Department of Retirement Systems:

Gross Benefit

Enter your gross benefit $

Enter your gross benefit.

Step 1(c) - Filing Status

Single or Married filing separately

Married filing jointly or Qualifying surviving spouse

Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)

Select a filing status.

Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to the end and select Calculate. See pages 2 and 3 of the W-4P for more information on each step.

Step 2 - Income

Complete this step if you (1) have income from a job or more than one pension/annuity, or (2) are married filing jointly and your spouse receives income from a job or a pension/annuity.

(b) Complete the items below.

(i) If you (and/or your spouse) have one or more jobs, then enter the total taxable annual pay from all jobs, plus any income entered on Form W-4, Step 4(a), for the jobs, minus the deductions entered on Form W-4, Step 4(b), for the jobs. Otherwise, enter “-0-”

(ii) If you (and/or your spouse) have any other pensions/annuities that pay less annually than this pension/annuity, then enter the total annual taxable payments from all lowerpaying pensions/annuities. Otherwise, enter “-0-”

(iii) Add the amounts from items (i) and (ii) = Total

Complete Steps 3–4(b) on this form only if (b)(i) is blank and this pension/annuity pays the most annually. Otherwise, do not complete Steps 3–4(b) on this form.

Step 3 - Credits

If your total income will be $200,000 or less ($400,000 or less if married filing jointly):

(a) Multiply the number of qualifying children under age 17 by $2,200

(b) Multiply the number of other dependents by $500

Add the amounts from Steps 3(a), 3(b), and 3(c). Enter the total here

Step 4 - Other Adjustments

(a) Other income (not from jobs or pension/annuity payments). If you want tax withheld on other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, taxable social security, and dividends

(b) Deductions. Use the Deductions Worksheet on page 4of the W-4P to determine the amount of deductions you may claim, which will reduce your withholding. (If you skip this line, your withholding will be based on the standard deduction.) Enter the result here

Extra withholding cannot be more than your gross benefit.

I request that no withholding be withheld from my payments. See Choosing not to have income tax withheld on page 2

Estimated Withholding

Gross Benefit

Estimated Withholding

Estimated Net Benefit

Please contact the IRS for publications and tax advice.

Disclaimer

We're providing this tool to assist with your federal income tax withholding. The calculations are based on information you entered, and do not reflect the full complexity of federal income tax law. DRS will not be held responsible for your use of the information or the decisions you make based on the results provided. You may want to consult your tax advisor before making your final decision.