Form W-4

Employee’s Withholding Certificate

▶ Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. ▶ Form W-4 will be generated and sent to your employer. ▶ Your withholding is subject to review by the IRS.

▶ 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

Step 1: Enter Personal Information

Social Security Number

MM slash DD slash YYYY
Please enter the day you started working for this company. If you do not remember the exact date, enter a date as close to what you believe was the start date.

Select One

Filing Status(Required)

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, and when to use the estimator at

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 of these jobs.
Do only one of the following.

(a) Use the estimator at (Link also Located Below) for most accurate withholding for this step (and Steps 3-4). If you or your spouse have self-employment income , use this option; or

(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.
(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 . . . . . ▶

Page 2, 3 and 4 of W4 (Please click the page you wish to view) You can also access the Tax Withholding Estimator by clicking the last link below.

IRS W4-Page 1 (For Reference Only)

IRS W4-Page 2 General Instructions

IRS W4-Page 3 Multiple Jobs Worksheet

IRS W4-Page 4 Calculations Sheet

IRS Tax Withholding Estimator

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 Dependents

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

Step 4 (optional): Other Adjustments

MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.
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