Nebraska Withholding Allowance Certificate

FORM

W-4N


Note: : If married, filing separately, or spouse is a nonresident alien, check the “Single” box. Individuals filing income tax returns with a “Head of Household” status check the "Single" box.


4 a Enter “1” for yourself if no one else can claim you as a dependent


b Enter "1" if:


c Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse, more than one pension or more than one job. (Entering “-0-” may help you avoid having too little tax withheld)


d Enter number of Nebraska personal exemptions (other than your spouse or yourself) you will claim on your Nebraska income tax return. This is the number of children and dependents you will list on your Nebraska income tax return that qualify for either the child or dependent tax credit on the federal income tax return.


e Enter “1” if you will file as head of household on your income tax return.



1 Total number of allowances you are claiming (from line 4f on the worksheet below)

2 Additional amount, if any, you want withheld from each check for Nebraska income tax withheld.


3 I claim exemption from withholding and I can provide satisfactory evidence to my employer that I meet both of the following conditions for exemption.

If you can provide evidence that you can meet both conditions, write “Exempt” here



Earnings Section

How much do you earn per paycheck?


You must enter in a value greater than zero (0) above to continue!



Select your pay period below:



Do you have pre-tax deductions taken from your paycheck?



How much is deducted from your paycheck in pre-tax deductions?




Estimated Nebraska State Taxes per check are:




**The above number is an estimation and should only be used as a reference point. Questions regarding the amounts you are paid, deducted, or taxed should all be brought to your employer for further clarification. Workforce 2080 provides these estimations to assist employees and employers determine a rough estimation of what taxes, payments, or deductions *could* be. These estimations should not be construed as implict or explicit guarantees in any way. Many factors come into play, such as rounding of figures in Payroll Software, errors in the submission through this portal etc. Workforce 2080 assumes no risk with these estimations and provides these tools to help educate the general population. All users who use these products and estimators outside of their intended use assume risk when used outside of the scope of educational and general knowledge.

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Last Updated on 1/25/2025 @ 12:18 PM CDT