Withholding Certificate for Periodic Pension or Annuity Payments

• Legal Form Number: W-4P
• Year: 2025
• Issuer: Treasury Department
• Section: Treasury Department

Form W-4P

2024

Withholding Certificate

for Periodic Pension or Annuity Payments

Department of the Treasury

Internal Revenue Service

Give Form W-4P to the payer of your pension or annuity payments.

OMB No. 1545-0074

Step 1:

Enter

Personal

Information

(a) First name and middle initialLast name

Address

City or town, state, and ZIP code

(b) Social security number

(c) 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.)

Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See pages 2 and 3 for more information on each step,

when to use the estimator at www.irs.gov/W4App, and how to elect to have no federal income tax withheld (if permitted).

Step 2:

Income

From a Job

and/or

Multiple

Pensions/

Annuities

(Including a

Spouse’s

Job/

Pension/

Annuity)

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. See page 2 for examples on how to

complete Step 2.

Do only one of the following.

(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4). If you or

your spouse have self-employment income, use this option; or

(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 less 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 one, then enter the total annual taxable payments from all lower-paying pensions/

annuities. Otherwise, enter “-0-” ...................$

(iii)

Add the amounts from items (i) and (ii) and enter the totalhere.........

$

TIP: To be accurate, submit a new Form W-4P for all other pensions/annuities if you haven’t updated your

withholding since 2021 or this is a new pension/annuity that pays less than the other(s). Submit a new Form W-4 for

your job(s) if you have not updated your withholding since 2019.

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:

Claim

Dependent

and Other

Credits

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

Multiply the number of qualifying children under age 17 by $2,000 $

Multiply the number of other dependents by $500 ......$

Add other credits, such as foreign tax credit and education tax credits $

Add the amounts for qualifying children, other dependents, and other credits and enter the

totalhere........................... 3$

Step 4

(optional):

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 .4(a) $

(b)

Deductions. If you expect to claim deductions other than the basic standard deduction

and want to reduce your withholding, use the Deductions Worksheet on page 3 and

enter the result here ......................4(b) $

(c)Extra withholding. Enter any additional tax you want withheld from each payment.4(c) $

Step 5:

Sign

Here Your signature (This form is not valid unless you sign it.)Date

For Privacy Act and Paperwork Reduction Act Notice, see page 3.Cat. No. 10225TForm W-4P (2024)