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Outline

The Arizona A 4P form plays a crucial role for individuals receiving annuity or pension payments in the state. This form allows annuitants to voluntarily elect Arizona income tax withholding from their distributions. By filling out the A 4P, recipients can choose a specific percentage rate for withholding, ranging from 0.8% to 5.1% of the taxable amount of their annuity or pension payments. Alternatively, individuals have the option to terminate any prior withholding elections. It's important to note that this form is not applicable to nonperiodic payments, lump sum distributions, or certain types of pensions, such as Social Security or Veteran’s Administration benefits. Once completed, the A 4P should be sent directly to the payor of the annuity or pension, rather than the Arizona Department of Revenue. This ensures that the correct amount of tax is withheld from each payment until the annuitant decides to make a change. Understanding the A 4P form is essential for managing tax obligations effectively and ensuring compliance with state regulations.

Sample - Arizona A 4P Form

2012
Type or print your full name (last, fi rst, middle initial) Your social security number
Home address (number and street or rural route) Annuity Contract Claim or I.D. Number
City or town, state, and ZIP code Telephone Number
Annuitant’s Voluntary Arizona Income Tax Withholding Options
Choose only one:
1 ! I hereby elect to have Arizona income taxes withheld from my annuity or pension payments as authorized by ARS §43-404.
I choose to have Arizona withholding at the rate of
(check only one box):
!
0.8%
!
1.3%
!
1.8%
!
2.7%
!
3.6%
!
4.2%
!
5.1% of the
taxable amount of distribution.
Additional amount to be withheld per distribution $
2
! I hereby elect to terminate my prior election for voluntary Arizona income tax withholding from my annuity or pension payments as
authorized by ARS §43-404.
Annuitant’s Request for
Voluntary Arizona Income Tax Withholding
GENERAL INSTRUCTIONS
Who May Use Form A-4P
A person who receives an annuity or pension may use this form to
elect voluntary Arizona income tax withholding. Arizona withholding is
a percentage of the taxable amount of distribution in Box 2a of federal
Form 1099-R. Therefore, you may elect voluntary Arizona income
tax withholding at the applicable percentage rates and designate an
additional amount to be withheld.
“Annuity” means any amount paid to an individual as a pension or
annuity, but only to the extent that the amount is includible in the Arizona
gross income of that individual.
You may NOT elect to have Arizona income tax withheld from
nonperiodic payments, lump sum distributions, or individual retirement
account distributions, that do not meet the defi nition of annuity listed
above.
You also may NOT elect to have Arizona income tax withheld from
Social Security pensions, Veteran’s Administration annuities, or
Railroad Retirement pensions.
Where to Send Form A-4P
Send Form A-4P to the payor of your annuity or pension. Do not send
Form A-4P to the Arizona Department of Revenue.
Duration of Voluntary Arizona Withholding Election
The payor of your pension or annuity will withhold Arizona income tax
from your payments until you notify the payor to terminate Arizona
withholding.
How to Terminate a Voluntary Arizona Withholding Election
You may terminate your voluntary Arizona withholding election at any
time. You may use Form A-4P to terminate Arizona withholding or
you may send a written notice to the payor of your pension or annuity
requesting termination of withholding.
Statement of Income Tax Withheld
The payor of your pension or annuity will provide you with a form that
lists the total amount of your pension or annuity payments and the total
amount of Arizona income tax withheld from these payments for the
calendar year 2012. The payor of your pension or annuity will provide
this form to you in early 2013.
ARIZONA FORM
A-4P
I certify that I have made the percentage election marked above.
SIGNATURE DATE
ADOR 10122 (11)

Form Information

Fact Name Details
Form Purpose This form allows annuitants to request voluntary Arizona income tax withholding from their annuity or pension payments.
Governing Law The form is governed by Arizona Revised Statutes (ARS) §43-404.
Eligibility Any individual receiving an annuity or pension can use this form to elect withholding.
Withholding Rates Annuitants can choose from several withholding rates: 0.8%, 1.3%, 1.8%, 2.7%, 3.6%, 4.2%, or 5.1% of the taxable amount.
Additional Withholding Annuitants may specify an additional amount to be withheld from each distribution.
Non-Eligible Payments Withholding cannot be elected for nonperiodic payments, lump sum distributions, or certain retirement benefits like Social Security.
Submission Instructions The completed form should be sent to the payor of the annuity or pension, not to the Arizona Department of Revenue.
Duration of Withholding Withholding continues until the annuitant notifies the payor to terminate the withholding.
Termination Process Annuitants can terminate withholding at any time using Form A-4P or a written notice to the payor.

Detailed Guide for Filling Out Arizona A 4P

Filling out the Arizona A-4P form is a straightforward process that allows you to manage your voluntary income tax withholding from your annuity or pension payments. By completing this form, you can choose the percentage of your payment that will be withheld for Arizona state taxes or terminate a previous withholding election. Follow these steps to ensure your form is completed accurately.

  1. Begin by typing or printing your full name, including your last name, first name, and middle initial.
  2. Next, enter your social security number.
  3. Provide your home address, including the number and street or rural route.
  4. Fill in the city or town, state, and ZIP code.
  5. Include your telephone number for any necessary follow-up.
  6. Identify your annuity contract claim or I.D. number.
  7. Choose one of the options for Arizona income tax withholding:
    • Option 1: Elect to have Arizona income taxes withheld. Select a withholding rate by checking one box: 0.8%, 1.3%, 1.8%, 2.7%, 3.6%, 4.2%, or 5.1% of the taxable amount of your distribution.
    • Option 2: Elect to terminate any prior election for voluntary Arizona income tax withholding.
  8. If you chose Option 1, specify any additional amount to be withheld per distribution.
  9. Sign and date the form to certify that the information provided is accurate.

Once you’ve completed the form, send it directly to the payor of your annuity or pension. Remember, do not send it to the Arizona Department of Revenue. Your withholding election will remain in effect until you decide to terminate it, either by using this form again or by sending a written notice to your payor.

Obtain Answers on Arizona A 4P

  1. What is the Arizona A 4P form?

    The Arizona A 4P form is a request for voluntary Arizona income tax withholding from annuity or pension payments. It allows individuals receiving these payments to choose how much state income tax to withhold from their distributions. This form is governed by Arizona Revised Statutes (ARS) §43-404.

  2. Who is eligible to use the A 4P form?

    Any individual receiving an annuity or pension can use the A 4P form to elect voluntary withholding. However, it is important to note that this form cannot be used for nonperiodic payments, lump sum distributions, or distributions from individual retirement accounts that do not meet the definition of an annuity. Additionally, Social Security pensions, Veteran’s Administration annuities, and Railroad Retirement pensions are excluded.

  3. How do I complete the A 4P form?

    To complete the A 4P form, you must provide your full name, social security number, home address, annuity contract claim or ID number, and telephone number. You will also need to select one of the withholding options and specify the percentage of your taxable distribution that you wish to withhold. If you wish to terminate a prior election, you can do so on the same form.

  4. Where should I send the completed A 4P form?

    The completed A 4P form should be sent directly to the payor of your annuity or pension. It is crucial not to send this form to the Arizona Department of Revenue, as it will not be processed there.

  5. How long does the withholding election last?

    Your election for voluntary Arizona income tax withholding will remain in effect until you notify the payor to terminate it. This means that the payor will continue to withhold the specified amount from your payments until you take action to change that election.

  6. Can I change or terminate my withholding election?

    Yes, you can change or terminate your withholding election at any time. To do so, you may use the A 4P form again to indicate your desire to terminate withholding or send a written notice to the payor requesting the termination.

  7. Will I receive a statement of income tax withheld?

    Yes, the payor of your pension or annuity will provide you with a statement listing the total amount of your pension or annuity payments, along with the total amount of Arizona income tax withheld for the calendar year. This statement will typically be sent to you in early 2013 for the previous year’s payments.

  8. What are the withholding percentage options available?

    You can choose from several withholding percentage options when completing the A 4P form. The options available are:

    • 0.8%
    • 1.3%
    • 1.8%
    • 2.7%
    • 3.6%
    • 4.2%
    • 5.1%

Common mistakes

Filling out the Arizona A-4P form can be straightforward, but many individuals make common mistakes that can lead to complications. One frequent error occurs when people fail to provide their full name as requested. The form explicitly asks for the last name, first name, and middle initial. Omitting any part of this information can cause delays in processing, as the payor may struggle to match the form with the correct annuity account.

Another mistake involves the selection of the withholding rate. The form requires individuals to choose only one percentage from the provided options. Some people mistakenly check multiple boxes or leave the selection blank. Such errors can result in confusion for the payor and may lead to incorrect withholding amounts. It is crucial to carefully review this section before submitting the form.

Additionally, many individuals overlook the requirement to sign and date the form. A signature is essential to validate the request for voluntary withholding. Without it, the form may be considered incomplete, and the payor may not process the request. This oversight can lead to unexpected tax liabilities, as the individual may not have the desired amount withheld from their annuity payments.

Lastly, some people mistakenly send the completed A-4P form to the Arizona Department of Revenue instead of the payor of their annuity or pension. This misdirection can cause significant delays in processing. It is vital to follow the instructions carefully and ensure that the form reaches the correct destination. By avoiding these common pitfalls, individuals can ensure a smoother experience with their Arizona income tax withholding.

Documents used along the form

The Arizona A 4P form is an important document for individuals receiving annuity or pension payments who wish to have Arizona income taxes withheld from their distributions. In addition to the A 4P form, there are several other forms and documents that may be relevant in managing tax withholding for annuities and pensions. Below are some of these documents, each serving a unique purpose.

  • Federal Form 1099-R: This form reports distributions from pensions, annuities, retirement plans, and other similar sources. It provides essential information about the total amount distributed and the taxes withheld, which can be useful for tax filing purposes.
  • Arizona Form 140: This is the individual income tax return form for Arizona residents. It is used to report income, including pension and annuity distributions, and calculate the total state tax owed for the year.
  • Arizona Form A-4: This form allows employees to designate additional Arizona income tax withholding from their wages. It can be useful for those who want to ensure they are withholding enough tax throughout the year, especially if they have other sources of income.
  • Written Notice for Termination of Withholding: While the A 4P form can be used to terminate withholding, a simple written notice to the payor can also suffice. This document should clearly request the termination of Arizona income tax withholding from annuity or pension payments.

Understanding these forms and documents can greatly assist individuals in managing their tax obligations related to annuity and pension payments. It is always advisable to consult with a tax professional to ensure compliance and optimize tax withholding strategies.

Similar forms

The Arizona A-4P form, which allows annuitants to elect voluntary Arizona income tax withholding, shares similarities with several other important documents in the realm of tax and financial management. Here are four documents that have comparable functions or purposes:

  • W-4 Form: The W-4 form is used by employees to indicate their tax withholding preferences. Just as the A-4P allows annuitants to choose a withholding rate for their annuity payments, the W-4 enables employees to select how much federal income tax should be withheld from their paychecks. Both forms require individuals to specify a percentage or amount to be withheld, ensuring that tax obligations are met throughout the year.
  • Form 1099-R: This form reports distributions from pensions, annuities, retirement plans, and other similar sources. While the A-4P form is used to request withholding on these distributions, the 1099-R provides the recipient with details about the amount distributed and taxes withheld. Both documents are essential for understanding tax liabilities associated with retirement income.
  • State Tax Withholding Certificate: Many states have their own versions of tax withholding certificates similar to the A-4P. These documents allow residents to specify how much state income tax should be withheld from various types of income. Like the A-4P, these forms are designed to help individuals manage their tax withholding according to their financial situations.
  • Form 4506-T: This form is used to request a transcript of tax returns from the IRS. Although it serves a different purpose, it relates to tax management by providing individuals with a summary of their income and tax payments. Understanding one's tax history can inform decisions about withholding, similar to how the A-4P helps annuitants manage their current withholding preferences.

Dos and Don'ts

When filling out the Arizona A-4P form, it is essential to approach the process with care. Here’s a list of things to consider, both what to do and what to avoid.

  • Do ensure that you print your full name clearly, including your last name, first name, and middle initial.
  • Do provide your social security number accurately to avoid any issues with processing.
  • Do select only one withholding percentage option from the provided choices.
  • Do check the box next to the percentage rate you choose to ensure clarity.
  • Do send the completed form directly to the payor of your annuity or pension.
  • Don't forget to include your home address, as it is necessary for proper identification.
  • Don't send the form to the Arizona Department of Revenue; it should go only to your payor.
  • Don't choose to withhold taxes from nonperiodic payments or distributions that do not qualify as annuities.
  • Don't neglect to sign and date the form, as your signature is required for it to be valid.

By following these guidelines, you can ensure that your submission is complete and accurate, helping to facilitate a smooth process for your voluntary Arizona income tax withholding election.

Misconceptions

Understanding the Arizona A 4P form can be challenging, and several misconceptions may lead to confusion. Here are five common misunderstandings about this important document:

  • Misconception 1: Only certain individuals can use the A 4P form.
  • In reality, anyone who receives an annuity or pension can utilize this form to elect voluntary Arizona income tax withholding. This includes a wide range of recipients, not just specific groups.

  • Misconception 2: The A 4P form is only for people receiving Social Security benefits.
  • This is incorrect. The A 4P form is specifically for individuals receiving annuity or pension payments, and it does not apply to Social Security pensions, Veteran’s Administration annuities, or Railroad Retirement pensions.

  • Misconception 3: Once you submit the A 4P form, you cannot change your withholding election.
  • This is not true. You have the flexibility to terminate or change your withholding election at any time by using the A 4P form again or by providing a written notice to your payor.

  • Misconception 4: The form must be sent to the Arizona Department of Revenue.
  • Many people mistakenly believe this. Instead, you should send the completed A 4P form directly to the payor of your annuity or pension, not to the Arizona Department of Revenue.

  • Misconception 5: The A 4P form is only relevant for tax purposes in one year.
  • This is misleading. The withholding election remains in effect until you notify your payor to terminate it. Therefore, it is essential to stay informed about your withholding status each year.

Key takeaways

Here are some important points to remember when filling out and using the Arizona A-4P form:

  • Eligibility: You can use this form if you receive an annuity or pension. It allows you to elect voluntary Arizona income tax withholding.
  • Withholding Options: Choose one percentage for withholding from your payments. Options range from 0.8% to 5.1% of the taxable amount.
  • Additional Withholding: You can specify an extra amount to be withheld from each distribution if desired.
  • Submission: Send the completed form to the payor of your annuity or pension. Do not send it to the Arizona Department of Revenue.
  • Termination: You can terminate your withholding election at any time. Use the A-4P form again or send a written notice to the payor.
  • Annual Statement: Expect a statement from your payor detailing the total amount withheld for the year. This will be provided to you early the following year.