Kansas Form K-4 (Employees Withholding Allowance Certificate) (2024)

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Employees Withholding Allowance Certificate
K-4 Employees Withholding Allowance Certificate Rev. 11-18_ADA_fillable
500518KANSASK-4EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE(Rev. 11-18)Use the following instructions to accuratelycomplete your K-4 form, then detach thelower portion and give it to your employer.For assistance, call the Kansas Departmentof Revenue at 785-368-8222.because you had no tax liability; and 2)this year you will receive a full refund of allSTATE income tax withheld because youwill have no tax liability.Purpose of the K-4 form: A completedexempt, complete the Personal AllowanceWorksheet that follows. The total on line Fshould not exceed the total exemptions youclaim under “Exemptions and Dependents”on your Kansas income tax return.NOTE: Your status of “Single” or “Joint” maydiffer from your status claimed on your federalForm W-4).Using the information from your PersonalAllowance Worksheet, complete the K-4form below, sign it and provide it to youremployer. If your employer does not receivewithholding allowance certificate will let youremployer know how much Kansas income taxshould be withheld from your pay on incomeyou earn from Kansas sources. Becauseyour tax situation may change, you may wantto re-figure your withholding each year.Exemption from Kansas withholding:To qualify for exempt status you must verifywith the Kansas Department of Revenuethat: 1) last year you had the right to arefund of all STATE income tax withheldBasic Instructions: If you are nota K-4 form from you, they must withholdKansas income tax from your wages withoutexemption at the “Single” allowance rate.Head of household: Generally, you mayclaim head of household filing status onyour tax return only if you are unmarriedand pay more than 50% of the cost ofkeeping up a home for yourself and foryour dependent(s).Non-wage income: If you have a largeamount of non-wage Kansas source income,such as interest or dividends, considermaking Kansas estimated tax payments onForm K-40ES. Without these payments, youmay owe additional Kansas tax when youfile your state income tax return.Personal Allowance Worksheet (Keep for your records)A Allowance Rate: If you are a single filer mark “Single”If you are married and your spouse has income mark “Single”If you are married and your spouse does not work mark “Joint”Ao Singleo JointB Enter “0” or “1” if you are married or single and no one else can claim you as a dependent (entering “0” may helpyou avoid having too little tax withheld) ......................................................................................................................... B_________C Enter “0” or “1” if you are married and only have one job, and your spouse does not work (entering “0” may helpyou avoid having too little tax withheld) ......................................................................................................................... C_________D Enter “2” if you will file head of household on your tax return (see conditions under Head of household above) ......... D_________E Enter the number of dependents you will claim on your tax return. Do not claim yourself or your spouse ordependents that your spouse has already claimed on their form K-4 ........................................................................... E_________F Add lines B through E and enter the total here ........................................................................................................... F_________ Cut here and give the lower portion to your employer. Keep the top portion for your records. Kansas Employee’s Withholding Allowance CertificateWhether you are entitled to claim a certain number of allowances or exemption from withholding is subject to review by theKansas Department of Revenue. Your employer may be required to send a copy of this form to the Department of Revenue.1Print your First Name and Middle InitialMailing address2 Social Security NumberLast Name3 Allowance RateMark the allowance rate selected in Line A above.ooSingle4Total number of allowances you are claiming (from Line F above) ...............................................................................45Enter any additional amount you want withheld from each paycheck (this is optional).................................................5Joint$6I claim exemption from withholding. (You must meet the conditions explained in the “Exemption from withholding”instructions above.) If you meet the conditions above, write “Exempt” on this line .......................................................6Note: The Kansas Department of Revenue will receive your federal W-2 forms for all years claimed Exempt.Under penalties of perjury, I declare that I have examined this certificate and to the best of my knowledge and belief it is true, correct, and complete.SIGNDateHERE7Employer’s Name and Address8 EIN (Employer ID Number)

Extracted from PDF file 2023-kansas-form-k-4.pdf, last modified November 2018

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2023 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 11-18_ADA_fillable

2022 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 11-18_ADA_fillable

2021 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 11-18_ADA_fillable

2020 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 11-18_ADA_fillable

2019 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 11-18_ADA_fillable

2018 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 11-18_ADA_fillable

2017 Form K-4

K-4 Employee's Withholding Allowance Certificate

2016 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 8-15

2015 Form K-4

K-4 Employees Withholding Allowance Certificate Rev. 8-15

2013 Form K-4

K-4 Employees Withholding Allowance Certificate (Rev. 10-13)

2012 Form K-4

K-4 Employees Withholding Allowance Certificate (Rev. 9-12)

2011 Form K-4

Employees Withholding Allowance Certificate and Notice 07-07 K-4 9-07