Name *
Name
Home Address
Home Address
Single / Married
If your last name differs from that shown on your social security card, check here. You must call 800-772-1213 for a replacement card.
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I claim exemption from withholding for 2019, and I certify that I meet both of the following conditions for exemption. • Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and • This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.
First Date of Employment
First Date of Employment
For accuracy, complete all worksheets that apply.
• If you plan to itemize or claim adjustments to income and want to reduce your withholding, or if you have a large amount of nonwage income not subject to withholding and want to increase your withholding, see the Deductions, Adjustments, and Additional Income Worksheet below. Two-Earners/Multiple Jobs Worksheet on page 4 to avoid having too little tax withheld. { • If you have more than one job at a time or are married filing jointly and you and your spouse both work, and the combined earnings from all jobs exceed $53,000 ($24,450 if married filing jointly), see the • If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 above.
Deductions, Adjustments, and Additional Income Worksheet
Note: Use this worksheet only if you plan to itemize deductions, claim certain adjustments to income, or have a large amount of nonwage income not subject to withholding.
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$24,400 if you’re married filing jointly or qualifying widow(er) $18,350 if you're head of household $12,200 if you're single or married filing separately
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Two-Earners/Multiple Jobs Worksheet
Note: Use this worksheet only if the instructions under line H from the Personal Allowances Worksheet direct you here.
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Note: If line 1 is less than line 2, enter 0 on Form W-4, line 5, page 1. Complete lines 4 through 9 below to figure the additional withholding amount necessary to avoid a year-end tax bill.
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