W-4 (IRS FORM)

W-4 (IRS FORM)

Employee’s Withholding Certificate
Step 1: Enter Personal Information
First name and middle initial*
Last name*
(b) Social security number*
Address*
City or town, state, and ZIP code*
Single or Married filing separatelyMarried filing jointly (or Qualifying widower)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.)
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
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*
If none, enter 0.
Multiply the number of other dependents by $500*
If none, enter 0.
Total (Answers above will be automatically calculated 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.
(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.
(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.)*
Date

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Date
Should be Empty: