Form Dol 414I PDF Details

For individuals in Georgia navigating the complexities of income tax, the Georgia Department of Labor offers a form known as the DOL 414I, which is pivotal in managing how income tax withholding is handled. This form allows individuals to specify their preference for both federal and state income tax withholdings directly with the agency. With options to elect a 10% federal tax withholding and a 6% state tax withholding, the form caters to those who wish to have these deductions taken directly from their benefits, ensuring that tax time can be a bit more straightforward. Importantly, the form limits changes to withholding preferences to once per benefit year, underscoring the need for careful consideration before making a selection. The form also includes a crucial section for acknowledgment, where claimants affirm their selections and acknowledge the legal repercussions of falsification. Required to be mailed to the Georgia Department of Labor Claims Administration, this form is a critical tool for individuals aiming to manage their income tax obligations proactively.

QuestionAnswer
Form NameForm Dol 414I
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdol414i georgia withholding dol 414i form

Form Preview Example

GEORGIA DEPARTMENT OF LABOR

I ncom e Tax Wit hholding Opt ion

Nam e: _____________________________

Social Secur it y Num ber : _____________

Do you w ant Federal incom e t ax w it hheld? r

Federal t ax is w it hheld at 10%

Do you w ant Geor gia incom e t ax w it hheld? r

St at e t ax is w it hheld at 6%

Yes r No

Yes r No

Only one change in withholding per beneit year is allowed.

CLAI M AN T ACKN OW LED GM EN T

I have selected my options for income tax withholding. I understand the law provides penalties for making false statements on this form.

______________________________________

______________________

Claim ant Signat ur e

Dat e

M a il Com p le t e d f or m t o:

Geor gia Depar t m ent of Labor

Claim s Adm inist rat ion

148 Andrew Young International Blvd. NE Suite 972

Atlanta, GA 30303-1751

DOL 414I ( 06 - 11)