Form W-4

Department of the Treasury Internal Revenue Service

Employee's Withholding Certificate

Complete Form W-4 so that your employer can withold the correct federal income tax from your pay.

Give Form W-4 to your employer.

Your withholding is subject to review by the IRS

OMB No. 1545-0074


Step 1:

Enter Personal Information

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.

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

Ask for more paperwork for more information on each step, who can claim exemption from withholding, other details, and privacy.

Step 2:

Multiple Jobs or Spouse Works

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 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

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):

Add the amounts above for qualifying children and other dependents. You may add to this the amount of any other credits. Enter the total on the right

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 my include interest, dividends, and retirement income.

(b) Deductions. If you expect to claimd eductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the results here

(c) Extra whitholding. 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.

Sign Here