DW-4 Employee’s Withholding Certificate for City of Detroit Income Tax

Payroll & tax

DW-4 Employee’s Withholding Certificate for City of Detroit Income Tax

1 & 2. Employee

Print Full Name

Social Security No.Required on this certificate by the City of Detroit. If you would rather not enter it online, leave this blank and write it on the printed form.

Office, Plant, Dept.

Employee Identification No.

Address, Number and Street

City, Township or Village where you reside

State

Zip Code

3. Predominant place of employment

Print the name of each city where you work for this employer and choose the closest percentage of total earnings in each. If you work in more than two cities, name the two Michigan cities where you perform the greatest percentage of your work.

City

Renaissance Zone ExemptionAttach a copy of the Certification of Qualification to the printed form.

Second city (if any)

Closest % of total earnings in the second city

Renaissance Zone Exemption (second city)

The estimated percent of total earnings for work performed within taxing cities is for withholding purposes only. In determining final tax liability this estimate is subject to substantiation and audit.

4 to 7. Your withholding exemptions

Check the blocks which apply. An employee is allowed the same number of exemptions as for federal income tax purposes, except that additional withholding allowances claimed on Schedule A of federal Form W-4 are not allowed for City of Detroit income tax purposes.

4. Exemptions for yourself

Regular exemptionAdditional exemption if 65 or over at end of yearAdditional exemption if blind

Number of exemptions checked (line 4)

5. Exemptions for your wife (husband)

Regular exemptionAdditional exemption if 65 or over at end of yearAdditional exemption if blind

Number of exemptions checked (line 5)

6 (a). Exemptions for your children — number

6 (b). Exemptions for your other dependents — number

Total of line 6 (a plus b)

7. Total exemptions claimed on lines 4, 5 and 6

8. Certification

I certify that the information submitted on this certificate is true, correct and complete to the best of my knowledge and belief.

Date

The signature line stays blank for you to sign by hand. File the signed form with your employer. You must file a new certificate whenever your exemptions change, within 10 days of changing your residence from or to a taxing city, and by December 1 each year if your line 3 estimate will change.