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Illinois Free Printable IL-W-5-NR, Employee’s Statement of Nonresidence in Illinois for 2024 Illinois Employee's Statement of Nonresidence in Illinois

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Employee's Statement of Nonresidence in Illinois
IL-W-5-NR, Employee’s Statement of Nonresidence in Illinois

Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes. Illinois Department of Revenue IL-W-5-NR Employee’s Statement of Nonresidence in Illinois Must I complete this form? To employers: You must complete Part 1 of this form if • you are a resident of Iowa, Kentucky, Michigan, or Wisconsin, or • your spouse is in the military, you and your spouse are both residents of the same state (other than Illinois) and you are in Illinois only because your spouse is stationed here by the military, and your wages are exempt from withholding of Illinois Income Tax under the reciprocal withholding agreements between Illinois and these states or under the Military Spouses Residency Relief Act. You must file your completed Form IL-W-5-NR with your Illinois employer. If you change your state of residence, you must notify your employer within ten days. You are required to have a copy of this form on file for each employee who • is a resident of Iowa, Kentucky, Michigan, or Wisconsin; receives compensation paid in Illinois; and elects to claim exemption from withholding of Illinois Income Tax under the reciprocal withholding agreements between Illinois and these states, OR • is exempt from Illinois Income Tax on compensation under the Military Spouses Residency Relief Act. Part 1: Employee information Part 2: Employer information _____ ______ _____ - _____ _____ - _____ _____ _____ _____ Social Security number _____ _____ - _____ _____ _____ _____ _____ _____ _____ Federal employer identification number ______________________________________________________________________ Name ______________________________________________________________________ Name ______________________________________________________________________ Mailing address ______________________________________________________________________ Mailing address ______________________________________________________________________ City State ZIP ______________________________________________________________________ City State ZIP I declare under penalties of perjury that I am a resident of the state of: Iowa Kentucky Michigan Wisconsin, OR My spouse and I are residents of (write the 2-letter abbreviation for your state of residency) ____ and I am in Illinois only because my spouse is a member of the US military who is stationed in Illinois. ______________________________________________________________________ Employee’s signature Date IL-W-5-NR (R-12/10) Reset This form is authorized under the Illinois Income Tax Act. Disclosure of this information is required. Failure to provide information may result in this form not being processed and may result in a penalty. Print
Extracted from PDF file 2023-illinois-form-il-w-5-nr.pdf, last modified October 2011

More about the Illinois Form IL-W-5-NR Individual Income Tax TY 2023

Use form IL-W-5-NR if you or your partner are not a resident of Illinois and are in the military and your wages are exempt under the Military Spouses Residency Relief Act

We last updated the Employee's Statement of Nonresidence in Illinois in February 2024, so this is the latest version of Form IL-W-5-NR, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form IL-W-5-NR directly from TaxFormFinder. You can print other Illinois tax forms here.

Related Illinois Individual Income Tax Forms:

TaxFormFinder has an additional 75 Illinois income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Illinois Form IL-W-5-NR.

Form Code Form Name
Form Schedule IL-WIT Illinois Income Tax Withheld
Form IL-W-4 Employee's Illinois Withholding Allowance Certificate
Form IL-W-5 Certificate of Residence in Illinois
Form IL-W-6 Certificate of Days Worked in Illinois for Non-Residents
Form IL-W-6-WS Worksheet to Report Days Worked in Illinois for Non-Residents

Download all IL tax forms View all 76 Illinois Income Tax Forms


Form Sources:

Illinois usually releases forms for the current tax year between January and April. We last updated Illinois Form IL-W-5-NR from the Department of Revenue in February 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 Illinois Form IL-W-5-NR

We have a total of two past-year versions of Form IL-W-5-NR in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form IL-W-5-NR

IL-W-5-NR, Employee’s Statement of Nonresidence in Illinois

2022 Form IL-W-5-NR

IL-W-5-NR, Employee’s Statement of Nonresidence in Illinois


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