INSTRUCTIONS: VOLUNTARY WITHHOLDING REQUEST ARIZONA RESIDENT EMPLOYED OUTSIDE ARIZONA (Form A-4V)

Arizona residents performing work outside of the work can elect to have their state income tax voluntarily withheld from their wages by filing a form A-4V. This document can be obtained from the website of the Arizona Department of Revenue.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 1: Enter your full name and Social Security number.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 2: Enter your home street address.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 3: Enter your city or town, state and zip code.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 4: The first numbered line to be checked is for those requesting that their taxes be withheld from wages. You must also indicate with a check mark whether you wish for the taxes to be withheld at the rate of 0.8%, 1.3%, 1.8%, 2.7%, 3.6%, 4.2% or 5.1%. You may also enter in dollars the additional amount you wish to have withheld per paycheck.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 5: The second line to be checked is for those wishing to terminate a previously administered voluntary withholding election.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 6: Sign and date the form.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 7: An officer, sole proprietor or agent of the out-of-state employer should complete the bottom half of the form. In the first blank, they should enter the employer company or individual name.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 8: In the second blank, they should enter your name.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 9: In the third blank, the officer, sole proprietor or agent should provide their signature.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 10: In the fourth blank, they should enter their title.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 11: In the fifth blank, they should enter the date.

Voluntary Withholding Request Arizona Resident Employed Outside Arizona A-4V Step 12: The form will be filed and maintained by your employer. Do not file a copy with the Arizona Department of Revenue.