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Print or type your full name, Social Security number or ITIN and home address. Enter your Indiana county of residence and county of principal employment as of January 1 of the current year. If you neither lived nor worked in Indiana on January 1 of the current year, enter not applicable on the line(s).
Lines 1 2 - You are allowed to claim one exemption for yourself and one for your spouse (ifhe/she does not claim the exemption for him/herself). If a parent or legal guardian claims you on their federal tax return, you may still claim an exemption for yourselffor Indiana purposes.
Weve got the steps here; plus, important considerations for each step. Step 1: Enter your personal information. Step 2: Account for all jobs you and your spouse have. Step 3: Claim your children and other dependents. Step 4: Make other adjustments. Step 5: Sign and date your form.
Contents of the Indiana WH-4 Form Full Name. Social Security Number or ITIN. Home address. City. State. Zip Code. Indiana County of Residence as of January 1st. Indiana County of Principal Employment as of January 1st.
Complete Form REV-419 so that your employer can withhold the correct Pennsylvania personal income tax from your pay. Complete a new Form REV-419 every year or when your personal or financial situa- tion changes. Photocopies of this form are acceptable.

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Fill in your name, address, Social Security number and tax filing status. Importantly, your tax filing status is the basis for which you might qualify for certain tax credits and deductions, and there are rules about which ones you can use.

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