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Iowa Department of Revenue www.iowa.gov/tax Employee s Full Name Employee s Statement of Nonresidence in Iowa Social Security Number Address, City, State, ZIP Employer s Name Employer s Address Employer:

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What is employee39s statement of nonresidence?

The employee's statement of nonresidence is a form that is used to declare that an employee is a nonresident for tax purposes. It helps determine the tax obligations and withholding requirements for individuals who work outside their state of residence.

Who is required to file employee39s statement of nonresidence?

Employees who work outside their state of residence and are subject to nonresident tax withholding are required to file the employee's statement of nonresidence.

How to fill out employee39s statement of nonresidence?

To fill out the employee's statement of nonresidence, the employee needs to provide personal information such as name, address, social security number, and state of residence. They also need to provide details about their employment, including the dates and locations of work outside their state of residence.

What is the purpose of employee39s statement of nonresidence?

The purpose of the employee's statement of nonresidence is to ensure accurate tax withholding and reporting for employees who work outside their state of residence. It helps determine the correct amount of nonresident tax liability and ensures compliance with tax laws.

What information must be reported on employee39s statement of nonresidence?

The employee's statement of nonresidence must include personal information such as name, address, social security number, and state of residence. It should also include details about the employee's work outside their state of residence, including dates and locations of employment.

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