W-4?

Illinois Department of Revenue Form IL-W-4

Note: These instructions are written for employees to address withholding from wages. However, this form can also be completed and submitted to a payor if an agreement was made to voluntarily withhold Illinois Income tax from other (non-wage) Illinois income.

General Information

Illinois Withholding Allowance Worksheet General Information Use this worksheet as a guide to figure your total withholding allowances you may enter on your Form IL-W-4. Complete Step 1. other IL-W-4 forms. Complete Step 2 if you (or your spouse) are age 65 or older or legally blind, or you wrote an amount on Line 4 of the Deductions Worksheet for federal Form W-4.

If you have more than one job or your spouse works, your withholding usually will be more accurate if you claim all of your allowances on the Form IL-W-4 for the highest-paying job and claim zero on all of your You may reduce the number of allowances or request that your employer withhold an additional amount from your pay, which may help avoid having too little tax withheld.

Step 1: Figure your basic personal allowances )including allowances for dependents)

No one else can claim me as a dependentI can claim my spouse as a dependent

1 Enter the total number of boxes you checked

2 Enter the number of dependents other than you or your spouse you will claim on your tax return 2

1 Enter the total number of basic allowances that you are claiming Step 1 Line 4 of the worksheet 1*

2 Enter the total number of additional allowances that you are claiming Step 2 Line 9 of the worksheet 2

3 Enter the additional amount you want withheld deducted from each pay 3

Social Security Number*

Name*

Street address*

City*

State*

ZIP*

I certify that I am entitled to the number of withholding allowances claimed on this certificate.

Check the box if you are exempt from federal and Illinois Income Tax withholding and sign and date the certificate.

Exempt

Your signature*

Date*

Date

Printed by the authority of the State of Illinois web only, 1 copy.

This form is authorized under the Illinois Income Tax Act. Disclosure of this information is required. Failure to provide information may result in this form not being processed and may result in a penalty.

Employer: Keep this certificate with your records. If you have referred the employee's federal certificate to the IRS and the IRS has notified you to disregard it, you may also be required to disregard this certificate. Even if you are not required to refer the employee's federal certificate to the IRS, you still may be required to refer this certificate to the Illinois Department of Revenue for inspection. See Illinois Income Tax Regulations 86 III. Adm. Code 100.7110.