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Type or print.  \nNOTE: Do NOT mail to the Oklahoma Tax Commission.  \n\n| Your First Name and Middle Initial: | Last Name: |  | Your Social Security Number: |  |\n| --- | --- | --- | --- | --- |\n| Home Address (Number and Street or Rural Route): |  |  |  |  |\n| City or Town: |  | State: |  | ZIP Code: |\n\nGeneral Information  \nComplete Form OK-W-4-R to have payers withhold state income tax from your nonperiodic payment or eligible rollover distribution from an employer retirement plan, annuity, or individual retirement account (IRA) . Check the “No” box if you do not want any state income tax withheld. If you check the“Yes” box, state income tax will be withheld at the top marginal income tax rate of 4 .5% . If you expect to have a balance due on your tax return, you may request an additional amount of state income tax from be withheld your nonperiodic payment or eligible rollover distribution.  \n\n| Do you want to withhold state income tax from your nonperiodic payment or eligible rollover distribution?  Yes | | No |\n| --- | --- | --- |\n| If you want an additional amount of state income tax withheld, enter the amount here: $   |  |  |\n\nAdditional Information  \nCertain retirement benefits may be excluded from Oklahoma adjusted gross income (see Form 511 Oklahoma Resident Income Tax Return, Schedule 511-A instructions for details) . To be eligible, you must have retirement income in your name.  \nForm OK-W-4-R should not be used for periodic payments (payments made in installments at regular intervals over a period of more than one year) . Instead, use Form OK-W-4-P Withholding Certificate for Periodic Pension or Annuity Payments for such payments or distributions.  \n\n| Payee’s Signature (Form is not valid without signature): | Date (MM/DD/YYYY): |\n| --- | --- |","cbCaijYslYiwymds","https://ap.wps.com/l/cbCaijYslYiwymds","pdf",148196,"English","# General Information\n## Withholding choice and additional withholding\n# Additional Information\n## Eligibility and payment type limitations","[{\"question\":\"What is Form OK-W-4-R used for?\",\"answer\":\"Form OK-W-4-R is used to handle Oklahoma state income tax withholding for nonperiodic payments or eligible rollover distributions.\"},{\"question\":\"How do I indicate whether tax should be withheld?\",\"answer\":\"Check the “No” box if you do not want state income tax withheld, or check the “Yes” box to have withholding applied at the 4.5% top marginal rate.\"},{\"question\":\"Is OK-W-4-R valid for periodic payments?\",\"answer\":\"No. Form OK-W-4-R should not be used for periodic payments; use Form OK-W-4-P for periodic pension or annuity payments instead.\"}]","OK-W-4-R - Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions | PDF",1789812029]