North Carolina Withholding Certificate (NC-4)

NC-4 (SOLO)

North Carolina Employee's Allowance Withholding Certificate

Which Office are you Submitting Too

Withholding Information

If you have questions regarding your correct filing status or questions on how to determine the number of allowances to claim, please review the PDF version of the NC-4 Employee's Withholding Certificate.

1. Total number of allowances you are claiming(Required)

Enter 0 or the number of allowances from Line 17 of the NC-4 Allowances Worksheet. A degree in neuroscience might be required to complete the worksheet.

2. Additional amount, if any, withheld from each pay period (whole dollars only)

Employee's Information

Filing Status(Required)

Single / Married Filing Separately

Head of Household

Married Filing Jointly / Surviving Spouse

Social Security Number(Required)

Name(Required)

First Middle Initial Last

Address(Required)

Street Address County (FIRST 5 LETTERS) City State ZIP Code

Date(Required)

Signature(Required)

I certify, under penalties provided by law, that I am entitled to the number of withholding allowances claimed on Question 1 above.

Pyro Shows

NC-4 (SOLO)

Withholding Information

Employee's Information

Tennessee

Alabama

Texas

South Carolina