Employee’s Withholding Certificate (W4 Form)

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Employee’s Withholding Certificate (W4 Form)

IRS-compliant W4 form submission for tax compliance: Fill out and submit an employee’s withholding certificate.

Name *

First, Middle & Last Name

Email *

SSN *

Address *

Street, City, State & 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)

Dependent Credit ($)

If your total income will be $200,000 or less ($400,000 or less if married filing jointly). Multiply the number of qualifying children under age 17 by $2,000 and Multiply the number of other dependents by $500.

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 inclide 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 and enter the result here.

Extra withholding($)

Enter any additional tax you want withheld each pay period

Sign Here (Electronically)

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete. Its not complete unless signed by typing your first and last name.

Phone

Date