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FORM SD/W-4A
STATE OF DELAWARE
WITHHOLDING ALLOWANCE(S) COMPUTATION WORKSHEET
FOR 2009 - 2010
A.
Enter “1” for Yourself (2 if 60 years old or older)
A. __________
if no one else claims you as a dependent.
B.
Enter “1” for your Spouse (2 if 60 years or older)
B. __________
if no one else claims your spouse as a dependent.
C.
Enter number of dependents other than your spouse that
C. __________
you will claim.
D.
Enter “1” if you qualify to take a child/dependent care
D. __________
credit for one child or dependent and “2” if you qualify
to take the credit for two or more children or dependents.
E.
Enter “1” for yourself if 65 or over and “1” if blind.
E. __________
F.
Enter “1” for spouse if 65 or over and “1” if blind.
F. __________
G.
Add Line A through F and enter total here.
G. __________
If you plan to itemize or receive non-wage income, or claim other deductions and wish to adjust your
withholding, continue with the following Section H. OTHERWISE STOP HERE and enter number from
Line G onto Form W-4 and indicate “For Delaware Purposes Only”.
H.
DEDUCTIONS AND INCOME ADJUSTMENTS –
NOTE – Use this section only if you plan to
Itemize or claim other deductions or have non-
Wage income. If computing this section on married
filing separate or combined separate status, the
following rule applies: include only the amount of
itemized deductions that pertain to your separate return.
1.
Enter an estimate of your itemized deductions
1. $ __________
for the current year, i.e. home mortgage interest,
real estate and other taxes (excluding state income
tax paid), charitable contributions, medical expenses
in excess of 7.5% of adjusted gross income, and
miscellaneous deductions (most miscellaneous
deductions are now deductible only in excess of 2%
of your adjusted gross income).
2.
Delaware Standard Deduction of $3,250
2. $
3,250.00
1