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2022-02-10T14:05:44+00:00
IRS Form W-4 | Employee's Withholding Allowance Certificate
Please read the IRS Form W-4 Employee's Withholding Allowance Certificate instructions carefully before completing this form.
Click here to download the IRS Form W-4 instructions
.
Whether you are entitled to claim a certain number of allowances or exemption from withholding is subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS. TIP: Use the downloaded document to get the information for this form.
Step 1: Enter Personal Information
Name
*
First Name and Middle Initial
Last Name
Your Social Security Number
*
Address
*
Home Address (number and street or rural route)
City or Town, State and ZIP code
Marital Status
*
Single or Married filing separately
Married 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.)
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.
Step 2: Multiple Jobs or Spouse Works
Multiple Jobs or Spouse Works
Yes
(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 accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld:
Step 3: Claim Dependents
Will your income be $200,000 or less ($400,000 or less if married filing jointly)?
No
Yes
Number of children under age 17
*
Number of other dependents age 17 or over?
*
Hidden
Number of children calculation
*
Hidden
Number of other dependents calculation
*
Hidden
(3) Add the amounts above and enter the total here
Total calculated dependents.
Step 4: Other Adjustments
(Optional)
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:
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
Extra withholding
Enter any additional tax you want withheld each pay period
Step 5: Sign Here
Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.
Employee's Signature
*
*This form is not valid unless you sign it. If you are on a mobile device, turn your device to display a larger signature area.
Date
*
MM slash DD slash YYYY
*If you do not see the "NEXT" button, there is a field that you did not fill in or check a box. Please review the page.
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