Il w 5 nr 2026

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The document is the IL-W-5-NR form, which is an Employee’s Statement of Nonresidence in Illinois. It is required for employees who are residents of Iowa, Kentucky, Michigan, or Wisconsin and wish to claim exemption from Illinois Income Tax withholding due to reciprocal agreements. Employers must keep a copy of this form on file, and employees must notify their employer within ten days if they change their state of residence.

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Click ‘Get Form’ to open the IL-W-5-NR in the editor.
In Part 1, enter your personal information. Fill in your name, address, and Social Security number accurately to ensure proper processing.
In Part 2, provide your employer's details. Include their name and Federal Employer Identification Number (FEIN) for identification purposes.
Select your state of residence from the options provided: Iowa, Kentucky, Michigan, or Wisconsin. This is crucial for claiming exemption from Illinois Income Tax withholding.
Sign and date the form at the bottom to validate your declaration under penalties of perjury.
Once completed, save your document and share it with your employer as required.

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