Employee’s Withholding Certificate 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.
Step 1:
(a) Name*

First NameMILast Name
Social security number*
(b) Address*

Street Address

Street Address Line 2

CityState

Zip Code
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
Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.
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 estimator at www.irs.gov/W4App, and privacy.
Step 2: Multiple Jobs or Spouse Works
Click this link to go to www.irs.gov/w4app
(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 (c)is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld .....
(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 (c)is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld .....
TIP: To be accurate, submit a 2021 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 total 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 total here
Step 4 (optional) Other Adjustments
(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(a)
(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 results here4(b)
(c)Extra withholding. Enter any additional tax you want withheld each pay period 4(c)
Step 5: Sign Here*

Clear
Date*

MonthDayYear
Date
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
Should be Empty:

Employee’s Withholding Certificate

Step 1:

Step 2: Multiple Jobs or Spouse Works

Step 3: Claim Dependents

Step 4 (optional) Other Adjustments