Form W-4 | EBM

Step 1: Enter Personal Information

First Name (a):
Last Name:
Social Security Number (b):
Address:

City:

State:

Zip Code:

(c) 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.)

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 www.irs.gov/W4App for the most accurate withholding for this step (and Steps 3-4); or
(b) Use the Multiple Jobs Worksheet on page 3 (pdf/paper form available here: https://www.irs.gov/pub/irs-pdf/fw4.pdf ) (and enter the result in Step 4(c) following) for roughly accurate withholding; or

(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. . . . .►

Step 3: Claim Dependants

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 17 by $2000.

Multiply the number of other dependents by $500.

OR Line 3 Add the amounts above and enter the total here.

Step 4 (optional) Other Adjustments:

(a) Other Income (not from jobs).

(b) Deductions.

(c) Extra Federal withholding.

(d) Extra State withholding.