Arizona Form A4 PDF Details

In February of 2020, the Arizona State Legislature introduced a new bill that would require all employers in Arizona to use Form A4 when conducting employee wage verification. The new form was created in an effort to combat fraud and abuse within the state workforce. Employers who fail to use Form A4 when verifying wages could face penalties including fines and imprisonment. Here we will provide an overview of what Form A4 is, how it works, and why it was created. We will also outline the penalties for noncompliance with the new law.

QuestionAnswer
Form NameArizona Form A4
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesarizona withholding form 2021, arizona a4 tax form, a4 tax form, arizona tax withhold

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Arizona Form

A-4

Employee’s Arizona Withholding Election

2021

Type or print 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):

0.8%

1.3%

1.8%

2.7%

3.6%

4.2%

 

5.1%

Check this box and enter an extra amount to be withheld from each paycheck

 

$

 

 

................

 

 

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

DATE

Employee’s Instructions

Arizona law requires your employer to withhold Arizona income tax from your wages for work done in Arizona. The amount withheld is applied to your Arizona income tax due when you file your tax return. The amount withheld is a percentage of your gross taxable wages from every paycheck. You may also have your employer withhold an extra amount from each paycheck. Complete this form to select a percentage and any extra amount to be withheld from each paycheck.

What are my “Gross Taxable Wages”?

For withholding purposes, your “gross taxable wages” are the wages that will generally be in box 1 of your federal Form W-2. It is your gross wages less any pretax deductions, such as your share of health insurance premiums.

New Employees

Complete this form within the first five days of your employment to select an Arizona withholding percentage. You may also have your employer withhold an extra amount from each paycheck. If you do not give this form to your employer the department requires your employer to withhold 2.7% of your gross taxable wages.

Current Employees

If you want to change your current amount withheld, you must file this form to change the Arizona withholding percentage or to change the extra amount withheld.

What Should I do With Form A-4?

Give your completed Form A-4 to your employer.

Electing a Withholding Percentage of Zero

You may elect an Arizona withholding percentage of zero if you expect to have no Arizona income tax liability for the current year. Arizona tax liability is gross tax liability less any tax credits, such as the family tax credit, school tax credits, or credits for taxes paid to other states. If you make this election, your employer will not withhold Arizona income tax from your wages for payroll periods beginning after the date you file the form. To keep this election for the next calendar year, you must give your employer an updated Form A-4. If you do not, your employer may withhold Arizona income tax from your wages and salary until you submit an updated Form A-4.

Zero withholding does not relieve you from paying Arizona income taxes that might be due at the time you file your Arizona income tax return. If you have an Arizona tax liability when you file your return or if at any time during the current year conditions change so that you expect to have a tax liability, you should promptly file a new Form A-4 and choose a withholding percentage that applies to you.

Voluntary Withholding Election by Certain Nonresident Employees

Compensation earned by nonresidents while physically working in Arizona for temporary periods is subject to Arizona income tax. However, under Arizona law, compensation paid to certain nonresident employees is not subject to Arizona income tax withholding. These nonresident employees need to review their situations and determine if they should elect to have Arizona income taxes withheld from their Arizona source compensation. Nonresident employees may request that their employer withhold Arizona income taxes by completing this form to elect Arizona income tax withholding.

ADOR 10121 (20)

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