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Form W-4
Step
1
of
2
50%
User Email
*
Employer Information
Employer Name
*
First
Employer Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Employer's Tax Id (EIN)
*
Employee Information
Employee Name
*
First
Last
Employee Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
SSN
*
First Date of Employment
*
MM slash DD slash YYYY
Marital Status
*
Single
Married
Married, but filing separately
Head of household
Claim Dependents
Number of Children Under Age 17
Number of Other Dependents
Claim Deductions
Other Income (Not From This Job)
If the you want tax withheld for any other income you expect this year, enter the amount here.
Extra Withholding
If you want additional tax withheld each pay period (paycheck), enter the amount here.
Claimed Deductions
*
Standard Deduction
Other
You can choose to take the standard deduction or enter the total amount of itemized deductions you expect to claim this year.
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