This withholding will be reported to you on a 1099-R at the end of each year as Indiana State and County Tax Withheld.
State tax: enter an amount of state tax that you wish to have withheld from each check.
County tax: enter your 2-digit county code and the amount of county tax to be withheld from each annuity or pension payment.
County codes: you can find the county codes and tax rates at www.in.gov/dor/i-am-a/individual/individual-income-county-tax-rates-by-year.
Contract: enter the Contract, Policy, or Account Number to which the request applies.
| Question | Answer |
|---|---|
| Form Name | Form WH-4P |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 12 |
| Avg. time to fill out | 2 min |
| Edition | R4 / 11-25 |
| Issuing agency | State of Indiana |
| Where to send | The person or company paying your pension, not the Department of Revenue |
| Other names | WH-4P, WH4P, Form WH-4P, WH-4P Indiana, Indiana WH-4P, State Form 37365, Annuitant's Request for State and County Income Tax Withholding |
| Official source | Form WH-4P, State Form 37365 (R4 / 11-25), State of Indiana |
Form Wh 4P isn’t the one you’re looking for?