2025 Form W-4

W-4 Employee's Withholding Certificate

Employee's Withholding Certificate Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
First name and middle initial*
Last name*
b Social security number*
Email*
example@example.com
Address*

Address

Street Address Line 2

City or town state and ZIP codeState / Province

Postal / Zip Code
Filing Status*

Single or Married filing searatelyMarried filing jointly or Qualifying surviving spouseHead of Household
Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5.
Step 2: Multiple Jobs or Spouse Works

Only two jobs total
Complete Steps 3-4(b) for only ONE of these jobs.
Step 3: Claim Dependent and Other Credits
If your total income will be $200,000 or les ($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
Box 3: Add the amounts above for qualifying children and other dependents to reduce your tax liability.
You may add to this the amount of any other credits.
Step 4: Other Adjustments
Box 4(a): Other income (not from jobs). a question
Box 4(b): Deductions
Box 4(c) Extra Withholding
Type "EXEMPT" in this box to not have ANY withholding.
Employees signature This form is not valid unless you sign it

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
Should be Empty:

Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5.