Form 89 350 15 8 1 000 PDF Details

Navigating the complexities of employee withholding in Mississippi becomes significantly more manageable with a comprehensive understanding of the Form 89-350-20-3-1-000, also known as the Mississippi Employee's Withholding Exemption Certificate. This essential document, most recently revised in September 2020, plays a critical role in determining the amount of state income tax withheld from an employee's paycheck. By accurately filling out this form, employees can claim exemptions based on their marital status, whether they're head of a household, their dependents, and any applicable conditions such as age or blindness. The form enables married couples to divide their exemption amounts in a flexible manner while offering single individuals and heads of families the opportunity to claim exemptions that reflect their living situations. Crucially, the form also caters to military spouses under the Military Spouses Residency Relief Act, allowing for a tax withholding exemption under specific conditions. Failure to submit this form or supplying false information can lead to penalties, making it vital for employees to update their exemption status within 30 days of any change. This document not only ensures that the right amount of tax is withheld, avoiding surprises at tax time but also reinforces the importance of staying informed about one’s tax obligations and entitlements in Mississippi.

QuestionAnswer
Form NameForm 89 350 15 8 1 000
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesms state tax withholding form, form 89 350 mississippi, mississippi 89 350, ms employee withholding form

Form Preview Example

Form 89-350-20-3-1-000 (Rev. 09/20)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MISSISSIPPI EMPLOYEE'S WITHHOLDING EXEMPTION

CERTIFICATE

 

 

 

Employee's Name

 

 

 

 

 

 

 

SSN

 

 

 

 

 

 

 

Employee's Residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number and Street

 

City or Town

 

 

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAIM YOUR WITHHOLDING PERSONAL EXEMPTION

 

 

 

 

 

 

Marital Status

 

 

Personal Exemption Allowed

 

 

 

 

 

 

Amount Claimed

EMPLOYEE:

1. Single

 

 

Enter $6,000 as exemption . . . . ►

 

$

 

 

 

 

 

 

File this form with your

 

 

 

 

(a)

Spouse NOT employed: Enter $12,000

►

$

 

 

 

 

 

employer. Otherwise, you

2. Marital Status

 

 

 

 

 

 

 

 

 

 

 

Spouse IS employed: Enter that part of

 

 

 

 

 

 

 

 

 

must withhold Mississippi

 

(Check One)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

income tax from the full

 

 

 

 

(b)

$12,000 claimed by you in multiples of

 

$

 

 

 

 

 

 

amount of your wages.

 

 

 

 

 

 

$500. See instructions 2(b) below. ►

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter $9,500 as exemption. To qualify

 

 

 

 

 

 

 

 

 

 

 

 

3. Head of Family

 

 

as head of family, you must be single

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and have a dependent living in the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

home with you. See instructions 2(c)

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and 2(d)below . . . . . . . . . . . .►

 

 

 

 

 

 

EMPLOYER:

 

 

 

 

 

You may claim $1,500 for each dependent*, other than

 

 

 

 

 

 

 

 

Keep this certificate with

 

 

 

 

 

for taxpayer and spouse, who receives chief support

 

 

 

 

 

 

 

 

your records. If the

4. Dependents

 

income tax purposes.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

from you and who qualifies as a dependent for Federal

 

 

 

 

 

 

 

 

employee is believed to

 

 

 

 

 

* A head of family may claim $1,500 for each

 

 

 

 

 

 

 

 

 

have claimed excess

 

Number Claimed

 

 

 

 

 

 

 

 

 

 

 

 

dependent excluding the one which qualifies you

 

 

 

 

 

 

 

 

 

exemption, the Department

 

 

 

 

 

as head of family. Multiply number of dependents

 

$

 

 

 

 

 

of Revenue should be

 

 

 

 

 

claimed by you by $1,500. Enter amount claimed . . . ►

 

 

 

 

 

 

advised.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Age 65 or older

Husband

 

Wife

Single

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Age and

 

• Blind

 

Husband

 

Wife

Single

 

 

 

 

 

 

 

 

 

 

 

 

blindness

 

Multiply the number of blocks checked by $1,500.

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter the amount claimed . . . . . ►

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Note: No exemption allowed for age or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

blindness for dependents.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. TOTAL AMOUNT OF EXEMPTION CLAIMED - Lines 1

through 5... ►

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Additional dollar amount of withholding per pay period if

 

$

 

 

 

 

 

 

 

 

 

agreed to by your employer . . . . . . . . . . . . . . . ►

 

 

 

 

 

 

 

 

Military Spouses

8. If you meet the conditions set forth under the Service Member

 

 

 

 

 

 

 

 

 

Residency Relief Act

Civil Relief, as amended by the Military Spouses Residency

 

 

 

 

 

 

 

 

 

Exemption from Mississippi

Relief Act, and have no Mississippi tax liability, write

 

 

 

 

 

 

 

 

 

Withholding

"Exempt" on Line 8. You must attach a copy of the Federal

 

 

 

 

 

 

 

 

 

 

 

 

Form DD-2058 and a copy of your Military Spouse ID Card to

 

 

 

 

 

 

 

 

 

 

 

 

this form so your employer can validate the exemption

claim.. ►

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I declare under the penalties imposed for filing false reports that the amount of exemption claimed on this certificate does not exceed the amount to which I am entitled or I am entitled to claim exempt status.

Employee's Signature:

 

Date:

 

INSTRUCTIONS

1.The personal exemptions allowed:

(a) Single Individuals

$6,000

(d)

Dependents

$1,500

(b) Married Individuals (Jointly)

$12,000

(e)

Age 65 and Over

$1,500

(c) Head of family

$9,500

(f)

Blindness

$1,500

2.Claiming personal exemptions:

(a) Single Individuals enter $6,000 on Line 1.

(b) Married individuals are allowed a joint exemption of $12,000.

If the spouse is not employed, enter $12,000 on Line 2(a). If the spouse is employed, the exemption of $12,000 may be divided between taxpayer and spouse in any manner they choose - in multiples of $500. For example, the taxpayer may claim $6,500 and the spouse claims $5,500; or the taxpayer may claim $8,000 and the spouse claims $4,000. The total claimed by the taxpayer and spouse may not exceed $12,000. Enter amount claimed by you on Line 2(b).

(c) Head of Family

A head of family is a single individual who maintains a home which is the principal place of abode for himself and at least one other dependent. Single individuals qualifying as a head of family enter $9,500 on Line 3. If the taxpayer has more than one dependent, additional exemptions are applicable. See item (d).

(d)An additional exemption of $1,500 may generally be claimed for each dependent of the taxpayer. A dependent is any relative who receives chief support from the taxpayer and who qualifies as a dependent for Federal income tax purposes. Head of family individuals may claim an additional exemption for each dependent excluding the one which is required for head of family status. For example, a head of family taxpayer has 2 dependent children and his dependent mother living with him. The taxpayer may claim 2 additional exemptions. Married or single individuals may claim an additional exemption for each dependent, but

should not include themselves or their spouse. Married taxpayers may divide the number of their dependents between them in any manner they choose; for example, a married couple has 3 children who qualify as dependents. The taxpayer may claim 2 dependents and the spouse 1; or the taxpayer may claim 3 dependents and the spouse none. Enter the amount of dependent exemption on Line 4.

(e)An additional exemption of $1,500 may be claimed by either taxpayer or spouse or both if either or both have reached the age of 65 before the close of the taxable year. No additional exemption is authorized for dependents by reason of age. Check applicable blocks on Line 5.

(f)An additional exemption of $1,500 may be claimed by either taxpayer or spouse or both if either or both are blind. No additional exemption is authorized for dependents by reason of blindness. Check applicable blocks on Line 5. Multiply number of blocks checked on Line 5 by $1,500 and enter amount of exemption claimed.

3.Total Exemption Claimed:

Add the amount of exemptions claimed in each category and enter the total on Line 6. This amount will be used as a basis for withholding income tax under the appropriate withholding tables.

4. A NEW EXEMPTION CERTIFICATE MUST BE FILED WITH YOUR EMPLOYER WITHIN 30 DAYS AFTER ANY CHANGE IN YOUR EXEMPTION STATUS.

5.PENALTIES ARE IMPOSED FOR WILLFULLY SUPPLYING FALSE INFORMATION.

6.IF THE EMPLOYEE FAILS TO FILE AN EXEMPTION CERTIFICATE WITH HIS EMPLOYER, INCOME TAX MUST BE WITHHELD BY THE EMPLOYER ON TOTAL WAGES WITHOUT THE BENIFIT OF EXEMPTION.

To comply with the Military Spouse Residency Relief Act (PL111-97) signed on November 11, 2009.

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