Form W-4 Employee’s Withholding Certificate 2023

Form W-4 Employee’s Withholding Certificate 2023
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: Enter Personal Information
(a) First name and middle initial
Last name
(b) Social security number
Enter Personal Information
Address
City, State, and ZIP code
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.
(c)

Single or Married filing separatelyMarried filing jointly or Qualifying surviving spouseHead 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, other details, and privacy.
Step 2: Multiple Jobs or Spouse Works

Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.
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)Reserved for future use.

(b)Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; 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 generally more accurate than (b) if pay at the lower paying job is more than half of the pay at the higher paying job.
Otherwise, (b) is more accurate . . . . . . . . . . . . . . . . . .
TIP: If you have self-employment income, see page 2.

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 Dependent and Other Credits
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 for qualifying children and other dependents. You may add to

this the amount of any other credits. Enter the total here
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(a)
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 results here
4(b)
4 (c)Extra withholding. Enter any additional tax you want withheld each pay period .
4(c)
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
Date

MonthDayYear
Date
Employers Only
Employer’s name and address
All Is Well Home Care 3626 N. Hall St. Dallas, Texas 75219
First date of employment

MonthDayYear
Date
Should be Empty:

Form W-4 Employee’s Withholding Certificate 2023

Step 1: Enter Personal Information

Enter Personal Information

Step 2: Multiple Jobs or Spouse Works

Step 3: Claim Dependent and Other Credits

Step 4 (optional): Other Adjustments

Step 5: Sign Here

Date

Employers Only