Form D4 Dc is a confidential form that must be filed with the United States Securities and Exchange Commission (SEC) when a company sells unregistered securities. The form is also used to report the sale of securities that are not exempt from registration under the Securities Act of 1933. Selling unregistered or exempt securities without filing Form D4 Dc can result in significant penalties, so it's important to understand when and how to use this form. This blog post will provide an overview of Form D4 Dc, including what information must be included and who is responsible for filing it.
| Question | Answer |
|---|---|
| Form Name | Form D4 Dc |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 2011_d 4_new_title_112 22011 dc d4 number of dependents form |
Government of the District of Columbia
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Enter Year |
Allowance Certificate |
Social security number |
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M.I. Last name |
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Your irst name |
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Home address (number and street) |
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City |
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State |
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Zip code +4 |
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1 |
Tax iling status Fill in only one: |
Single |
Married/domestic partners iling jointly |
Married iling separately |
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Head of household |
Married/domestic partners iling separately on same return |
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2Total number of withholding allowances from worksheet below.
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Enter total from Sec. A, Line i |
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Enter total from Sec. B, Line o |
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Total number of withholding allowances |
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3 |
Additional amount, if any, you want withheld from each paycheck |
$ |
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4 |
Before claiming exemption from withholding, read below. If qualiied, write “EXEMPT” in this box. 4 |
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5 |
My domicile is a state other than the District of Columbia |
Yes |
No If yes, give name of state of domicile __________________ |
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I am exempt because: last year I did not owe any DC income tax and had a right to a full refund of all DC income tax withheld from me; and this year I do not expect to owe any DC income tax and expect a full refund of all DC income tax withheld from me; and I qualify for exempt status on federal Form
If claiming exemption from withholding, are you a |
Yes |
No |
Signature Under penalties of law, I declare that the information provided on this certiicate is, to the best of my knowledge, correct.
Employee’s signature |
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Date |
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Employer Keep this certiicate with your records. If 10 or more exemptions are claimed or if you suspect this certiicate contains false information please send a copy to: Oice of Tax and Revenue, 1101 4th St., SW, Washington, DC 20024 Attn: Compliance Administration
Detach and give the top portion to your employer. Keep the bottom portion for your records.
Government of the District of Columbia
Section A Number of withholding allowances
a |
Enter 1 for yourself |
a |
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b |
Enter 1 if you are iling as a head of household |
b |
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c |
Enter 1 if you are 65 or over |
c |
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d |
Enter 1 if you are blind |
d |
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e |
Enter number of dependents |
e |
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f |
Enter 1 for your spouse/registered domestic partner if iling jointly |
f |
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g |
Enter 1 if married/registered domestic partners iling jointly and your spouse/registered domestic partner is 65 or over |
g |
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h |
Enter 1 if married/registered domestic partners iling jointly and your spouse/registered domestic partner is blind |
h |
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i |
Number of allowances . Add Lines a through h and enter on Line 2 above. If you want to claim additional withholding |
i |
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allowances, complete section B below. |
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Section B Additional withholding allowances
j |
Enter estimate of your itemized deductions |
j |
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k |
Enter $2,000 if married/registered domestic partners iling separately; all others enter $4,000 |
k |
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l |
Subtract Line k from Line j |
l |
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m |
Multiply $1,675 by the number of allowances on Line i |
m |
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n |
Divide Line l by Line m. Round to the nearest whole number. |
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n |
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o |
Add Lines n and i and enter on Line 2 above. |
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o |
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Revised 11/2011 |
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DC Withholding Allowance Certificate |
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Detach and give the top portion to your employer. Keep the bottom portion for your records.
Who must ile a Form
Every new employee who resides in DC and is required to have DC income taxes withheld, must ill out Form
If you are not liable for DC income taxes because you are a nonresident or military spouse, you must ile Form
When should you ile?
File Form
How many withholding allowances should you claim?
Use the worksheet on the front of this form to igure the number of withholding allowances you should claim. If you want less money withheld from your paycheck, you may claim additional allowances by completing Section B of the worksheet, Lines j through o. However, if you claim too many allowances, you may owe additional taxes at the end of the year.
Should I have an additional amount deducted from my pay- check?
In some instances, even if you claim zero withholding allowances, you may not have enough tax withheld. You may, upon agreement with your employer, have more tax withheld by entering on Line 3, a dollar amount of your choosing.
What to ile
After completing Form