Dd Form 2058 1 PDF Details

Understanding the intricacies of state income tax exemptions for military personnel can be a daunting task, filled with specific conditions and legal stipulations that must be meticulously followed. Among these, the DD 2058-1 form, known as the State Income Tax Exemption Test Certificate, plays a pivotal role. It is designed under the authority of the Privacy Act of 1974 and other legislative layers, including 5 USC 5516, 5517, and Executive Order 9397, providing a structured pathway for service members to cease the withholding of state income taxes from their pay under certain conditions. The primary purpose of this form is to assist the respective service in identifying personnel eligible to stop state income tax withholding for a specified tax year. This exemption is contingent upon meeting three specific conditions related to the service member's place of abode and presence within their state of legal residence. Importantly, the voluntary disclosure of one's Social Security Number (SSN) is emphasized to avoid confusion and ensure the correct application of withholding exemptions. It outlines the necessity for service members to maintain no place of abode in their state of legal residence, uphold a residence outside of this state for the entire tax year, and limit their physical presence within the state to no more than 30 days within the tax year to qualify for exemption. The form also details instances that do not constitute a change in abode for New Jersey and New York residents, offering clarity on what encompasses a legitimate claim for exemption. This document insightfully guides service members through the process of determining eligibility for state income tax exemption, underlining the conditions under which they must notify finance officers of any changes that could affect their withholding status.

QuestionAnswer
Form NameDd Form 2058 1
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesNew_Jersey, dd form 2058 1, New_York, 2058

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STATE INCOME TAX EXEMPTION TEST CERTIFICATE

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 5516, 5517, and EO 9397, November 1943.

PRINCIPAL PURPOSE: To enable the service concerned to terminate withholding of State income taxes applicable to your pay for the tax year specified. Social Security Number (SSN) will be used to provide positive identification.

ROUTINE USES: The information obtained will become part of the active duty pay system of records of the service concerned and may be disclosed to the routine users (including State tax authorities) of such system as described in the record system notices for such system.

DISCLOSURE: Disclosure is voluntary. Failure to complete this form will result in withholding of State income taxes from your pay. Disclosure of SSN is voluntary. However, to avoid erroneous application of your withholding exemption to the account of another member, this exemption certificate will not be processed without your SSN.

TYPE OR PRINT NAME (Last, First, Middle Initial)

 

SOCIAL SECURITY NUMBER

 

 

 

 

MILITARY ADDRESS (Street Address, City, State, ZIP Code)

 

TAX YEAR

 

 

 

 

 

 

 

STATE OF LEGAL

 

 

 

RESIDENCE

 

 

 

ADDRESS OF PLACE OF ABODE OUTSIDE YOUR STATE OF LEGAL RESIDENCE (Street Address, City, State, ZIP Code)

 

 

I CERTIFY THAT I ANTICIPATE MEETING THE THREE CONDITIONS NECESSARY TO BE EXEMPT FROM WITHHOLDING

FOR THE CALENDAR YEAR

. I ALSO DECLARE THAT I WILL IMMEDIATELY NOTIFY THE FINANCE

 

 

 

OFFICER OF ANY CHANGES THAT AFFECT MY WITHHOLDING STATUS.

 

 

 

SIGNATURE OF APPLICANT

 

DATE (YYMMDD)

 

 

 

 

This form is currently applicable to the States of New Jersey, New York, and Oregon - AND is not to be used to change State of legal residence.

INSTRUCTIONS

The explanatory material below should help you determine if you qualify for exemption from State income tax withholding under this test. If you are unsure of your particular State law provisions for exemption from withholding, you should write your State taxing authority.

Residents of applicable states who enter military service and are assigned to duty outside those States do not change residence because of such assignments. They remain residents of those States for tax purposes unless they fulfill all three of the following conditions:

1.They maintain no place of abode in their State of legal residence during the taxable year,

2.They do maintain a place of abode outside that State for the entire taxable year, and

3.They spend no more than 30 days in that State during the taxable year.

The following are not considered places of abode under condition 2:

a.An abode maintained while on temporary duty or while attending a specialized training school away from your permanent duty station. A member who is otherwise considered to maintain a place of abode outside his or her State of legal residence does not lose the place of abode solely because of performance of duty at another location if such place of abode is still maintained by the member.

b.Quarters occupied by a barracks, on shipboard, or in bachelor officer quarters at your permanent duty station. This restriction applies only to New Jersey and New York residents. If your status under condition 2 is unclear, you should consult your legal assistance officer before completing the form.

If the spouse and family of a married individual in military service continue to reside in the State of legal residence, their abode is considered to be an abode maintained by the service member. Condition 1 would therefore not be met.

Effective date of exemption election. Withholding of State income tax will stop the month after the month in which the certificate is filed. Retroactive adjustments will not be made.

DD Form 2058-1, OCT 80 (EG)

Designed using Perform Pro, WHS/DIOR, Dec 94

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