1 Withhold from gross taxable wages at the percentage selected (check only one percentage):
Check this box and enter an extra amount to be withheld from each paycheck
Enter the additional amount you wish to pull per paycheck below:
2 I elect an Arizona withholding percentage of zero, and I certify that I expect to have no Arizona tax liability for the current taxable year.
How much are your gross wages per paycheck?
You must enter in a value greater than zero (0) to continue!
Do you have any pre-tax deductions?
Enter how much your total pre-tax deductions will be each paycheck below: