Employee’s Withholding Certificate

Employee’s Withholding Certificate
Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.

Give Form W-4 to your employer.

Your withholding is subject to review by the IRS.

Go to www.irs.gov/forms-pubs/about-form-w-4 for instructions and the latest information.
Step 1: Personal Information
Name

First Name and Middle InitialLast Name
Social security number
If your name does not match the name on social security card contact SSA
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status

Single or Married filing separatelyMarried 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)
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.
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

Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3 - 4)Use the Multiple Jobs Worksheet and enter the result in Step 4(c) below for roughly accurate withholdingIf there are only two jobs total, you may check this box. Do the same on Form W-4 of the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld
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 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 $500
Total ($)
Step 4: Other Adjustments (optional)
(a) Other income not from jobs($):
If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may inclide interest, dividends, and retirement income.
(b) Deductions($):
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.
(c) Extra withholding($):
Enter any additional tax you want withheld each pay period
Step 5: Sign Here
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
Date

MonthDayYear
Date
Employee's Signature

Clear
This form is not valid unless you sign it
Employers Only
Employer's Name
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First date of employment

MonthDayYear
Date
Employer identification number (EIN)
Step 2(b): Multiple Jobs Worksheet

If you choose the option in Step 2(b) on Form W-4, complete this worksheet (which calculates the total extra tax for all jobs) on only ONE Form W-4. Withholding will be most accurate if you complete the worksheet and enter the result on the Form W-4 for the highest paying job.
You can check out Page 4 here.
Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional tables; or, you can use the online withholding estimator at www.irs.gov/W4App.
1. Two jobs ($)
If you have two jobs or you’re married filing jointly and you and your spouse each have one job, find the amount from the appropriate table on page 4. Using the “Higher Paying Job” row and the“Lower Paying Job” column, find the value at the intersection of the two household salaries and enter that value on line 1. Then, skip to line 3.
Three jobs: If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and 2c below. Otherwise, skip to line 3.
2a ($)
Find the amount from the appropriate table on page 4 using the annual wages from the highest paying job in the “Higher Paying Job” row and the annual wages for your next highest paying job in the “Lower Paying Job” column. Find the value at the intersection of the two household salaries and enter that value on line 2a.
2b ($)
Add the annual wages of the two highest paying jobs from line 2a together and use the total as the wages in the “Higher Paying Job” row and use the annual wages for your third job in the “Lower Paying Job” column to find the amount from the appropriate table on page 4 and enter this amount on line 2b.
2c ($)
Add the amounts from lines 2a and 2b and enter the result on line 2c.
3. Enter the number of pay periods per year for the highest paying job.
For example, if that job pays weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc.
4. Divide the annual amount on line 1 or line 2c by the number of pay periods on line 3.
Enter this amount here and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional amount you want withheld)
Step 4(b): Deductions Worksheet
1. Enter an estimate of your 2024 itemized deductions ($)
Such deductions may include qualifying home mortgage interest, charitable contributions, state and local taxes (up to $10,000), and medical expenses in excess of 7.5% of your income.
- $29,200 if you’re married filing jointly or a qualifying surviving spouse
- $21,900 if you’re head of household
- $14,600 if you’re single or married filing separately
2. Enter the one that applies to you from above ($)
3. If line 1 is greater than line 2, subtract line 2 from line 1 and enter the result here. If line 2 is greater than line 1, enter “-0-” .
4. Enter an estimate of your student loan interest, deductible IRA contributions, and certain other adjustments (from Part II of Schedule 1 (Form 1040)).
See Pub. 505 for more information.
5. Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4.
Disclaimer
These tax forms are provided as a courtesy to our Jotform users. It is up to you to make sure you are filing the right form with the IRS and to fill out the form correctly. Jotform does not file tax forms for you - that is your responsibility. If you have any questions or need any legal or tax advice about which form is appropriate or how to fill in the form, or whether the form is required by the IRS, consult your tax preparer, adviser, and/or attorney.
Should be Empty:

Step 1: Personal Information

Step 2: Multiple Jobs or Spouse Works

Step 3: Claim Dependents

Step 4: Other Adjustments (optional)

Step 5: Sign Here

Employers Only

Step 2(b): Multiple Jobs Worksheet

Step 4(b): Deductions Worksheet