Income Tax Highland Park
Resume:
Form CF-W-* — EMPLOYEE’S WITHHOLDING CERTIFICATE Revised 12/02/2014
FOR MICHIGAN CITIES LEVYING AN INCOME TAX (See list below) 1. Print your full name Social Security No. Office, Plant, Dept. Employee Identification No 2. Address, Number and Street Apartment City, Township or Village where you reside State Postal Code 4. Exemptions for yourself (See cities below) 4
5. Exemptions for spouse (See cities below) 5
6. Exemptions for your dependent children 6
7. Exemptions for your other dependents 7
8. Total number of exemptions claimed 8
Exemptions allowed by city for taxpayer and spouse, if married. I do not expect to
work in any city listed
of any listed city
Portland
$1,000
Saginaw
Walker
$600
Grayling
$3,000
4. Taxpayer
5. Spouse
4. Taxpayer
5. Spouse
4. Taxpayer
5. Spouse
4. Taxpayer
5. Spouse
$600
Port Huron
$600
5. Spouse
4. Taxpayer
5. Spouse
Muskegon Heights
$600
Pontiac
4. Taxpayer
5. Spouse
4. Taxpayer
$600
Muskegon
$600
5. Spouse
4. Taxpayer
5. Spouse
$750
Springfield
$750
5. Spouse
4. Taxpayer
5. Spouse
I am not a resident 9. Date 10. Signature
4. Taxpayer
5. Spouse
Lansing
$600
Lapeer
4. Taxpayer
5. Spouse
4. Taxpayer
$600
5. Spouse
4. Taxpayer
$700
Jackson
$600
5. Spouse
4. Taxpayer
5. Spouse
$1,000
Ionia
4. Taxpayer
5. Spouse
4. Taxpayer
Hudson
Hamtramck
$600
Highland Park
$600
Deaf Permanently
Disabled
Regular
exemption
65 or over at end
of year
Resident City
Exemptions
Nonresident City
YOUR WITHHOLDING EXEMPTIONS Exemptions
Blind
Albion
$600
Battle Creek
81%
TO
100%
CHECK THE BOX THAT INDICATES THE
APPROXIMATE AMOUNT OF TIME WORKING
FOR EMPLOYER IN THE CHECKED
NONRESIDENT CITY
UNDER
25%
25%
TO
40%
41%
TO
60%
CHECK BOX
IF YOU ARE A
RESIDENT OF
A LISTED
CITY
CHECK BOX IF
YOU ARE A
NONRESIDENT
AND WORK
FOR
EMPLOYER IN
A LISTED CITY
61%
TO
80%
MICHIGAN CITIES
LEVYING AN INCOME
TAX AND THE VALUE
OF ONE EXEMPTION
EMPLOYEE: File this form with your
employer. Otherwise your employer must
withhold tax for the cities without any allowance
for exemptions.
EMPLOYER: Keep this certificate with your records. If the information submitted by the employee is not believed to be true, correct and complete, the City Income Tax Department must be advised.
Big Rapids
Detroit
Flint
Grand Rapids
$600
4. Taxpayer
5. Spouse
4. Taxpayer
5. Spouse
4. Taxpayer
5. Spouse
4. Taxpayer
5. Spouse
4. Taxpayer
5. Spouse
4. Taxpayer
$750
$600
$600
Michelle Zillner ***-**-****
20009 WALTHAM ST DETROIT MI 48205
1 0
3
09/06/2025
Contact this candidate