Detroit



PLEASE SELECT ONE:

|CITY OF DETROIT |[pic] |[pic] |[pic] |

|PPS FORM 8000 | | | |

|PRINT FULL NAME: |      |CITY OF DETROIT |

| | |EMPLOYEE’S WITHHOLDING CERTIFICATE |

| | |FOR FEDERAL, STATE, DETROIT AND FICA INCOME TAX |

|PRESENT HOME ADDRESS: |      | |

|CITY: |      |STATE: |      |ZIP CODE: |      | |

|KIND OF EXEMPTION |BASIC TAX DATA |

|If you choose to claim exemption(s), write the number of exemptions |Employees must file this form with their Department Personnel Section, | |8 |0 |0 | |

|to which you are entitled in the box for each tax authority for |otherwise Federal, State and City Income Tax will be withheld from | | | | | |

|which you claim the exemption(s). |earnings without exemptions. | | | | | |

| | |Transaction Code |

| | |

|EXEMPTION |FEDERAL |STATE |CITY | |

| | | | | |

|Allowance(s) for Itemized Deductions – Enter estimated number of personal exemptions equivalent | | | | |

|to the dollar amount. |      | | | |

| | | |

|      |      | |      |      | |

|PREPARED BY |DATE | |APPROVED BY |DATE | |

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