Oklahoma Tax Commission

Employee’s State Withholding Allowance Certificate

Your First Name and Middle Initial

Employee’s Signature (Form is not valid unless you sign it) Date (MM/DD/YYYY) Home Address (Number and Street or Rural Route)

City or Town State ZIP Code

Filing Status Single Married

Married, but withhold at higher Single rate

Last Name Your Social Security Number

This certificate is for income tax withholding purposes only. Type or print. NOTE: Do NOT mail to the Oklahoma Tax Commission.

1. Allowance For Yourself: Enter 1 for yourself 1 2. Allowance For Your Spouse: Does your spouse work? Yes No If Yes, enter 0. If no, enter 1 for your spouse ... 2 3. Allowance For Dependents: Enter the number of dependents you will claim on your tax return. Do not claim yourself or your spouse or dependents that your spouse has already claimed on his or her Form OK-W-4 3 4. Additional Allowances: You may claim additional allowances if you itemize your deductions or have other state tax deductions or credits that lower your tax. Enter the number of additional allowances you would like to claim 4 5. Total Number of Allowances You Are Claiming: Add Lines 1 through 4 and enter total here 5 6. Additional Withholding: If you expect to have a balance due (as a result of interest income, dividends, income from a part-time job, etc.) on your tax return, you may request your employer to withhold an additional amount of tax from each pay period. To calculate the amount needed, divide the amount of the expected balance due by the number of pay periods in a year. Enter the additional amount to be withheld each pay period here 6 $ 7. Exempt Status: If you had a right to a refund of all of your Oklahoma income tax withheld last year because you had no tax liability and this year you expect a refund of all Oklahoma income tax withheld because you expect to have no tax liability, write “Exempt” on Line 7. See information below 7 8. If you meet the conditions set forth under the Servicemember Civil Relief Act, as amended by the Military Spouses Residency Relief Act and have no Oklahoma tax liability, write “Exempt” on line 8 and complete Form OW-9-MSE. See information below 8 9. If income earned as a member of any active duty component of the Armed Forces of the United State is eligible for the military income deduction write “exempt” on Line 9 9 Under penalties of perjury, I certify that I am entitled to the number of withholding allowances claimed on this certificate, or I am entitled to claim exempt status. Form OK-W-4 is completed so you can have as much “take-home pay” as possible without an income tax liability due to the state of Oklahoma when you file your return. Deductions and exemptions reduce the amount of your taxable income. If your income is less than the total of your personal exemp- tion plus your standard deduction, you should mark “Exempt” on Line 7 above. The following amounts of your annual Oklahoma adjusted gross income will not be taxed by the state of Oklahoma when you file your individual income tax return.

• If your filing status is married filing joint and your spouse works, do not claim an exemption on Form OK-W-4 for your spouse.

• If you and your spouse have dependents, please be sure only one of you claim the dependents on your Form OK-W-4. If both spouses claim the dependents as an allowance on Form OK-W-4, it may cause you to owe additional Oklahoma income tax when you file your return.

• If you have more than one employer, you should claim a smaller number or no allowances on each Form OK-W-4 filed with employers other than your principal employer so the amount withheld will be closer to your amount of total tax.

• If you itemize your deductions, instead of using the standard deduction, the amount not taxed by Oklahoma may be a greater or lesser amount.

• If you are claiming an “Exempt” status due to the Military Spouses Residency Relief Act you must provide Form OW-9-MSE “Annual Withholding Tax Exemption Certification for Military Spouses”. Items to Remember:

Single

$1,000 - personal exemption

$6,350 - standard deduction

$7,350 - Total

+$1,000 for each dependent

Married Filing Joint

$ 2,000 - personal exemption

$12,700 - standard deduction

$14,700 - Total

+$1,000 for each dependent

Form OK-W-4

Revised 3-2021