Navigating the intricate landscape of tax withholding requires attention to various forms, one of which is the PS 4 form, officially known as the Employee's City or County Withholding Certificate. This document plays a vital role for employees in ensuring that the correct amount of local taxes is withheld from their wages. It is incumbent upon the employee to file this notice with their employer to activate the appropriate withholding of local taxes, including city, occupational, and county taxes. The form requires detailed information such as the employee's full name, Social Security Number, and employment details including the finance number, pay location address, and the regular place of employment. Additionally, employees have the option to specify exemptions and the percentage of compensation subject to local taxes based on residency status and services performed within the taxing jurisdiction. The form also accommodates for non-resident tax rates and allows for additional withholding amounts to be specified. Completing this form accurately is crucial, as it impacts the employee's tax liabilities and compliance with local tax ordinances. Moreover, the form contains sections for personal declarations regarding marital status and whether an occupation tax has been paid. The authenticity of the information provided is underscored by a certification section where the employee attests to the correctness and completeness of the information under legal penalties. The form thus not only serves as a means for tax withholding but also acts as a declaration of the employee's tax status and obligations concerning local taxes.
| Question | Answer |
|---|---|
| Form Name | PS Form 4 |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 20 |
| Avg. time to fill out | 4 min 19 sec |
| Other names | ny ps city withholding form, new york ps city withholding, ps form 4 usps, ny ps county withholding |
EMPLOYEE'S CITY OR COUNTY WITHHOLDING CERTIFICATE
(Employee: File this notice with your employer, or no local tax will be withheld from your wages.)
Full Name (Type or print)
Social Security No.
Finance No.
Pay Location
Address (City, State and ZIP+4 Code)
Regular Place of Employment
Complete Applicable Items Only
Indicate Tax Applicable to This Request
Local |
Tax Type |
Name of Taxing Authority |
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Tax Code |
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City Tax |
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Occupational Tax |
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County Tax |
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Out of State Residents. If you are not a resident of the state in which you are employed, you may either (a) so indicate by entering 000 on line 2 below and
(1)If your
exemptions claimed
(2)Based on the
the percent of your compensation that is taxable. (Note: this does not apply if more than 75% of your services are
performed within the city or county.) Enter 100% if ALL service is performed within the taxing jurisdiction |
% |
(3)If the tax ordinance provides for a
(4)Additional withholding per pay period (whole dollar amounts only)
(5) |
Marital Status |
#Single |
#Married |
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(6) |
Occupation tax paid? (Complete ONLY if applicable) |
#Yes |
#No |
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I certify under penalty provided by law that the above statements are correct and complete to the best of my knowledge.
Signature
Date
"The collection of this information is authorized by 39 USC 401, 1003, 1005, 5 USC 8339. It will be used to withhold local taxes from your wages. As a routine use, this information may be disclosed to an appropriate law enforcement agency for investigative or prosecution proceedings, to a congressional office at your request, to the OMB for review of private relief legislation, and where pertinent, in a legal proceeding to which the Postal Service is a party.
PS Form 4, February 1982 |
Employee's City or County Withholding Certificate |