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City Tax Withholding (W4) Forms

If you live or work in a taxing city listed below, you are required to complete and submit the appropriate City Tax Withholding Form. Click the city name to access the appropriate form. 

Albion Battle Creek Benton Harbor Big Rapids
Detroit East Lansing Flint Grand Rapids
Grayling Hamtramck Highland Park Hudson
Independence,OH Ionia Jackson Lansing
Lapeer Muskegon Muskegon Heights New York, NY
Pontiac Port Huron Portland Saginaw
Springfield Walker Yonkers, NY

You may want to contact your City to confirm that your address is within the city limits for taxing purposes. Mail completed forms to:

P.O. Box 30002
Lansing, MI 48909

Or Fax 517-241-5892

House, Senate, Judicial, and MEDC Corporate employees should submit completed forms to their HR Office.