2024 IA W-4P
Withholding Certificate for Pension or Annuity Payments
tax.iowa.gov
44-020 (11/02/2023)
Instructions
Eligibility requirements
Income received from a pension, an annuity, a self-
employed retirement plan, deferred compensation, IRA
distribution, or other retirement plan benefits, may be
excludable from taxable income. Iowa income tax is not
required to be withheld from these distributions to
qualifying recipients.To be eligible for the exclusion, you
must be 55 years of age or older or disabled. If you are a
surviving spouse or survivor of an individual who would
have qualified for the exclusion you may also be eligible.
To be considered disabled you must be receiving
retirement income on the basis of a documented
disability or you must meet federal or state criteria for
disability. Federal Civil Service annuitants who want Iowa
tax withheld from federal pensions should contact the
Office of Personnel Management at 888-767-6738 or
Withholding rates
Payers have the option of withholding at a rate of 5%,
using the withholding formula, or using the withholding
tables.
Low incom
e exemption
Taxpayers under 55 are exempt if:
• Your total income is less than $5,000 and you ar
e
c
laimed as a dependent on another person’s Iow
a
r
eturn.
• You are single and your total income is $9,000 or
less and you are not claimed as a dependent on
another person’s Iowa return.
• Your filing status is other than single and your total
income is $13,500 or less.
Name: _____________________________________________________________________________________
Social Security Number (SSN): __________________________________________________________________
Address: ____________________________________________________________________________________
City: ______________________________________________ State: ____________ ZIP: __________________
Are you an Iowa resident? Yes ☐ No ☐
Iowa income tax is withheld from pension and annuity payments for Iowa residents only.
I do not have any pension or annuity income subject to Iowa income tax .............................................................. ☐
Additional amount, if any, to be withheld from each benefit payment (whole dollars): $ ____________________ .00
I, the under
signed, declare under penalties of perjury or false certificate, that I have examined this document, and,
to the best of my knowledge and belief, it is true, correct, and complete.
Signature: _______________________________________________________ Date: _____________________
Where to send the IA W-4P
Return the completed form to the person who handles your pension/retirement check, or, if planning to retire, your
current payroll officer. Plan administrators do not have to submit this form to the Department but must maintain a
copy of the W-4P records.
