City%of%Saginaw%Tax%Withholding%%

Cancellation%Request%Form%

Rev$07/2019$

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In$accor d ance$with $th e $C ity $o f$S ag in a w$Incom e $Ta x $O r d in a n ce ,$all$Delta$Colle g e $employee s $w h o $a re $

residents$of$the$C ity$of$Sa gina w $or$w ork $with in$the $City$o f$Sagin aw $are $requ ired $to$ha ve $city$inco m e$ta x$

withholdings$from$their$payroll$and$must$complete$a$Form$SW-4$Withholding$Certificate.$

If$you$are $c u rre n tly $h a vin g $C it y$o f$S a ginaw$tax es $w it h h e ld $an d$no$lon ge r$liv e $o r$work$in$th e $cit y$o f$

Saginaw$please$submit$this$form$to$Delta$College’s$Payroll$Office$to$stop$withholdings.$If$you $hav e$

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Date:$________________________________$

&

Payroll$

B118$$

1961$Delta$Road,$University$Center,$MI$48710$

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