Form W-4 Employee’s Withholding Certificate

Form W-4 Employee’s Withholding Certificate
Department of the Treasury Internal Revenue Service

Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS.
Record ID
Step 1:

Enter Personal Information
Email address
example@example.com
(a) First name and middle initial
Last name
(b) Social security number
9 digits
Address

Street Address

Street Address Line 2

City or TownState / Province

Postal / Zip Code
(c)

Single or Married filing separatelyMarried filing jointly (or Qualifying widow(er))Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual)
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the online estimator, and privacy.
Step 2: Multiple Jobs or Spouse Works
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs. Do ONLY ONE of the following. (a)Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); OR (b)Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; OR (C)If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld .....

C
TIP: To be accurate, submit a 2023 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.

Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job)
Step 3:

Claim Dependents
If your income will be $200,000 or less ($400,000 or less if married filing jointly):
Multiply the number of qualifying children under age 17 by $2,000
Multiply the number of other dependents by $500 ....
Add the amounts above and enter the total here .............
3
Step 4

(optional): Other Adjustments
4(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income . . . . .
4(b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here . . . . .
Download the online W-4 for page 3 if needed.
4(c) Extra withholding. Enter any additional tax you want withheld each pay period.
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

Employee’s signature (This form is not valid unless you sign it)
Signature*

Clear
Date

MonthDayYear
Date of Signature
Should be Empty:

Form W-4 Employee’s Withholding Certificate

Step 1:

Step 2: Multiple Jobs or Spouse Works

Step 3:

Step 4

Step 5: Sign Here