Federal Form W-4V (Voluntary Withholding Request) (2024)

Voluntary Withholding Request
Form W-4V (Rev. February 2018)
FormW-4VVoluntary Withholding Request(Rev. February 2018)(For unemployment compensation and certain Federal Government and other payments.)Department of the TreasuryInternal Revenue Service▶ Goto www.irs.gov/FormW4V for the latest information.InstructionsPurpose of FormIf you receive any government payment shown below, you may useForm W-4V to ask the payer to withhold federal income tax.• Unemployment compensation (including Railroad UnemploymentInsurance Act (RUIA) payments).• Social security benefits.• Social security equivalent Tier 1 railroad retirement benefits.• Commodity Credit Corporation loans.• Certain crop disaster payments under the Agricultural Act of 1949 orunder Title II of the Disaster Assistance Act of 1988.• Dividends and other distributions from Alaska Native Corporationsto its shareholders.Consult your payer if you’re uncertain whether your payment iseligible for voluntary withholding.You aren’t required to have federal income tax withheld from thesepayments. Your request is voluntary.Note. Payers may develop their own form for you to request federalincome tax withholding. If a payer gives you its own form instead ofForm W-4V, use that form.Why Should I Request Withholding?You may find that having federal income tax withheld from the listedpayments is more convenient than making quarterly estimated taxpayments. However, if you have other income that isn’t subject towithholding, consider making estimated tax payments. For more details,see Form 1040-ES, Estimated Tax for Individuals.How Much Can I Have Withheld?For unemployment compensation, the payer is permitted to withhold10% from each payment. No other percentage or amount is allowed.For any other government payment listed above, you may choose tohave the payer withhold federal income tax of 7%, 10%, 12%, or 22%from each payment, but no other percentage or amount.What Do I Need To Do?Complete lines 1 through 4; check one box on line 5, 6, or 7; sign FormW-4V; and give it to the payer, not to the IRS.Note. For withholding on social security benefits, give or send thecompleted Form W-4V to your local Social Security Administrationoffice.Line 3. If your address is outside the United States or the U.S.possessions, enter on line 3 the city, province or state, and name of thecountry. Follow the country’s practice for entering the postal code.Don’t abbreviate the country name.Line 4. Enter the claim or identification number you use with your payer.For withholding from social security benefits, the claim number is thesocial security number under which a claim is filed or benefits are paid(for example, 123-45-6789A or 123-45-6789B6). The letter orletter/number combination suffix that follows the claim number identifiesthe type of benefit (for example, a wage earner, a spouse, or awidow(er)). The claim number may or may not be your own socialsecurity number. If you are unsure about what number to use, contactthe Social Security Administration at 1-800-772-1213 (toll-free). Forother government payments, consult your payer for the correct claim oridentification number format.Line 5. If you want federal income tax withheld from yourunemployment compensation, check the box on line 5. The payer willwithhold 10% from each payment.Line 6. If you receive any of the payments listed on line 6, check the boxto indicate the percentage (7%, 10%, 12%, or 22%) you want withheldfrom each payment.Line 7. See How Do I Stop Withholding? below.Sign this form. Form W-4V is not considered valid unless you sign it.When Will My Withholding Start?Ask your payer exactly when income tax withholding will begin. Thefederal income tax withholding you choose on this form will remain ineffect until you change or stop it or the payments stop.How Do I Change Withholding?If you are getting a payment other than unemployment compensationand want to change your withholding rate, complete a new Form W-4V.Give the new form to the payer.How Do I Stop Withholding?If you want to stop withholding, complete a new Form W-4V. Aftercompleting lines 1 through 4, check the box on line 7, and sign and datethe form; then give the new form to the payer.Separate hereFormW-4V(Rev. February 2018)Department of the TreasuryInternal Revenue ServiceVoluntary Withholding Request(For unemployment compensation and certain Federal Government and other payments.)▶Give this form to your payer. Do not send it to the IRS.1Your first name and middle initialLast name3Home address (number and street or rural route)City or town4Claim or identification number (if any) you use with your payer562 Your social security numberStateZIP codeI want federal income tax withheld from my unemployment compensation at a rate of 10% of each payment.I want federal income tax withheld from (a) my social security benefits, (b) my social security equivalent Tier 1 railroad retirement benefits, (c)my Commodity Credit Corporation loans, (d) certain crop disaster payments under the Agricultural Act of 1949 or under Title II of the DisasterAssistance Act of 1988, or (e) dividends and other distributions from Alaska Native Corporations to its shareholders, at the rate of (check one):7%7OMB No. 1545-007410%12%22%I want you to stop withholding federal income tax from my payment(s).Your signature ▶For Privacy Act and Paperwork Reduction Act Notice, see page 2.Date ▶Cat. No. 22891VFormW-4V(Rev. 2-2018)Form W-4V (Rev. 2-2018)Privacy Act and Paperwork Reduction ActNoticeWe ask for the information on Form W-4V to carry out the InternalRevenue laws of the United States. You are required to provide thisinformation only if you wish to have federal income tax withheld fromcertain payments for which withholding is not required by law. If youchoose to request voluntary withholding of federal income tax, you’rerequired by Internal Revenue Code sections 3402(p) and 6109 and theirregulations to provide the information requested on this form. If youdon't provide a completed form that is signed, the payer can’t withholdfederal income tax from your payment. Providing false or fraudulentinformation may subject you to penalties.Routine uses of this information include giving it to the Department ofJustice for civil and criminal litigation, and to cities, states, the District ofColumbia, and U.S. commonwealths and possessions for use inadministering their tax laws. We may also disclose this information toother countries under a tax treaty, to federal and state agencies toenforce federal non-tax criminal laws, or to federal law enforcement andintelligence agencies to combat terrorism.Page2You aren’t required to provide the information requested on a formthat is subject to the Paperwork Reduction Act unless the form displaysa valid OMB control number. Books or records relating to a form or itsinstructions must be retained as long as their contents may becomematerial in the administration of any Internal Revenue law. Generally, taxreturns and return information are confidential, as required by Codesection 6103.The average time and expenses required to complete and file thisform will vary depending on individual circ*mstances. For estimatedaverages, see the instructions for your income tax return.If you have suggestions for making this form simpler, we would behappy to hear from you. See the instructions for your income tax return.

Extracted from PDF file 2023-federal-form-w-4v.pdf, last modified February 2018

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