W4 and Direct Deposit Employee’s Withholding Certificate

Welcome

You've came to the right place, this interactive form sent on behalf of your employer allows you to update your Federal withholding, as well as your Direct Deposit information. Please allow 10 business days for this form to be processed and updated. This form is subject to verification by us and your Employer. By continuing and submitting this form, you agree the information provided is accurate.
Enter the name of your Employer (Where do you work?)*

W4- 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. If your employer withholds state withholding, then this form will also serve as withholding for state.
Are you a New Employee or Updating Banking Information?*
Step 1:

Enter Personal Information
(a) First name and middle initial*
Last name*
Date of Birth*

MonthDayYear
Date of Birth
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
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.
(b) Social security number*
Structure: 123-45-6789
Address*
City or Town*
State*
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
Step 2: Multiple Jobs or Spouse Works

Step 2 has been omitted from this form. This step typically only applies to less than 5% of employees.
Step 3:

Claim Dependents... If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
Enter the number of qualifying children under age 17
Sum of QC under 17 x 2000
Enter the number of other dependents
Sum of OD x 500
Sum
Step 4
Steps 4 a and b have been omitted from this form. This step typically applies to less than 5% of employees.
(c)Extra withholding per Paycheck. 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.
Signature*
Date

MonthDayYear
Date
For Privacy Act and Paperwork Reduction Act Notice, see page 3.

For the latest information about developments related to Form W-4, such as legislation enacted after it was published, go to www.irs.gov/FormW4.

Authorization for Direct Deposit - Employee Form
This authorizes (the “Company”) to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in the future (the “Account” This authorizes the financial institution holding the Account to post all such entries.
Account Type*
Employee Bank Name*
Bank Routing # ( ABA #)*
Routing # is 9 digits
Account # Enter your account number issued by your bank, including leading 0's *
Account # duplicate to pdf from dual entry
This authorization will be in effect until the Company receives a written termination notice from myself and has a reasonable opportunity to act on it.
Email address (to receive paystubs)*
example@example.com
Do you agree to receive your w2 electronically?*
File Upload- Please upload a copy of a check or a bank letter. NOT REQUIRED, but recommended.

Cancelof
Should be Empty:

Welcome

W4- Employee’s Withholding Certificate

Step 1:

Step 2: Multiple Jobs or Spouse Works

Step 3:

Step 4

Step 5: Sign Here

Authorization for Direct Deposit - Employee Form