Employee's Withholding Certificate - IRS W4

Enter Personal Information
Last Name:
First Name:
Middle Initial:
Address:
City:
Social Security Number:
State:
Zip Code:
Filing Status:
Single or Married Filing Separately
Married Filing Jointly or Qualifying widow(er)
Head of Household
 

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.
  1. (a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or
  2. (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
  3. (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.
TIP: To be accurate, submit a 2021 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.

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:

Multiply the number of other dependents by $500:

Other income (not from jobs):

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

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.