W-4

2022

Employee’s Withholding Certificate

Department of the Treasury Internal Revenue Service

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.

Step 1: Personal Information

First Name

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Name

Social security number

Address

Marital Status

Singles or Married filing separately

Married filing jointly or Qualifying widow(er)

Head of household (Check if youre 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.

Multiple jobs or spouse works

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 9c) below for the roughly accurate withholding

If 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

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.

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($):

(b) Deductions($):

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.

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.

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

Employee's Signature

This form is not valid unless you sign it

Employers Only

Employer's Name

Employer's Address

First date of employment

Employer identification number (EIN)