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Get the free Employee’s Statement of Residency in a Reciprocity State - muskingum

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This form is required for employees residing in states with reciprocal agreements with Ohio, allowing them to claim exemption from Ohio Income Tax withholding.
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How to fill out employees statement of residency

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How to fill out Employee’s Statement of Residency in a Reciprocity State

01
Obtain the Employee’s Statement of Residency form from your employer or the relevant state agency.
02
Fill in your personal information, including your full name, address, and Social Security number.
03
Indicate your residency status in the designated section of the form.
04
Provide information about your employer, including the name and address.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to your employer or the required state department.

Who needs Employee’s Statement of Residency in a Reciprocity State?

01
Employees working in a reciprocity state who are claiming a tax exemption or special tax treatment based on their residency status.
02
Individuals who are registered to work in a state that has a reciprocity agreement with the state in which they reside.
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The non-resident employee's wages are not subject to tax rules in the state in which the wages were earned. Example: If an employee lives in California, but commutes to a work location in Arizona, employers should withhold income tax in California (per the reciprocal agreement between the states — see table below).
State reciprocity only works if the state where the employees works and lives has a reciprocal agreement, which is when neighboring states agree that people who work in nearby states can pay income tax to the state they live in.
For example, let's say you live in New Jersey and work in Pennsylvania–two states with a reciprocal agreement. You can ask your employer to stop withholding Pennsylvania taxes. If your employer stops withholding Pennsylvania taxes, you will only have to file a New Jersey return. The reverse would also be true.
State reciprocity only works if the state where the employees works and lives has a reciprocal agreement, which is when neighboring states agree that people who work in nearby states can pay income tax to the state they live in. That means reciprocity isn't as simple as one state being next to another.
A reciprocal agreement is an arrangement between two or more states that allows residents of one state to work in another state without having to pay state income taxes to both. Under these agreements, employees only pay income taxes and file a tax return in their home state (i.e., the state where they live).
A reciprocal agreement is an arrangement between two or more states that allows residents of one state to work in another state without having to pay state income taxes to both. Under these agreements, employees only pay income taxes and file a tax return in their home state (i.e., the state where they live).
A tax reciprocity agreement is a pact between two or more states not to tax the income of workers who commute into the state from another state covered by the agreement.
Some reciprocity agreements apply to all income, while others are restricted to certain classes of income — usually wage and compensation income.

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Employee’s Statement of Residency in a Reciprocity State is a form that employees use to declare their residency status in a state that has a reciprocity agreement with another state regarding income tax withholding.
Employees who reside in a state that has a reciprocity agreement with the state where they work are required to file the Employee’s Statement of Residency in a Reciprocity State.
To fill out the Employee’s Statement of Residency in a Reciprocity State, employees should provide their personal information, including name, address, and details about their residency, and sign the form to certify the information is accurate.
The purpose of the Employee’s Statement of Residency in a Reciprocity State is to determine the correct state income tax withholding for employees who work in one state but reside in another, in compliance with the state's tax laws.
The information that must be reported includes the employee's name, address, state of residency, the state where the work is performed, and certification of residency status.
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