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Federal and Michigan Payroll Withholding
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Your W4 Information
For Payroll in Tax Year:
Federal Withholding Status:
Federal Allowances:
Federal Additional Withholding Amount:
Michigan Claimed Personal & Dependency Exemptions:
State Additional Withholding Amount:
Where you work:
Where you live:
Your Paycheck Information
Pay Periods per Year:
Employee Type: Salaried  Hourly
Gross Salary Per Pay Period:
Income to be taxed as supplemental income?:
Before Tax Retirement Benefit Deduction?:
Cafeteria Plan Benefit Deductions?:
After Tax Deduction?:
Optional for FICA limit calculationGross Salary YTD
(Do not include this paycheck)