Fill - Free fillable Form W-4P: Withholding Certificate for Pension or Annuity (City of Somerville) PDF form

Form W-4P

Department of the Treasury

Internal Revenue Service

Withholding Certificate for

Pension or Annuity Payments

OMB No. 1545-0074

2020

Future developments. For the latest information about any

future developments related to Form W‐4P, such as legislation

enacted after it was published, go to www.irs.gov/FormW4P.

Purpose of form. Form W‐4P is for U.S. citizens, resident

aliens, or their estates who are recipients of pensions, annuities

(including commercial annuities), and certain other deferred

compensation. Use Form W‐4P to tell payers the correct

amount of federal income tax to withhold from your payment(s).

You may also use Form W‐4P to choose (a) not to have any

federal income tax withheld from the payment (except for

eligible rollover distributions or for payments to U.S. citizens to

be delivered outside the United States or its possessions), or (b)

to have an additional amount of tax withheld.

Your options depend on whether the payment is periodic,

nonperiodic, or an eligible rollover distribution, as explained on

pages 2 and 3. Your previously filed Form W‐4P will remain in

effect if you don’t file a Form W‐4P for 2020.

General Instructions

Section references are to the Internal Revenue Code.

Follow these instructions to determine the number of

withholding allowances you should claim for pension or annuity

payment withholding for 2020 and any additional amount of tax

to have withheld. Complete the worksheet(s) using the taxable

amount of the payments.

If you don’t want any federal income tax withheld (see

Purpose of form, earlier), you can skip the worksheets and go

directly to the Form W‐4P below.

Sign this form. Form W‐4P is not valid unless you sign it.

You can also use the estimator at www.irs.gov/W4App to

determine your tax withholding more accurately. Consider using

this estimator if you have a more complicated tax situation, such

as if you have more than one pension or annuity, a working

spouse, or a large amount of income outside of your pensions.

After your Form W‐4P takes effect, you can also use this estimator

to see how the amount of tax you’re having withheld compares to

your projected total tax for 2020. If you use the estimator, you

don’t need to complete any of the worksheets for Form W‐4P.

Note that if you have too little tax withheld, you will generally

owe tax when you file your tax return and may owe a penalty

unless you make timely payments of estimated tax. If too much

tax is withheld, you will generally be due a refund when you file

your tax return.

Filers with multiple pensions or more than one income. If you

have more than one source of income subject to withholding

(such as more than one pension or a pension and a job, or

you’re married filing jointly and your spouse is working), read all

of the instructions, including the instructions for the Multiple

Pensions/More‐Than‐One‐Income Worksheet, before beginning.

Other income. If you have a large amount of income from other

sources not subject to withholding (such as interest, dividends,

or capital gains), consider making estimated tax payments using

Form 1040‐ES, Estimated Tax for Individuals. Otherwise, you

might owe additional tax. See Pub. 505, Tax Withholding and

Estimated Tax, for more information. Get Form 1040‐ES and

Pub. 505 at www.irs.gov/FormsPubs. Or, you can use the

Deductions, Adjustments, and Additional Income Worksheet on

page 5 or the estimator at www.irs.gov/W4App to make sure

you have enough tax withheld from your payments. If you have

income from wages, see Pub. 505 or use the estimator at

www.irs.gov/W4App to find out if you should adjust your

withholding on Form W‐4 or Form W‐4P.

Note: Social security and railroad retirement payments may be

includible in income. See Form W‐4V, Voluntary Withholding

Request, for information on voluntary withholding from these

payments.

Withholding From Pensions and Annuities

Generally, federal income tax withholding applies to the taxable

part of payments made from pension, profit-sharing, stock bonus,

annuity, and certain deferred compensation plans; from individual

retirement arrangements (IRAs); and from commercial annuities.

The method and rate of withholding depend on (a) the kind of

payment you receive; (b) whether the payments are to be delivered

outside the United States or its possessions; and (c) whether the

recipient is a nonresident alien individual, a nonresident alien

beneficiary, or a foreign estate. Qualified distributions from a

designated Roth account or Roth IRA are nontaxable and,

therefore, not subject to withholding. See page 3 for special

withholding rules that apply to payments to be delivered outside

the United States and payments to foreign persons.

Separate here and give Form W-4P to the payer of your pension or annuity. Keep the worksheet(s) for your records.

Form W-4P

Department of the Treasury

Internal Revenue Service

Withholding Certificate for

Pension or Annuity Payments

▶

For Privacy Act and Paperwork Reduction Act Notice, see page 6.

OMB No. 1545-0074

2020

Your first name and middle initial Last name Your social security number

Home address (number and street or rural route)

City or town, state, and ZIP code

Claim or identification number

(if any) of your pension or

annuity contract

Complete the following applicable lines.

Check here if you do not want any federal income tax withheld from your pension or annuity. (Don’t complete line 2 or 3.)

▶

Total number of allowances and marital status you’re claiming for withholding from each periodic pension or annuity

payment. (You may also designate an additional dollar amount on line 3.)

. . . . . . . . . . . . . .

▶

(Enter number

of allowances.)

Marital status: Single Married Married, but withhold at higher Single rate.

Additional amount, if any, you want withheld from each pension or annuity payment. (Note: For periodic payments,

you can’t enter an amount here without entering the number (including zero) of allowances on line 2.) . . . .

▶

Your signature

▶

Date

▶

Cat. No. 10225T

Form W-4P (2020)

Page 2

Because your tax situation may change from year to year, you

may want to refigure your withholding each year. You can

change the amount to be withheld by using lines 2 and 3 of

Form W-4P.

Choosing not to have income tax withheld. You (or in the

event of death, your beneficiary or estate) can choose not to

have federal income tax withheld from your payments by using

line 1 of Form W-4P. For an estate, the election to have no

income tax withheld may be made by the executor or personal

representative of the decedent. Enter the estate’s employer

identification number (EIN) in the area reserved for “Your social

security number” on Form W-4P.

You may not make this choice for eligible rollover distributions.

See Eligible rollover distribution—20% withholding below.

Caution: There are penalties for not paying enough federal

income tax during the year, either through withholding or

estimated tax payments. New retirees, especially, should see

Pub. 505. It explains your estimated tax requirements and

describes penalties in detail. You may be able to avoid quarterly

estimated tax payments by having enough tax withheld from

your pension or annuity using Form W-4P.

Periodic payments. Withholding from periodic payments of a

pension or annuity is figured using certain withholding tables

that are also used to figure withholding from wages. Periodic

payments are made in installments at regular intervals over a

period of more than 1 year. They may be paid annually,

quarterly, monthly, etc.

If you want federal income tax to be withheld, you must

designate the number of withholding allowances on line 2 of

Form W-4P and indicate your marital status by checking the

appropriate box. You can’t designate a specific dollar amount to

be withheld. However, you can designate an additional amount

to be withheld on line 3.

If you don’t want any federal income tax withheld from your

periodic payments, check the box on line 1 of Form W-4P and

submit the form to your payer. However, see Payments to

Foreign Persons and Payments To Be Delivered Outside the

United States on page 3.

Caution: If you don’t submit Form W-4P to your payer, the

payer must withhold from periodic payments as if you’re

married claiming three withholding allowances. Generally, this

means that tax will be withheld if the taxable amount of your

pension or annuity is at least $2,095 a month.

If you submit a Form W-4P that doesn’t contain your correct

social security number (SSN), the payer must withhold as if

you’re single claiming zero withholding allowances even if you

checked the box on line 1 to have no federal income tax

withheld.

There are some kinds of periodic payments for which you

can’t use Form W-4P because they’re already defined as wages

subject to federal income tax withholding. These payments

include retirement pay for service in the U.S. Armed Forces and

payments from certain nonqualified deferred compensation

plans and tax-exempt organizations’ deferred compensation

plans described in section 457. Your payer should be able to tell

you whether Form W-4P applies.

For periodic payments, your Form W-4P stays in effect until

you change or revoke it. Your payer must notify you each year

of your right to choose not to have federal income tax withheld

(if permitted) or to change your choice.

Nonperiodic payments—10% withholding. Your payer must

withhold at a flat 10% rate from the taxable amount of

nonperiodic payments (but see Eligible rollover distribution—

20% withholding below) unless you choose not to have federal

income tax withheld. Distributions from an IRA that are payable

on demand are treated as nonperiodic payments. You can

choose not to have federal income tax withheld from a

nonperiodic payment (if permitted) by submitting Form W-4P

(containing your correct SSN) to your payer and checking the

box on line 1. However, see Payments to Foreign Persons and

Payments To Be Delivered Outside the United States on page 3.

Generally, your choice not to have federal income tax withheld

will apply to any later payment from the same plan. You can’t

use line 2 for nonperiodic payments. But you may use line 3 to

specify an additional amount that you want withheld.

Caution: If you submit a Form W-4P that doesn’t contain your

correct SSN, the payer can’t honor your request not to have

income tax withheld and must withhold 10% of the payment for

federal income tax.

Eligible rollover distribution—20% withholding. Distributions

you receive from qualified pension or annuity plans (for

example, 401(k) plans and section 457(b) plans maintained by a

governmental employer) or tax-sheltered annuities that are

eligible to be rolled over to an IRA or qualified plan are subject

to a flat 20% federal withholding rate on the taxable amount of

the distribution. The 20% withholding rate is required, and you

can’t choose not to have income tax withheld from eligible

rollover distributions. Don’t give Form W-4P to your payer

unless you want an additional amount withheld. In that case,

complete line 3 of Form W-4P and submit the form to your

payer.

Form W-4P (2020)

Page 3

Note: The payer won’t withhold federal income tax if the entire

distribution is transferred by the plan administrator in a direct

rollover to a traditional IRA or another eligible retirement plan (if

allowed by the plan), such as a 401(k) plan, qualified pension

plan, governmental section 457(b) plan, section 403(b) contract,

or tax-sheltered annuity.

Distributions that are (a) required by federal law, (b) one of a

specified series of equal payments, or (c) qualifying “hardship”

distributions are not “eligible rollover distributions” and aren’t

subject to the mandatory 20% federal income tax withholding.

See Pub. 505 for details. See also Nonperiodic payments—10%

withholding on page 2.

Tax relief for victims of terrorist attacks. For tax years ending

after September 10, 2001, disability payments for injuries

incurred as a direct result of a terrorist attack directed against the

United States (or its allies), whether outside or within the United

States, aren’t included in income. You may check the box on line

1 of Form W-4P and submit the form to your payer to have no

federal income tax withheld from these disability payments.

However, you must include in your income any amounts that you

received or would’ve received in retirement had you not become

disabled as a result of a terrorist attack. See Pub. 3920, Tax

Relief for Victims of Terrorist Attacks, for more details.

Changing Your “No Withholding” Choice

Periodic payments. If you previously chose not to have federal

income tax withheld and you now want withholding, complete

another Form W-4P and submit it to your payer. If you want

federal income tax withheld at the 2020 default rate (married

with three allowances), write “Revoked” next to the checkbox

on line 1 of the form. If you want tax withheld at a different rate,

complete line 2 on the form.

Nonperiodic payments. If you previously chose not to have

federal income tax withheld and you now want withholding,

write “Revoked” next to the checkbox on line 1 and submit the

Form W-4P to your payer.

Payments to Foreign Persons and Payments

To Be Delivered Outside the United States

Unless you’re a nonresident alien, withholding (in the manner

described above) is required on any periodic or nonperiodic

payments that are to be delivered to you outside the United

States or its possessions. Don’t check the box on line 1 of Form

W-4P. See Pub. 505 for details.

In the absence of a tax treaty exemption, nonresident aliens,

nonresident alien beneficiaries, and foreign estates are generally

subject to a 30% federal withholding tax under section 1441 on

the taxable portion of a periodic or nonperiodic pension or

annuity payment that is from U.S. sources. However, most tax

treaties provide that private pensions and annuities are exempt

from withholding and tax. Also, payments from certain pension

plans are exempt from withholding even if no tax treaty applies.

See Pub. 515, Withholding of Tax on Nonresident Aliens and

Foreign Entities, and Pub. 519, U.S. Tax Guide for Aliens, for

details. A foreign person should submit Form W-8BEN,

Certificate of Foreign Status of Beneficial Owner for United

States Tax Withholding and Reporting, to the payer before

receiving any payments. The Form W-8BEN must contain the

foreign person’s taxpayer identification number (TIN).

Statement of Federal Income Tax Withheld

From Your Pension or Annuity

By February 1 of next year, your payer will furnish a statement

to you on Form 1099-R, Distributions From Pensions, Annuities,

Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,

etc., showing the total amount of your pension or annuity

payments and the total federal income tax withheld during the

year. If you’re a foreign person who has provided your payer

with Form W-8BEN, your payer instead will furnish a statement

to you on Form 1042-S, Foreign Person’s U.S. Source Income

Subject to Withholding, by March 15 of next year.

Specific Instructions

Personal Allowances Worksheet

Complete this worksheet on page 4 first to determine the

number of withholding allowances to claim.

Line C. Head of household please note: Generally, you can

claim head of household filing status on your tax return only if

you’re unmarried and pay more than 50% of the costs of

keeping up a home for yourself and a qualifying individual. See

Pub. 501 for more information about filing status.

Line D. Child tax credit. When you file your tax return, you may

be eligible to claim a child tax credit for each of your eligible

children. To qualify, the child must be under age 17 as of

December 31, must be your dependent who generally lives with

you for more than half the year, and must have the required SSN.

To learn more about this credit, see Pub. 972, Child Tax Credit

and Credit for Other Dependents. To reduce the tax withheld

from your payments by taking this credit into account, follow the

instructions on line D of the worksheet. On the worksheet, you

will be asked about your total income. For this purpose, total

income includes all of your pensions, wages, and other income,

including income earned by a spouse if you’re filing a joint return.

Line E. Credit for other dependents. When you file your tax

return, you may be eligible to claim a credit for other dependents

for whom a child tax credit can’t be claimed, such as a qualifying

child who does not meet the age or SSN requirement for the

child tax credit, or a qualifying relative. To learn more about this

credit, see Pub. 972. To reduce the tax withheld from your

payments by taking this credit into account, follow the

instructions on line E of the worksheet. On the worksheet, you

will be asked about your total income. For this purpose, total

income includes all of your pensions, wages, and other income,

including income earned by a spouse if you’re filing a joint return.

Line F. Other credits. You may be able to reduce the tax

withheld from your payments if you expect to claim other tax

credits, such as tax credits for education (discussed in Pub.

970). If you do so, your payments will be larger, but the amount

of any refund that you receive when you file your tax return will

be smaller. Follow the instructions for the worksheet for

converting credits to allowances in Pub. 505 if you want to

reduce your withholding by taking these credits into account. If

you compute all your credits using that worksheet in Pub. 505,

enter “-0-” on lines D and E.

Deductions, Adjustments, and Additional

Income Worksheet

Complete this worksheet to determine if you’re able to reduce

the tax withheld from your pension or annuity payments to

account for your itemized deductions and other adjustments to

income, such as deductible IRA contributions. If you do so, your

refund at the end of the year will be smaller, but your payments

will be larger. You’re not required to complete this worksheet or

reduce your withholding if you don’t wish to do so.

You can also use this worksheet to figure out how much to

increase the tax withheld from your payments if you have a large

amount of other income not subject to withholding, such as

interest, dividends, or capital gains.

Another option is to take these items into account and make

your withholding more accurate by using the estimator at

www.irs.gov/W4App. If you use the estimator, you don’t need to

complete any of the worksheets for Form W‐4P.

Multiple Pensions/More‐Than‐One‐Income

Worksheet

Complete this worksheet if you receive more than one pension,

if you have a pension and a job, or if you’re married filing jointly

and have a working spouse or a spouse who receives a

pension. If you don’t complete this worksheet, you might have

too little tax withheld. If so, you will generally owe tax when you

file your tax return and may be subject to a penalty.

Form W-4P (2020)

Page 4

Use the Multiple Pensions/More-Than-One-Income

Worksheet from only one Form W-4P to figure the number of

allowances you’re entitled to claim and any additional amount of

tax to withhold from all pensions. If you (and/or your spouse if

filing jointly) have two or more pensions, withholding will

generally be more accurate if only the Form W-4P for the

highest paying pension (a) claims any allowances after lines A

through B in the Personal Allowances Worksheet or any

allowances in the Deductions, Adjustments, and Additional

Income Worksheet; and (b) uses the Multiple Pensions/More-

Than-One-Income Worksheet. If you (and/or your spouse if filing

jointly) have a pension and a job, withholding will generally be

more accurate if the Form W-4P for the pension doesn’t claim

any allowances after lines A through B in the Personal

Allowances Worksheet or any allowances in the Deductions,

Adjustments, and Additional Income Worksheet. However, you

may need to use the Multiple Pensions/More-Than-One-Income

Worksheet. If you (and/or your spouse if filing jointly) have more

than one pension (or a pension and a job) and you need to

complete a new Form W-4P or Form W-4 for a pension or a job,

you (and/or your spouse) will generally get more accurate

withholding by completing new Form(s) W-4P or Form(s) W-4 for

all other pensions and jobs. See Pub. 505 for details.

Another option is to use the estimator at www.irs.gov/W4App

to figure your withholding more precisely.

Personal Allowances Worksheet (Keep for your records.)

A Enter “2” for yourself . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A

B Enter “1” if you will file as married filing jointly . . . . . . . . . . . . . . . . . . . . . . . B

C Enter “1” if you will file as head of household . . . . . . . . . . . . . . . . . . . . . . . . C

D Child tax credit. See Pub. 972 for more information.

• If your total income will be less than $72,351 ($105,051 if married filing jointly), enter “4” for each eligible child.

• If your total income will be from $72,351 to $181,950 ($105,051 to $351,400 if married filing jointly), enter “2” for

each eligible child.

• If your total income will be from $181,951 to $200,000 ($351,401 to $400,000 if married filing jointly), enter “1” for

each eligible child.

• If your total income will be higher than $200,000 ($400,000 if married filing jointly), enter “-0-” . . . . . . . D

E Credit for other dependents. See Pub. 972 for more information.

• If your total income will be less than $72,351 ($105,051 if married filing jointly), enter “1” for each eligible

dependent.

• If your total income will be from $72,351 to $181,950 ($105,051 to $351,400 if married filing jointly), enter “1” for

every two dependents (for example, “-0-” for one dependent, “1” if you have two or three dependents, and “2” if

you have four dependents).

• If your total income will be higher than $181,950 ($351,400 if married filing jointly), enter “-0-” . . . . . . . E

Other credits. If you have other credits, see the worksheet for converting credits to allowances in Pub. 505 and

enter the amount from that worksheet here. If you compute all your credits using that worksheet in Pub. 505, enter

“-0-” on lines D and E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F

G Add lines A through F and enter the total here . . . . . . . . . . . . . . . . . . . . . .

▶

For accuracy,

complete all

worksheets

that apply.

{

• If you plan to itemize or claim adjustments to income and want to reduce your withholding, or

if you have a large amount of other income not subject to withholding and want to increase your

withholding, see the Deductions, Adjustments, and Additional Income Worksheet on page 5.

• If you have more than one source of income subject to withholding or are married filing

jointly and you and your spouse both have income subject to withholding and your

combined income from all sources exceeds $13,000 ($25,000 if married filing jointly), see the

Multiple Pensions/More-Than-One-Income Worksheet on page 5 to avoid having too little

tax withheld, or use the estimator for more accuracy.

• If neither of the above situations applies, stop here and enter the number from line G on line

2 of Form W-4P above.

Form W-4P (2020)

Page 5

Deductions, Adjustments, and Additional Income Worksheet

Note: Use this worksheet only if you plan to itemize deductions, claim certain adjustments to income, or have a large amount of

other income not subject to withholding.

Enter an estimate of your 2020 itemized deductions. These include qualifying home mortgage interest,

charitable contributions, state and local taxes (up to $10,000), and medical expenses in excess of 7.5%

of your income. See Pub. 505 for details . . . . . . . . . . . . . . . . . . . . . 1 $

2 Enter:

{

$24,800 if you’re married filing jointly or qualifying widow(er)

$18,650 if you’re head of household

$12,400 if you’re single or married filing separately

}

. . . . . . . . . . 2 $

3 Subtract line 2 from line 1. If zero or less, enter “-0-” . . . . . . . . . . . . . . . . . 3

Enter an estimate of your 2020 adjustments to income, qualified business income deduction, and any

additional standard deduction for age or blindness. See Pub. 505 for information about these items . 4

5 Add lines 3 and 4 and enter the total . . . . . . . . . . . . . . . . . . . . . . 5

Enter an estimate of your 2020 other income not subject to withholding (such as dividends, interest, or

capital gains) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Subtract line 6 from line 5. If zero, enter “-0-”. If less than zero, enter the amount in parentheses . . 7

Divide the amount on line 7 by $4,300 and enter the result here. If a negative amount, enter in

parentheses. Drop any fraction . . . . . . . . . . . . . . . . . . . . . . . . 8

9 Enter the number from the Personal Allowances Worksheet, line G, on page 4 . . . . . . . . 9

Add lines 8 and 9 and enter the total here. If zero or less, enter “-0-”. If you plan to use the Multiple

Pensions/More-Than-One-Income Worksheet, also enter this total on line 1 below. Otherwise, stop

here and enter this total on Form W-4P, line 2, on page 1 . . . . . . . . . . . . . . .

Multiple Pensions/More-Than-One-Income Worksheet

Note: Use this worksheet only if the instructions under line G from the Personal Allowances Worksheet direct you here. This

applies if you (and your spouse if married filing jointly) have more than one source of income subject to withholding (such as more

than one pension, or a pension and a job, or you have a pension and your spouse works).

Enter the number from the Personal Allowances Worksheet, line G, on page 4 (or from line 10 above if

you used the Deductions, Adjustments, and Additional Income Worksheet) . . . . . . . . 1

Find the number in Table 1 on page 6 that applies to the LOWEST paying pension or job and enter it

here. However, if you’re married filing jointly and the amount from the highest paying pension or job is

$75,000 or less and the combined amounts for you and your spouse are $107,000 or less, do not enter

more than “7” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter

“-0-”) and on Form W-4P, line 2, on page 1. Do not use the rest of this worksheet . . . . . . . 3

Note: If line 1 is less than line 2, enter “-0-” on Form W-4P, line 2, on page 1. Complete lines 4 through 9

below to figure the additional withholding amount necessary to avoid a year-end tax bill.

4 Enter the number from line 2 of this worksheet . . . . . . . . . . . 4

5 Enter the number from line 1 of this worksheet . . . . . . . . . . . 5

6 Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Find the amount in Table 2 on page 6 that applies to the HIGHEST paying pension or job and enter it here

7 $

8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed . . 8

Divide line 8 by the number of payments remaining in 2020. For example, divide by 8 if you’re paid

every month and you complete this form in April 2020. Enter the result here and on Form W-4P, line 3,

on page 1. This is the additional amount to be withheld from each payment . . . . . . . . .

9 $

Form W-4P (2020)

Page 6

Table 1

Married Filing Jointly

If wages from LOWEST paying

job or pension are—

Enter on line 2 above

$0 - $799

800 - 5,100 1

5,101 - 9,400 2

9,401 - 13,700 3

13,701 - 18,000 4

18,001 - 22,300 5

22,301 - 26,600 6

26,601 - 35,000 7

35,001 - 40,000 8

40,001 - 46,000 9

46,001 - 55,000 10

55,001 - 60,000 11

60,001 - 70,000 12

70,001 - 75,000 13

75,001 - 85,000 14

85,001 - 95,000 15

95,001 - 125,000 16

125,001 - 155,000 17

155,001 - 165,000 18

165,001 - 175,000 19

175,001 - 180,000 20

180,001 - 195,000 21

195,001 - 205,000 22

205,001 and over 23

All Others

If wages from LOWEST paying

job or pension are—

Enter on line 2 above

$0 - $799

800 - 5,100 1

5,101 - 9,400 2

9,401 - 13,700 3

13,701 - 22,000 4

22,001 - 27,500 5

27,501 - 32,000 6

32,001 - 40,000 7

40,001 - 60,000 8

60,001 - 75,000 9

75,001 - 85,000 10

85,001 - 95,000 11

95,001 - 100,000 12

100,001 - 110,000 13

110,001 - 115,000 14

115,001 - 125,000 15

125,001 - 135,000 16

135,001 - 145,000 17

145,001 - 160,000 18

160,001 - 180,000 19

180,001 and over 20

Table 2

Married Filing Jointly

If wages from HIGHEST paying

job or pension are—

Enter on line 7 above

$0 - $25,350 $430

25,351 - 85,850 520

85,851 - 176,650 950

176,651 - 332,200 1,030

332,201 - 420,300 1,380

420,301 - 627,650 1,510

627,651 and over 1,590

All Others

If wages from HIGHEST paying

job or pension are—

Enter on line 7 above

$0 - $7,375 $430

7,376 - 37,625 520

37,626 - 83,025 950

83,026 - 160,800 1,030

160,801 - 204,850 1,380

204,851 - 515,900 1,510

515,901 and over 1,590

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Notice

We ask for the information on this form to carry out the Internal

Revenue laws of the United States. You are required to provide

this information only if you want to (a) request federal income

tax withholding from periodic pension or annuity payments

based on your withholding allowances and marital status;

(b) request additional federal income tax withholding from your

pension or annuity; (c) choose not to have federal income tax

withheld, when permitted; or (d) change or revoke a previous

Form W-4P. To do any of the aforementioned, you are required

by sections 3405(e) and 6109 and their regulations to provide

the information requested on this form. Failure to provide this

information may result in inaccurate withholding on your

payment(s). Providing false or fraudulent information may

subject you to penalties.

Routine uses of this information include giving it to the

Department of Justice for civil and criminal litigation, and to

cities, states, the District of Columbia, and U.S. commonwealths

and possessions for use in administering their tax laws. We may

also disclose this information to other countries under a tax

treaty, to federal and state agencies to enforce federal nontax

criminal laws, or to federal law enforcement and intelligence

agencies to combat terrorism.

You are not required to provide the information requested on

a form that is subject to the Paperwork Reduction Act unless the

form displays a valid OMB control number. Books or records

relating to a form or its instructions must be retained as long as

their contents may become material in the administration of any

Internal Revenue law. Generally, tax returns and return

information are confidential, as required by section 6103.

The average time and expenses required to complete and file

this form will vary depending on individual circumstances. For

estimated averages, see the instructions for your income tax

return.

If you have suggestions for making this form simpler, we

would be happy to hear from you. See the instructions for your

income tax return.

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Form W-4P: Withholding Certificate for Pension or Annuity (City of Somerville)

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