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Arizona Free Printable Arizona Form A-4V for 2024 Arizona Voluntary Withholding Request for Arizona Resident Employed Outside of Arizona

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Voluntary Withholding Request for Arizona Resident Employed Outside of Arizona
Arizona Form A-4V

Arizona Form A-4V Voluntary Withholding Request for Arizona Resident Employed Outside of Arizona 2023 Arizona tax rates have decreased. As a result, we are revising withholding percentages and are requiring taxpayers to complete a new Form A-4V for 2023. Type or print your Full Name Your Social Security Number Home Address – number and street or rural route City or Town State ZIP Code Check either box 1 or box 2:  1 I am an Arizona resident employed outside of Arizona. I elect to have Arizona income taxes withheld from my compensation paid for services performed outside of Arizona for my employer as authorized by A.R.S. § 43‑408. Withhold from gross taxable wages 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 paycheck............................ $  2 I am an Arizona resident employed outside of Arizona. I elect to terminate my prior election for voluntary Arizona income tax withholding from my compensation paid for services performed outside of Arizona for my employer. I certify that I have made the election marked above. EMPLOYEE’S SIGNATURE  DATE General Instructions Who May Use Form A-4V What are my “Gross Taxable Wages”? Arizona Form A-4V is for Arizona resident employees who are performing work outside of Arizona. Use this form to request that your employer withhold Arizona income taxes from your wages for work done outside of Arizona. This amount is applied to your Arizona income tax due when you file your return. Your employer is not required by statute to grant your request. For withholding purposes, “gross taxable wages” are the wages from each paycheck that will generally be in box 1 of your federal Form W-2. It is your gross wages less any pretax deductions, such as your share of health insurance premiums. If your employer agrees to withhold Arizona income tax from your wages, Arizona withholding is a percentage of your gross taxable wages of every paycheck. You may also have your employer withhold an extra amount from each paycheck. Complete this form to request that your employer withhold Arizona income tax from your wages and elect an Arizona withholding percentage and any additional amount to be withheld from each paycheck. Give your completed form to your employer. What Should I do With Form A-4V? Employer Certification (NAME OF EMPLOYER – COMPANY OR INDIVIDUAL) (EMPLOYEE’S NAME) , the employer of an Arizona resident, , whose compensation is for services performed outside of Arizona, has agreed to withhold Arizona income taxes from the employee’s compensation as authorized by A.R.S. § 43‑408. As stated in A.R.S. § 43‑408(B), the employer understands and agrees that the employer and the employee are subject to the provisions of Chapter 4 of Title 43 of the Arizona Revised Statutes, as if the employer were required to withhold Arizona income taxes from such compensation.  SIGNATURE OF OFFICER, SOLE PROPRIETOR, OR AGENT TITLE DATE ADOR 10372 (22) Print
Extracted from PDF file 2023-arizona-form-a-4v.pdf, last modified June 2003

More about the Arizona Form A-4V Individual Income Tax TY 2023

Use form A-4V if you are an Arizona resident employed outside of Arizona and want Arizona income tax withheld from your paycheck.

We last updated the Voluntary Withholding Request for Arizona Resident Employed Outside of Arizona in February 2024, so this is the latest version of Form A-4V, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form A-4V 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-4V from the Department of Revenue in February 2024.

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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-4V

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


2023 Form A-4V

Arizona Form A-4V

2022 Form A-4V

Arizona Form A-4V


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.

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