Arizona A-4

Arizona Form A-4 Employee’s Arizona Withholding Election 2023

Arizona tax rates have decreased. As a result, we are revising withholding percentages and are requiring taxpayers to complete a new Form A-4 for 2023.
Click the link below to see a copy of the actual Arizona W4 and follow along while filling this form out.

Arizona W4
Your Full Name*
Your Social Security Number*
Home Address – number and street or rural route*
City or Town*
State*
ZIP Code*
Choose either box 1 or box 2
1 - Withhold from gross taxable wages at the percentage checked*

(check only one percentage below):
0.51.01.52.02.53.03.5Check this box and enter an extra amount to be withheld from each paycheck below
2 - I elect an Arizona withholding percentage of zero, and I certify that I expect to have no Arizona tax liability for the current taxable year*
I certify that I have made the election marked above.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Choose either box 1 or box 2