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Employee Information Update
Employee Information Update
Step
1
of
3
- W-4 Information
33%
Step 1: Enter Personal Information
Company Name
(Required)
Email
(Required)
(a) Name
First
Middle Initial
Last
(b) Social Security Number
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
(c)
Single or Married filing separately
Married filling 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. See page 2 for more information on each step, who can claim exemption from withholding, when to use the estimator at www.irs.gov/W4App, and privacy.
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) Reserved for future use.
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below 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.
TIP:
If you have self-employment income, see page 2.
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. 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.
How many jobs?
1 Two Jobs
2 Three Jobs
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
2 Three jobs.
If you have two jobs or you’re married filing jointly and you and your spouse each have one 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 3: Claim Dependents
If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
Number of qualifying children under the age of 17:
Total for children under 17
Multiply the number of qualifying children under the age of 17 by $2,000
Number of other dependents:
Total for other dependents
Multiply the number of other dependents by $500
3 Total Amount
Step 4 (optional): Other Adjustments
If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
(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 include 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 on page 3 and enter the result here.
(c) Extra withholding.
Enter any additional tax you want withheld each pay period.
Step 4(b)—Deductions Worksheet
If your total income will be $200,000 or less ($400,000 or less if married filing jointly):
1 Enter an estimate of your 2022 itemized deductions (from Schedule A (Form 1040)). 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
2 Select:
$27,700 if you're married filing jointly or qualifying widow(er)
$20,800 if you're head of household
$13,850 if you're single or married filing separately
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
WEST VIRGINIA EMPLOYEE’S WITHHOLDING EXEMPTION CERTIFICATE
If SINGLE, and you claim an exemption, enter “1”, if you do not, enter “0"
Please enter a number from
0
to
1
.
If MARRIED, one exemption each for husband and wife if not claimed on another certificate.
Please enter a number from
0
to
2
.
(a) If you claim both of these exemptions, enter “2”; (b) If you claim one of these exemptions, enter “1”; (c) If you claim neither of these exemptions, enter “0”
If you claim exemptions for one or more dependents, enter the number of such exemptions.
Please enter a number greater than or equal to
0
.
Add the number of exemptions which you have claimed above and enter the total
If you are Single, Head of Household, or Married and your spouse does not work, and you are receiving wages from only one job, and you wish to have your tax withheld at a lower rate, check here
I wish to have my tax withheld at a lower rate.
Additional withholding per pay period under agreement with employer, enter amount here
DIRECT DEPOSIT AUTHORIZATION
Name of Bank
Account Number
9-Digit Routing #
Amount Withdrawn
Please include a dollar amount, percentage, or say "Entire Paycheck".
Type of Account:
Checking
Savings
Δ