Ohio Employee's Withholding Exemption Certificate

Employee's Withholding Exemption Certificate
WTH_IT4_Final_GEN_030111.indd
IT 4
Rev. 5/07

Notice to Employee
1. For state purposes, an individual may claim only natural dependency exemptions. This includes the taxpayer, spouse and
each dependent. Dependents are the same as defined in the
Internal Revenue Code and as claimed in the taxpayer’s federal
income tax return for the taxable year for which the taxpayer
would have been permitted to claim had the taxpayer filed such
a return.
2. You may file a new certificate at any time if the number of your
exemptions increases.
You must file a new certificate within 10 days if the number of
exemptions previously claimed by you decreases because:
(a) Your spouse for whom you have been claiming exemption
is divorced or legally separated, or claims her (or his) own
exemption on a separate certificate.
(b) The support of a dependent for whom you claimed exemption is taken over by someone else.
(c) You find that a dependent for whom you claimed exemption
must be dropped for federal purposes.
The death of a spouse or a dependent does not affect your
withholding until the next year but requires the filing of a new
certificate. If possible, file a new certificate by Dec. 1st of the
year in which the death occurs.

For further information, consult the Ohio Department of
Taxation, Personal and School District Income Tax Division,
or your employer.
3. If you expect to owe more Ohio income tax than will be
withheld, you may claim a smaller number of exemptions;
or under an agreement with your employer, you may have
an additional amount withheld each pay period.
4. A married couple with both spouses working and filing a joint
return will, in many cases, be required to file an individual
estimated income tax form IT 1040ES even though Ohio
income tax is being withheld from their wages. This result
may occur because the tax on their combined income will
be greater than the sum of the taxes withheld from the husband’s wages and the wife’s wages. This requirement to file
an individual estimated income tax form IT 1040ES may also
apply to an individual who has two jobs, both of which are
subject to withholding. In lieu of filing the individual estimated
income tax form IT 1040ES, the individual may provide for
additional withholding with his employer by using line 5.

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IT 4
Rev. 5/07

Employee’s Withholding Exemption Certificate
Print full name

Social Security number

Home address and ZIP code
Public school district of residence
(See The Finder at tax.ohio.gov.)

School district no.

1. Personal exemption for yourself, enter “1” if claimed ................................................................................................................
2. If married, personal exemption for your spouse if not separately claimed (enter “1” if claimed) ...............................................
3. Exemptions for dependents .......................................................................................................................................................
4. Add the exemptions that you have claimed above and enter total ............................................................................................
5. Additional withholding per pay period under agreement with employer ....................................................................................

$

Under the penalties of perjury, I certify that the number of exemptions claimed on this certificate does not exceed the number to which I am entitled.
Signature

Date