| Indiana WH-4 Exemption Worksheet | ||
| 1 | Check if you claim your personal Exemption | |
| 2 | Check if you are married and spouse does not claim his/her exemption | |
| 3 | Number of dependents (other than you and spouse) you claim | |
| 4a | Check if you are age 65 or older | |
| 4b | Check if spouse is age 65 or older | |
| 4c | Check if you are blind | |
| 4d | Check if spouse is blind | |
| 5 | Total Withholding Exemptions Use This | |
| Cancel | ||