2026 W4 Form

Employee's Withholding Certificate Complete Form W-4

First name and middle initial*

Last name*

b Social security number*

Email*

example@example.com

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.

Filing Status

Single or Married filing seperatelyMarried filing jointly or Qualifying surviving spouseHead of household

I claim exemption from withholding. I understand I will need to submit a new Form W4 to start withholding again.

EXEMPT

Multiple jobs or Spouse works

If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job.

If your total income will be $200,000 or less ($400,000 or less if Step 3: married filing jointly):

Multiply the number of qualifying children under age 17 by $2,200

Multiply the number of other dependents by $500

Total Dependents/Other Credits

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(b) Deductions

4(c) Extra withholding. Enter any additional tax you want withheld EACH PAY PERIOD

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