perform the greatest
DECREASES for any of the following reasons:
percentage of your work. Circle the closest percent of
(a) Your spouse for whom you have been claiming
total earnings for work done or services rendered in
exemption is divorced or legally separated, or
each city or community listed. The estimated percent
claims their own exemption on a separate
of total earnings from this employer for work done or
certificate.
services performed within taxing cities (Line 3) is for
(b) The support of a dependent for whom you
withholding purposes only.
In determining final tax
claimed exemption is taken over by someone
liability this estimate is subject to substantiation and
else, so that you no longer expect to furnish
audit.
more than half of their support for the year.
DEPENDENTS—To qualify as your dependent (line 6),
(c) You find that a dependent for whom you
a person (a) must receive more than one-half of his or
claimed an exemption will receive $3,000 or
her support from you for the year, and (b) must have
more of income of their own during the year.
less than $3,000 gross income during the year (except
2. CHILD TURNS 19—File a new certificate within 10
your child who is under 19 years of age or who is a full-
days of the start of the tax year in which your child,
time student under 24 years of age), and (c) must not
for whom you claimed exemption, turns 19 years of
be claimed as an exemption by such person’s husband
age or, if a full- time student, 24 years of age.
or wife, and (d) must be a citizen or resident of the
3. DEATH OF SPOUSE OR DEPENDENT—You
United States or a resident of Canada, Mexico, the
must file a new certificate by December 1 of the
Republic of Panama or the Canal Zone (this does not
year in which the death of your spouse or
apply to an alien child legally adopted by and living
dependent for whom you claimed exemption
with a United States citizen abroad), and (e) must (1)
occurs. (Death of a spouse or a dependent does
have your home as his principal residence and be a
not affect your withholding until the next year.)
member of your household for the entire year, or (2) be
4. CHANGE OF RESIDENCE—You must file a new
related to you as follows:
certificate within 10 days after you change your
residence from or to a taxing city.
Your son or daughter (including legally adopted
5. CHANGE IN EMPLOYMENT—You must file a new
children), grandchild, stepson, stepdaughter, son-
certificate by December 1 each year if your
in-law, or daughter-in-law.
estimate of the percentage of work done or
Your father, mother, grandparent, stepfather,
services rendered in Grand Rapids (Line 3) will
stepmother, father-in-law, or mother-in-law.
change for the ensuing year.
Your brother, sister, stepbrother, stepsister, half
EXTRA
EXEMPTIONS—Additional
exemptions
brother, half sister, brother-in-law, or sister-in-law.
allowed for federal income tax purposes and claimed
Your uncle, aunt, nephew, or niece (but only if
on Schedule A of federal Form W-4 are not allowed for
related by blood).
Grand Rapids income tax purposes.
RESIDENT
GRW-4
NONRESIDENT
EMPLOYEE’S WITHHOLDING CERTIFICATE FOR GRAND RAPIDS INCOME TAX
1.
Print Full Name
Social Security No.
Office, Plant, Dept.
Employee Identification No
2.
Address, Number and Street
City, Township or Village where you reside
State
Postal Code
3.
Place of Employment
City
Under
40%
60%
80%
100%
25 %
Print name of each city where you work for this
City
Under
employer and circle closest % of total earnings in each.
40%
60%
80%
100%
25%
Exemptions
Regular
Additional exemption if
Additional
Check
Enter number of exemptions
4.
YOUR
blocks
for yourself
exemption
65 or over at end of year
Exemption if blind
checked
WITHHOLDING
which
Exemptions
Regular
Additional exemption if
Additional
Enter number of exemptions
5.
EXEMPTIONS
apply
for your spouse
exemption
65 or over at end of year
Exemption if blind
checked
EMPLOYEE: File this form with your
Number
Exemptions for your
Number
Enter total of line 6
6. (a)
6. (b)
Exemptions for your children:
employer. Otherwise they must withhold
other dependents:
(a plus b)
GRAND RAPIDS income tax from your
7.
Add the number of exemptions which you have claimed on line 4, 5 and 6 above and write the total
earnings without exemption.
I certify that the information submitted on this certificate is true, correct and complete to the best of my knowledge and belief
EMPLOYER: Keep this certificate with your
Signature
records. If the information submitted by the
8.
Date
employee is not believed to be true, correct
and complete, the CITY INCOME TAX
DEPARTMENT must be so advised.
SEE INSTRUCTIONS
To answer residency questions call the
Income Tax Department at (616) 456-3415.
Revised 7/2004
INSTRUCTIONS FOR COMPLETING EMPLOYEE’S WITHHOLDING CERTIFICATE FOR GRAND RAPIDS INCOME TAX
FORM GRW-4
GENERAL INSTRUCTIONS—Check the box in the
INCREASE IN EXEMPTIONS—You should file a new
upper right hand corner to indicate your residency
certificate at any time if the number of your exemptions
status and enter the requested data on lines 1 and 2.
increases.
LINE 3 INSTRUCTIONS—If you are a nonresident and
DECREASE IN EXEMPTIONS—
work for this employer in two or more cities or
1. You must file a new certificate within 10 days if the
communities, print the names of the two Michigan
number of exemptions previously claimed by you
cities or communities where you perform the greatest
DECREASES for any of the following reasons:
percentage of your work. Circle the closest percent of
(a) Your spouse for whom you have been claiming
total earnings for work done or services rendered in
exemption is divorced or legally separated, or
each city or community listed. The estimated percent
claims their own exemption on a separate
of total earnings from this employer for work done or
certificate.
services performed within taxing cities (Line 3) is for
(b) The support of a dependent for whom you
withholding purposes only.
In determining final tax
claimed exemption is taken over by someone
liability this estimate is subject to substantiation and
else, so that you no longer expect to furnish
audit.
more than half of their support for the year.
DEPENDENTS—To qualify as your dependent (line 6),
(c) You find that a dependent for whom you
a person (a) must receive more than one-half of his or
claimed an exemption will receive $3,000 or
her support from you for the year, and (b) must have
more of income of their own during the year.
less than $3,000 gross income during the year (except
2. CHILD TURNS 19—File a new certificate within 10
your child who is under 19 years of age or who is a full-
days of the start of the tax year in which your child,
time student under 24 years of age), and (c) must not
for whom you claimed exemption, turns 19 years of
be claimed as an exemption by such person’s husband
age or, if a full- time student, 24 years of age.
or wife, and (d) must be a citizen or resident of the
3. DEATH OF SPOUSE OR DEPENDENT—You
United States or a resident of Canada, Mexico, the
must file a new certificate by December 1 of the
Republic of Panama or the Canal Zone (this does not
year in which the death of your spouse or
apply to an alien child legally adopted by and living
dependent for whom you claimed exemption
with a United States citizen abroad), and (e) must (1)
occurs. (Death of a spouse or a dependent does
have your home as his principal residence and be a
not affect your withholding until the next year.)
member of your household for the entire year, or (2) be
4. CHANGE OF RESIDENCE—You must file a new
related to you as follows:
certificate within 10 days after you change your
residence from or to a taxing city.
Your son or daughter (including legally adopted
5. CHANGE IN EMPLOYMENT—You must file a new
children), grandchild, stepson, stepdaughter, son-
certificate by December 1 each year if your
in-law, or daughter-in-law.
estimate of the percentage of work done or
Your father, mother, grandparent, stepfather,
services rendered in Grand Rapids (Line 3) will
stepmother, father-in-law, or mother-in-law.
change for the ensuing year.
Your brother, sister, stepbrother, stepsister, half
EXTRA
EXEMPTIONS—Additional
exemptions
brother, half sister, brother-in-law, or sister-in-law.
allowed for federal income tax purposes and claimed
Your uncle, aunt, nephew, or niece (but only if
on Schedule A of federal Form W-4 are not allowed for
related by blood).
Grand Rapids income tax purposes.
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