×
tax forms found in
Tax Form Code
Tax Form Name

Arizona Free Printable Arizona Form A-4P for 2024 Arizona Annuitant's Request for Voluntary Arizona Income Tax Withholding

It appears you don't have a PDF plugin for this browser. Please use the link below to download 2024-arizona-form-a-4p.pdf, and you can print it directly from your computer.

Annuitant's Request for Voluntary Arizona Income Tax Withholding
Arizona Form A-4P

Arizona Form A-4P Annuitant’s Request for Voluntary Arizona Income Tax Withholding 2024 Type or print your Full Name Your Social Security Number Home Address – number and street or rural route Annuity Contract Claim or I.D. Number City or Town Telephone Number (with area code) State ZIP Code Check either box 1 or box 2:  1 I elect to have Arizona income taxes withheld from my annuity or pension payments as authorized by A.R.S. § 43‑404. Withhold from the taxable amount of distribution at the percentage checked (check only one percentage):  0.5%  1.0%  1.5%  2.0%  2.5%  3.0%  3.5%  Check this box and enter an extra amount to be withheld per distribution.......................... $  2 I elect to terminate my prior election for voluntary Arizona income tax withholding from my annuity or pension payments as authorized by A.R.S. § 43‑404. I certify that I have made the election marked above.  SIGNATURE DATE Print General Instructions Who May Use Form A-4P Where to Mail Form A-4P You may use this form to request Arizona income tax withholding if you receive regularly scheduled payments from pensions or annuities that are included in your Arizona gross income from any of the following: Mail Form A-4P to the payor of your annuity or pension. Do not mail Form A-4P to the Arizona Department of Revenue. • Retired or retainer pay for service in the military or naval forces of the United States, The payor of your pension or annuity will withhold Arizona income tax from your payments until you notify the payor to change or terminate Arizona withholding. • Payments received under the United States civil service retirement system from the United States government service retirement and disability fund, • Pensions, • Traditional Individual Retirement Accounts, or • Any other annuity. You may NOT elect to have Arizona income tax withheld from the following: • Any payments NOT received at regular intervals (non-periodic payments), • Lump sum distributions, • Roth Individual Retirement Account distributions, • Veteran’s Administration annuities, or • Railroad Retirement pensions. ADOR 10122 (23) Duration of Voluntary Arizona Withholding Election How to Terminate a Voluntary Arizona Withholding Election You may terminate your voluntary Arizona withholding election at any time. You may use Form A-4P to terminate Arizona withholding or you may send a written notice to the payor of your pension or annuity requesting termination of withholding. Statement of Income Tax Withheld The payor of your pension or annuity will provide you with a statement listing the total amount of your pension or annuity payments and the total amount of Arizona income tax withheld from these payments for the calendar year 2024. You will receive this statement from the payor of your pension or annuity early in 2024
Extracted from PDF file 2024-arizona-form-a-4p.pdf, last modified June 2003

More about the Arizona Form A-4P Individual Income Tax TY 2024

Use form A-4P to elect to have Arizona income taxes withheld from regularly recurring payments or annuities.

We last updated the Annuitant's Request for Voluntary Arizona Income Tax Withholding in January 2024, so this is the latest version of Form A-4P, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form A-4P directly from TaxFormFinder. You can print other Arizona tax forms here.

Other Arizona Individual Income Tax Forms:

TaxFormFinder has an additional 95 Arizona income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 140 Resident Personal Income Tax Return
Form 140 Instructions Income Tax Instruction Packet
Form 140A Resident Personal Income Tax (Short) Package
Form 204 Application for Filing Extension
Form 321 Credit for Contributions to Qualifying Charitable Organizations

Download all AZ tax forms View all 96 Arizona Income Tax Forms


Form Sources:

Arizona usually releases forms for the current tax year between January and April. We last updated Arizona Form A-4P from the Department of Revenue in January 2024.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Arizona Form A-4P

We have a total of three past-year versions of Form A-4P in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2024 Form A-4P

Arizona Form A-4P

2023 Form A-4P

Arizona Form A-4P

2022 Form A-4P

Arizona Form A-4P


TaxFormFinder Disclaimer:

While we do our best to keep our list of Arizona Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By TaxFormFinder.org **
Source: http://www.taxformfinder.org/index.php/arizona/form-a-4p