WT-4 — Employee's Wisconsin Withholding Exemption Certificate

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WT-4
Employee's Wisconsin Withholding Exemption Certificate/New Hire Reporting
Employee's Section (Print clearly)
Employee's legal name (first name, middle initial, last name)
Employee's address (number and street)
City State Zip code

# FIGURE YOUR TOTAL WITHHOLDING EXEMPTIONS BELOW

1. (a) Exemption for yourself - enter 1 … (b) Exemption for your spouse - enter 1 … (c) Exemption(s) for dependent(s) - you are entitled to claim an exemption for each dependent … (d) Total - add lines (a) through (c) …
   1. Additional amount per pay period you want deducted (if your employer agrees) …
   2. I claim complete exemption from withholding (see instructions). Enter "Exempt" …

I CERTIFY that the number of withholding exemptions claimed on this certificate does not exceed the number to which I am entitled. If claiming complete exemption from withholding, I certify that I incurred no liability for Wisconsin income tax for last year and that I anticipate that I will incur no liability for Wisconsin income tax for this year.
Signature
EMPLOYEE INSTRUCTIONS:

• WHO MUST COMPLETE:

Effective on or after January 1, 2020, every newly-hired employee is required to provide a completed Form WT-4 to each of their employers.
Form WT-4 will be used by your employer to determine the amount of
Wisconsin income tax to be withheld from your paychecks. If you have more than one employer, you should claim a smaller number or no exemptions on each Form WT-4 provided to employers other than your principal employer so that the total amount withheld will be closer to your actual income tax liability.
You must complete and provide your employer a new Form WT-4 within
10 days if the number of exemptions previously claimed DECREASES.
You may complete and provide to your employer a new Form WT-4 at any time if the number of your exemptions INCREASES.
Your employer may also require you to complete this form to report your hiring to the Department of Workforce Development.

• UNDER WITHHOLDING:

If sufficient tax is not withheld from your wages, you may incur additional interest charges under the tax laws. In general, 90% of the net tax shown on your income tax return should be withheld.

• OVER WITHHOLDING:

If you are using Form WT-4 to claim the maximum number of exemptions to which you are entitled and your withholding exceeds your expected income tax liability, you may use Form WT-4A to minimize the over withholding.
WT-4 Instructions - Provide your information in the employee section.

• LINE 1:

Applicable Laws and Rules
This document provides statements or interpretations of the following laws and regulations enacted as of August 23, 2023: sec. 71.66, Wis. Stats., and sec. Tax 2.92, Wis. Adm. Code.
The address will be displayed appropriately in a left window envelope.

DEPARTMENT OF WORKFORCE DEVELOPMENT
NEW HIRE REPORTING
PO BOX 14431
MADISON WI 53708-0431