level page_num block_num par_num line_num word_num left top width height conf text 1 1 0 0 0 0 0 0 980 1280 -1 2 1 1 0 0 0 314 63 352 20 -1 3 1 1 1 0 0 314 63 352 20 -1 4 1 1 1 1 0 314 63 352 20 -1 5 1 1 1 1 1 314 63 113 20 92.486153 Employee’s 5 1 1 1 1 2 435 63 119 20 96.032532 Withholding 5 1 1 1 1 3 561 63 105 16 96.143440 Certificate 2 1 2 0 0 0 807 68 103 9 -1 3 1 2 1 0 0 807 68 103 9 -1 4 1 2 1 1 0 807 68 103 9 -1 5 1 2 1 1 1 807 68 25 9 77.962608 (OMB 5 1 2 1 1 2 836 68 14 8 95.367897 No. 5 1 2 1 1 3 857 68 53 8 92.715294 1545-0074 2 1 3 0 0 0 90 64 63 28 -1 3 1 3 1 0 0 58 64 95 28 -1 4 1 3 1 1 0 90 64 63 28 -1 5 1 3 1 1 1 58 83 25 9 70.087944 com 5 1 3 1 1 2 90 64 63 28 47.139088 W=4 2 1 4 0 0 0 195 89 586 12 -1 3 1 4 1 0 0 195 89 586 12 -1 4 1 4 1 1 0 195 89 586 12 -1 5 1 4 1 1 1 195 89 56 12 69.576118 Complete 5 1 4 1 1 2 255 89 29 10 92.280930 Form 5 1 4 1 1 3 288 89 23 10 73.987366 W-4 5 1 4 1 1 4 315 91 13 8 94.564339 so 5 1 4 1 1 5 332 89 23 10 94.564339 that 5 1 4 1 1 6 358 92 26 9 96.966568 your 5 1 4 1 1 7 388 89 54 12 96.045685 employer 5 1 4 1 1 8 445 92 21 7 96.483177 can 5 1 4 1 1 9 470 89 49 10 94.315048 withhold 5 1 4 1 1 10 523 89 18 10 96.947021 the 5 1 4 1 1 11 545 90 41 9 91.223824 correct 5 1 4 1 1 12 590 89 40 10 91.223824 federal 5 1 4 1 1 13 634 91 42 8 95.414268 income 5 1 4 1 1 14 680 90 17 9 96.991791 tax 5 1 4 1 1 15 701 89 27 10 96.246666 from 5 1 4 1 1 16 732 91 25 10 96.909355 your 5 1 4 1 1 17 761 91 20 10 96.840797 pay. 2 1 5 0 0 0 390 107 200 12 -1 3 1 5 1 0 0 390 107 200 12 -1 4 1 5 1 1 0 390 107 200 12 -1 5 1 5 1 1 1 390 107 26 10 96.650177 Give 5 1 5 1 1 2 421 107 30 10 93.295311 Form 5 1 5 1 1 3 456 107 12 9 29.313593 W-6 5 1 5 1 1 4 473 107 22 9 95.828575 to 5 1 5 1 1 5 499 109 27 10 95.828575 your 5 1 5 1 1 6 530 107 60 12 94.661942 employer. 2 1 6 0 0 0 818 99 81 23 -1 3 1 6 1 0 0 818 99 81 23 -1 4 1 6 1 1 0 818 99 81 23 -1 5 1 6 1 1 1 818 99 81 23 95.794357 2026 2 1 7 0 0 0 58 126 111 8 -1 3 1 7 1 0 0 58 126 111 8 -1 4 1 7 1 1 0 58 126 111 8 -1 5 1 7 1 1 1 58 127 33 7 62.723969 Intemal 5 1 7 1 1 2 94 126 39 8 96.399200 Revenue 5 1 7 1 1 3 136 126 33 8 56.401489 Service 2 1 8 0 0 0 58 114 123 10 -1 3 1 8 1 0 0 58 114 123 10 -1 4 1 8 1 1 0 58 114 123 10 -1 5 1 8 1 1 1 58 114 53 10 61.123047 Department 5 1 8 1 1 2 114 114 25 8 61.123047 ofthe 5 1 8 1 1 3 142 114 39 10 90.514626 Treasury 2 1 9 0 0 0 343 125 294 12 -1 3 1 9 1 0 0 343 125 294 12 -1 4 1 9 1 1 0 343 125 294 12 -1 5 1 9 1 1 1 343 125 28 9 96.702179 Your 5 1 9 1 1 2 375 125 70 12 95.367584 withholding 5 1 9 1 1 3 450 125 9 9 94.702515 is 5 1 9 1 1 4 464 125 44 12 94.702515 subject 5 1 9 1 1 5 512 125 12 9 96.830872 to 5 1 9 1 1 6 528 125 39 9 96.653038 review 5 1 9 1 1 7 572 125 14 12 96.955315 by 5 1 9 1 1 8 590 125 19 9 96.240242 the 5 1 9 1 1 9 613 125 24 9 96.104027 IRS. 2 1 10 0 0 0 157 144 162 10 -1 3 1 10 1 0 0 157 144 162 10 -1 4 1 10 1 1 0 157 144 162 10 -1 5 1 10 1 1 1 157 144 12 10 11.295490 (a) 5 1 10 1 1 2 179 144 21 8 57.256718 First 5 1 10 1 1 3 204 146 27 6 90.991745 name 5 1 10 1 1 4 235 144 18 8 76.046570 and 5 1 10 1 1 5 257 144 33 8 76.046570 middie 5 1 10 1 1 6 294 144 25 8 63.620941 inital 2 1 11 0 0 0 445 144 51 8 -1 3 1 11 1 0 0 445 144 51 8 -1 4 1 11 1 1 0 445 144 51 8 -1 5 1 11 1 1 1 445 144 51 8 65.156174 Lastname 2 1 12 0 0 0 767 144 146 10 -1 3 1 12 1 0 0 767 144 146 10 -1 4 1 12 1 1 0 767 144 146 10 -1 5 1 12 1 1 1 767 144 13 10 61.793640 1) 5 1 12 1 1 2 790 144 32 8 61.793640 Social 5 1 12 1 1 3 826 144 42 10 94.508507 security 5 1 12 1 1 4 872 144 41 8 87.501228 number 2 1 13 0 0 0 58 148 46 15 -1 3 1 13 1 0 0 58 148 46 15 -1 4 1 13 1 1 0 58 148 46 15 -1 5 1 13 1 1 1 58 148 34 15 96.349121 Step 5 1 13 1 1 2 98 148 6 12 91.675850 1 2 1 14 0 0 0 59 172 39 12 -1 3 1 14 1 0 0 59 172 39 12 -1 4 1 14 1 1 0 59 172 39 12 -1 5 1 14 1 1 1 59 172 39 12 96.759933 Enter 2 1 15 0 0 0 156 182 42 8 -1 3 1 15 1 0 0 156 182 42 8 -1 4 1 15 1 1 0 156 182 42 8 -1 5 1 15 1 1 1 156 182 42 8 0.000000 Raaress 2 1 16 0 0 0 768 183 143 10 -1 3 1 16 1 0 0 768 183 143 10 -1 4 1 16 1 1 0 768 183 143 10 -1 5 1 16 1 1 1 768 183 26 8 88.433693 Does 5 1 16 1 1 2 798 185 24 8 95.268059 your 5 1 16 1 1 3 825 185 29 6 95.268059 name 5 1 16 1 1 4 858 183 33 8 96.216866 match 5 1 16 1 1 5 894 183 17 8 95.794258 the 2 1 17 0 0 0 59 191 63 12 -1 3 1 17 1 0 0 59 191 63 12 -1 4 1 17 1 1 0 59 191 63 12 -1 5 1 17 1 1 1 59 191 63 12 96.752136 Personal 2 1 18 0 0 0 767 194 153 11 -1 3 1 18 1 0 0 767 194 153 11 -1 4 1 18 1 1 0 767 194 153 11 -1 5 1 18 1 1 1 767 196 30 7 53.282524 ‘name 5 1 18 1 1 2 800 196 13 7 96.843002 on 5 1 18 1 1 3 816 196 24 9 96.895111 your 5 1 18 1 1 4 844 194 30 9 96.754044 social 5 1 18 1 1 5 878 195 42 10 89.986465 security 2 1 19 0 0 0 59 209 84 12 -1 3 1 19 1 0 0 59 209 84 12 -1 4 1 19 1 1 0 59 209 84 12 -1 5 1 19 1 1 1 59 209 84 12 96.710976 Information 2 1 20 0 0 0 780 207 139 11 -1 3 1 20 1 0 0 780 207 139 11 -1 4 1 20 1 1 0 780 207 139 11 -1 5 1 20 1 1 1 780 207 17 8 59.841274 1rd? 5 1 20 1 1 2 801 207 6 8 81.420456 If 5 1 20 1 1 3 810 208 16 7 80.054581 nt, 5 1 20 1 1 4 832 207 10 8 87.664383 to 5 1 20 1 1 5 846 209 33 6 95.963860 ensure 5 1 20 1 1 6 882 209 18 8 93.963425 you 5 1 20 1 1 7 904 208 15 10 89.881821 get 2 1 21 0 0 0 157 220 164 11 -1 3 1 21 1 0 0 157 220 164 11 -1 4 1 21 1 1 0 157 220 164 11 -1 5 1 21 1 1 1 157 220 32 11 43.285637 City 5 1 21 1 1 2 181 210 7 28 88.908783 oF 5 1 21 1 1 3 193 221 23 8 95.709305 town, 5 1 21 1 1 4 224 221 24 8 95.487991 state, 5 1 21 1 1 5 254 220 18 9 96.472794 and 5 1 21 1 1 6 276 220 17 9 93.051201 ZIP 5 1 21 1 1 7 297 210 24 28 95.699486 code 2 1 22 0 0 0 767 218 116 11 -1 3 1 22 1 0 0 767 218 116 11 -1 4 1 22 1 1 0 767 218 116 11 -1 5 1 22 1 1 1 767 219 28 8 0.000000 credit 5 1 22 1 1 2 799 218 13 9 92.971848 for 5 1 22 1 1 3 815 220 22 9 96.899155 your 5 1 22 1 1 4 841 220 42 9 51.064041 earings, 2 1 23 0 0 0 767 231 149 8 -1 3 1 23 1 0 0 767 231 149 8 -1 4 1 23 1 1 0 767 231 149 8 -1 5 1 23 1 1 1 767 231 38 8 54.083080 ‘contact 5 1 23 1 1 2 808 231 22 8 80.866592 SSA 5 1 23 1 1 3 833 232 9 7 96.484940 at 5 1 23 1 1 4 846 231 70 8 73.681290 800-772-1213 2 1 24 0 0 0 767 243 109 10 -1 3 1 24 1 0 0 767 243 109 10 -1 4 1 24 1 1 0 767 243 109 10 -1 5 1 24 1 1 1 767 244 10 7 20.536308 (0F 5 1 24 1 1 2 781 244 12 9 85.523987 go 5 1 24 1 1 3 797 243 9 8 93.186478 to 5 1 24 1 1 4 810 244 66 9 33.451469 wwn.ssa.gov. 2 1 25 0 0 0 155 262 12 10 -1 3 1 25 1 0 0 155 262 12 10 -1 4 1 25 1 1 0 155 262 12 10 -1 5 1 25 1 1 1 155 262 12 10 57.222141 ©) 2 1 26 0 0 0 184 258 196 14 -1 3 1 26 1 0 0 184 258 196 14 -1 4 1 26 1 1 0 184 258 196 14 -1 5 1 26 1 1 1 184 258 50 14 46.335419 single 5 1 26 1 1 2 238 264 10 6 95.924507 or 5 1 26 1 1 3 252 262 40 8 95.250366 Married 5 1 26 1 1 4 296 262 25 10 92.371284 filing 5 1 26 1 1 5 325 262 55 10 96.624458 separately 2 1 27 0 0 0 184 277 286 15 -1 3 1 27 1 0 0 184 277 286 15 -1 4 1 27 1 1 0 184 277 286 15 -1 5 1 27 1 1 1 184 277 14 15 32.914650 Ci 5 1 27 1 1 2 202 281 41 9 89.214775 Married 5 1 27 1 1 3 246 281 26 11 69.517441 fiting 5 1 27 1 1 4 275 281 32 11 89.473755 jointly 5 1 27 1 1 5 311 284 10 6 90.264862 or 5 1 27 1 1 6 324 281 53 11 24.090071 Qualifying 5 1 27 1 1 7 381 281 47 11 96.797791 surviving 5 1 27 1 1 8 432 283 38 9 92.846779 spouse 2 1 28 0 0 0 184 296 738 14 -1 3 1 28 1 0 0 184 296 738 14 -1 4 1 28 1 1 0 184 296 738 14 -1 5 1 28 1 1 1 184 296 45 14 45.850811 (Head 5 1 28 1 1 2 232 299 11 9 96.974289 of 5 1 28 1 1 3 246 299 54 9 95.747971 household 5 1 28 1 1 4 304 299 33 10 91.719955 (Check 5 1 28 1 1 5 341 300 19 10 92.115639 only 5 1 28 1 1 6 364 299 6 8 96.868332 if 5 1 28 1 1 7 373 301 17 9 94.565659 you're 5 1 28 1 1 8 394 299 61 9 93.670082 unmarried 5 1 28 1 1 9 459 300 18 8 96.570648 and 5 1 28 1 1 10 481 301 17 9 96.853981 pay 5 1 28 1 1 11 501 301 25 7 96.617241 more 5 1 28 1 1 12 530 300 20 8 96.733841 than 5 1 28 1 1 13 554 299 17 9 88.440849 half 5 1 28 1 1 14 575 300 15 8 94.742714 the 5 1 28 1 1 15 593 300 26 8 96.786743 costs 5 1 28 1 1 16 623 299 9 9 96.911041 of 5 1 28 1 1 17 636 299 37 11 95.961807 keeping 5 1 28 1 1 18 677 301 12 9 96.201218 up 5 1 28 1 1 19 693 301 5 7 89.825996 a 5 1 28 1 1 20 702 300 27 8 96.868149 home 5 1 28 1 1 21 732 299 13 9 96.926987 for 5 1 28 1 1 22 749 299 38 11 94.713097 yourself 5 1 28 1 1 23 790 300 18 8 96.190979 and 5 1 28 1 1 24 812 301 5 7 74.154663 a 5 1 28 1 1 25 821 299 46 11 94.786064 qualifying 5 1 28 1 1 26 871 300 51 9 81.496048 individual.) 2 1 29 0 0 0 155 319 756 11 -1 3 1 29 1 0 0 155 319 756 11 -1 4 1 29 1 1 0 155 319 756 11 -1 5 1 29 1 1 1 155 319 41 8 88.584023 ‘Caution: 5 1 29 1 1 2 203 319 12 8 96.621071 To 5 1 29 1 1 3 219 319 26 8 78.876831 claim 5 1 29 1 1 4 249 319 33 8 94.914139 certain 5 1 29 1 1 5 286 319 33 8 82.178192 credits 5 1 29 1 1 6 323 321 10 6 96.931686 or 5 1 29 1 1 7 336 319 55 8 96.851173 deductions 5 1 29 1 1 8 395 321 12 6 96.753639 on 5 1 29 1 1 9 412 309 19 28 96.100258 your 5 1 29 1 1 10 435 309 15 28 96.100258 tax 5 1 29 1 1 11 455 320 28 7 78.447556 return, 5 1 29 1 1 12 490 321 18 8 95.393730 you 5 1 29 1 1 13 511 319 36 10 92.812614 (and/or 5 1 29 1 1 14 550 321 22 8 96.834801 your 5 1 29 1 1 15 575 321 36 8 67.527702 spouse 5 1 29 1 1 16 612 309 9 28 67.527702 if 5 1 29 1 1 17 624 319 37 8 85.577507 married 5 1 29 1 1 18 665 319 23 11 78.194603 fling 5 1 29 1 1 19 691 319 32 11 72.199692 jointly) 5 1 29 1 1 20 727 321 16 6 96.345917 are 5 1 29 1 1 21 746 319 41 10 96.791115 required 5 1 29 1 1 22 791 320 9 7 96.843620 to 5 1 29 1 1 23 804 319 23 8 96.103737 have 5 1 29 1 1 24 831 321 5 6 83.808731 a 5 1 29 1 1 25 840 319 28 8 83.808731 social 5 1 29 1 1 26 872 320 39 9 46.025002 security 2 1 30 0 0 0 155 332 314 11 -1 3 1 30 1 0 0 155 332 314 11 -1 4 1 30 1 1 0 155 332 314 11 -1 5 1 30 1 1 1 155 333 38 8 35.671043 ‘number 5 1 30 1 1 2 196 332 23 9 69.168587 valid 5 1 30 1 1 3 223 332 13 9 69.168587 for 5 1 30 1 1 4 239 332 62 11 95.911346 employment. 5 1 30 1 1 5 308 332 18 9 95.413841 See 5 1 30 1 1 6 330 332 34 11 96.756142 page 5 1 30 1 1 7 358 322 3 28 96.985786 2 5 1 30 1 1 8 368 332 13 9 96.802895 for 5 1 30 1 1 9 384 334 26 7 91.006424 more 5 1 30 1 1 10 413 332 56 9 84.147972 information, 2 1 31 0 0 0 58 355 837 14 -1 3 1 31 1 0 0 58 355 837 14 -1 4 1 31 1 1 0 58 355 837 14 -1 5 1 31 1 1 1 58 356 22 10 96.635704 TIP: 5 1 31 1 1 2 89 355 57 11 96.635704 Consider 5 1 31 1 1 3 151 358 33 11 90.770882 using 5 1 31 1 1 4 189 356 20 10 96.955444 the 5 1 31 1 1 5 214 356 60 10 95.279274 estimator 5 1 31 1 1 6 278 356 12 10 93.304909 at 5 1 31 1 1 7 295 356 130 13 65.992256 www.irs.gov/W4App 5 1 31 1 1 8 430 356 13 10 96.979179 to 5 1 31 1 1 9 447 356 64 10 96.738091 determine 5 1 31 1 1 10 516 356 19 10 96.891167 the 5 1 31 1 1 11 540 356 32 10 96.880455 most 5 1 31 1 1 12 576 356 56 10 96.770294 accurate 5 1 31 1 1 13 636 356 74 13 94.184677 withholding 5 1 31 1 1 14 714 356 18 10 96.662888 for 5 1 31 1 1 15 736 356 20 10 96.662888 the 5 1 31 1 1 16 761 356 23 10 95.294380 rest 5 1 31 1 1 17 789 355 12 11 96.992882 of 5 1 31 1 1 18 805 356 20 10 96.923347 the 5 1 31 1 1 19 829 358 28 11 96.647743 year 5 1 31 1 1 20 861 356 7 10 96.577873 if 5 1 31 1 1 21 872 358 23 11 82.122932 you 2 1 32 0 0 0 58 373 852 14 -1 3 1 32 1 0 0 58 373 852 14 -1 4 1 32 1 1 0 58 373 852 14 -1 5 1 32 1 1 1 58 376 20 8 95.442574 are 5 1 32 1 1 2 82 373 71 14 96.153236 completing 5 1 32 1 1 3 158 374 22 10 96.944366 this 5 1 32 1 1 4 185 373 28 11 96.899406 form 5 1 32 1 1 5 219 373 28 11 90.510788 after 5 1 32 1 1 6 252 373 19 11 90.510788 the 5 1 32 1 1 7 276 374 62 13 87.453400 beginning 5 1 32 1 1 8 343 373 12 11 96.985962 of 5 1 32 1 1 9 360 374 19 10 96.818382 the 5 1 32 1 1 10 384 376 30 11 96.821533 year; 5 1 32 1 1 11 420 374 43 13 96.408173 expect 5 1 32 1 1 12 467 374 12 10 94.410156 to 5 1 32 1 1 13 484 373 31 11 94.410156 work 5 1 32 1 1 14 520 374 26 13 95.434814 only 5 1 32 1 1 15 551 374 24 13 96.917000 part 5 1 32 1 1 16 580 373 12 11 96.917000 of 5 1 32 1 1 17 596 373 20 11 96.956306 the 5 1 32 1 1 18 621 376 30 11 92.760078 year; 5 1 32 1 1 19 656 376 13 8 92.760078 or 5 1 32 1 1 20 674 373 29 11 96.639748 have 5 1 32 1 1 21 708 374 54 13 95.329140 changes 5 1 32 1 1 22 767 373 39 14 96.832909 during 5 1 32 1 1 23 811 374 20 10 96.945419 the 5 1 32 1 1 24 836 376 27 11 96.829216 year 5 1 32 1 1 25 868 376 9 8 95.777275 in 5 1 32 1 1 26 882 376 28 11 95.777275 your 2 1 33 0 0 0 58 390 795 14 -1 3 1 33 1 0 0 58 390 795 14 -1 4 1 33 1 1 0 58 390 795 14 -1 5 1 33 1 1 1 58 390 42 11 91.004700 marital 5 1 33 1 1 2 106 391 41 12 95.720840 status, 5 1 33 1 1 3 153 390 49 11 96.481300 number 5 1 33 1 1 4 206 390 12 11 96.680206 of 5 1 33 1 1 5 222 390 27 14 96.680206 jobs 5 1 33 1 1 6 254 390 17 11 94.006744 for 5 1 33 1 1 7 275 393 23 11 94.006744 you 5 1 33 1 1 8 303 390 45 14 95.187080 (and/or 5 1 33 1 1 9 352 393 29 11 96.942772 your 5 1 33 1 1 10 385 393 46 11 94.021126 spouse 5 1 33 1 1 11 436 390 7 11 96.683670 if 5 1 33 1 1 12 448 390 47 11 95.924431 married 5 1 33 1 1 13 500 390 30 14 96.785156 filing 5 1 33 1 1 14 534 390 41 14 95.819603 jointly), 5 1 33 1 1 15 584 390 79 14 53.387360 dependents, 5 1 33 1 1 16 669 390 33 11 96.869698 other 5 1 33 1 1 17 706 393 46 8 91.009773 income 5 1 33 1 1 18 757 390 24 13 96.487137 (not 5 1 33 1 1 19 786 390 28 11 96.487137 from 5 1 33 1 1 20 819 390 34 14 86.150909 jobs), 2 1 34 0 0 0 58 408 848 14 -1 3 1 34 1 0 0 58 408 848 14 -1 4 1 34 1 1 0 58 408 848 14 -1 5 1 34 1 1 1 58 408 74 12 96.292709 deductions, 5 1 34 1 1 2 138 411 13 8 95.621696 or 5 1 34 1 1 3 155 408 43 11 95.406425 credits. 5 1 34 1 1 4 207 408 32 11 96.827072 Have 5 1 34 1 1 5 244 411 28 11 96.631950 your 5 1 34 1 1 6 276 409 32 10 96.816078 most 5 1 34 1 1 7 313 409 39 10 96.441208 recent 5 1 34 1 1 8 357 411 23 11 93.305489 pay 5 1 34 1 1 9 384 408 39 13 12.746696 stub\s) 5 1 34 1 1 10 431 408 29 11 96.188721 from 5 1 34 1 1 11 465 408 22 11 95.698883 this 5 1 34 1 1 12 492 411 27 11 95.698883 year 5 1 34 1 1 13 523 408 56 11 91.402939 available 5 1 34 1 1 14 584 408 33 11 96.880783 when 5 1 34 1 1 15 623 411 33 11 93.955353 using 5 1 34 1 1 16 661 408 20 11 94.698814 the 5 1 34 1 1 17 685 409 60 10 96.620255 estimator. 5 1 34 1 1 18 753 408 14 11 93.490448 At 5 1 34 1 1 19 771 408 20 11 96.643578 the 5 1 34 1 1 20 796 408 62 14 96.706291 beginning 5 1 34 1 1 21 863 408 12 11 96.940002 of 5 1 34 1 1 22 880 409 26 10 96.838020 next 2 1 35 0 0 0 58 425 367 14 -1 3 1 35 1 0 0 58 425 367 14 -1 4 1 35 1 1 0 58 425 367 14 -1 5 1 35 1 1 1 58 428 27 11 88.183006 year, 5 1 35 1 1 2 94 428 22 8 94.833054 use 5 1 35 1 1 3 120 425 20 11 94.833054 the 5 1 35 1 1 4 145 426 60 10 96.796173 estimator 5 1 35 1 1 5 209 428 34 11 96.923950 again 5 1 35 1 1 6 248 426 12 10 96.940811 to 5 1 35 1 1 7 265 425 50 11 95.222153 recheck 5 1 35 1 1 8 320 428 28 11 92.197090 your 5 1 35 1 1 9 352 425 73 14 81.716660 withholding. 2 1 36 0 0 0 58 449 858 14 -1 3 1 36 1 0 0 58 449 858 14 -1 4 1 36 1 1 0 58 449 858 14 -1 5 1 36 1 1 1 58 449 66 13 91.728195 Complete 5 1 36 1 1 2 129 449 38 13 95.070198 Steps 5 1 36 1 1 3 172 449 23 11 54.548244 2-4 5 1 36 1 1 4 199 449 40 11 96.513283 ONLY 5 1 36 1 1 5 244 449 7 11 96.737617 if 5 1 36 1 1 6 255 449 30 13 95.278282 they 5 1 36 1 1 7 289 449 37 13 86.448181 apply 5 1 36 1 1 8 330 450 13 10 96.281532 to 5 1 36 1 1 9 348 452 28 10 96.281532 you; 5 1 36 1 1 10 381 449 71 13 95.057678 otherwise, 5 1 36 1 1 11 457 449 27 13 94.166672 skip 5 1 36 1 1 12 489 450 13 10 94.166672 to 5 1 36 1 1 13 507 449 31 13 95.141548 Step 5 1 36 1 1 14 542 449 11 11 96.927734 5. 5 1 36 1 1 15 559 449 24 11 96.453468 See 5 1 36 1 1 16 588 452 31 11 96.969467 page 5 1 36 1 1 17 623 449 7 11 96.957024 2 5 1 36 1 1 18 635 449 18 11 96.957024 for 5 1 36 1 1 19 657 452 32 8 96.813736 more 5 1 36 1 1 20 694 449 72 11 91.759209 information 5 1 36 1 1 21 771 452 15 8 96.917030 on 5 1 36 1 1 22 791 449 30 11 96.917030 each 5 1 36 1 1 23 826 450 27 12 94.980881 step, 5 1 36 1 1 24 862 449 27 11 96.810371 who 5 1 36 1 1 25 893 452 23 8 94.746132 can 2 1 37 0 0 0 58 469 7 8 -1 3 1 37 1 0 0 58 469 7 8 -1 4 1 37 1 1 0 58 469 7 8 -1 5 1 37 1 1 1 58 469 7 8 50.324409 el 2 1 38 0 0 0 96 466 534 14 -1 3 1 38 1 0 0 96 466 534 14 -1 4 1 38 1 1 0 96 466 534 14 -1 5 1 38 1 1 1 96 467 67 12 87.241478 ‘exemption 5 1 38 1 1 2 168 466 29 11 89.330315 from 5 1 38 1 1 3 202 466 76 14 91.931335 withholding, 5 1 38 1 1 4 284 466 23 11 94.754723 and 5 1 38 1 1 5 312 466 34 11 96.950676 when 5 1 38 1 1 6 350 467 13 10 96.891441 to 5 1 38 1 1 7 368 469 22 8 96.558922 use 5 1 38 1 1 8 394 466 20 11 96.891998 the 5 1 38 1 1 9 419 467 60 10 96.816689 estimator 5 1 38 1 1 10 483 467 12 10 93.286667 at 5 1 38 1 1 11 499 466 131 14 67.172958 www.irs.gov/W4App. 2 1 39 0 0 0 58 494 48 15 -1 3 1 39 1 0 0 58 494 48 15 -1 4 1 39 1 1 0 58 494 48 15 -1 5 1 39 1 1 1 58 494 34 15 96.952866 Step 5 1 39 1 1 2 98 494 8 12 96.767006 2: 2 1 40 0 0 0 196 496 698 14 -1 3 1 40 1 0 0 196 496 698 14 -1 4 1 40 1 1 0 196 496 698 14 -1 5 1 40 1 1 1 196 496 63 13 74.525635 Complete 5 1 40 1 1 2 263 496 22 11 96.555717 this 5 1 40 1 1 3 290 497 27 12 96.189766 step 5 1 40 1 1 4 323 496 6 11 96.189766 if 5 1 40 1 1 5 333 499 23 11 96.657257 you 5 1 40 1 1 6 361 496 15 13 96.601944 (1) 5 1 40 1 1 7 381 496 26 11 95.990196 hold 5 1 40 1 1 8 413 499 32 8 94.158997 more 5 1 40 1 1 9 449 496 28 11 94.158997 than 5 1 40 1 1 10 482 499 23 8 90.795197 one 5 1 40 1 1 11 509 496 20 13 90.795197 job 5 1 40 1 1 12 534 497 11 10 96.852806 at 5 1 40 1 1 13 550 499 7 8 96.712654 a 5 1 40 1 1 14 562 497 30 11 93.622452 time, 5 1 40 1 1 15 598 499 13 8 96.427727 or 5 1 40 1 1 16 615 496 14 13 96.845398 (2) 5 1 40 1 1 17 634 499 20 8 96.944855 are 5 1 40 1 1 18 659 496 48 11 96.321770 married 5 1 40 1 1 19 711 496 30 14 96.680077 filing 5 1 40 1 1 20 745 496 38 14 95.648109 jointly 5 1 40 1 1 21 787 496 24 11 96.954460 and 5 1 40 1 1 22 816 499 28 11 96.957397 your 5 1 40 1 1 23 848 499 46 10 95.235512 spouse 2 1 41 0 0 0 59 518 101 15 -1 3 1 41 1 0 0 59 518 101 15 -1 4 1 41 1 1 0 59 518 101 15 -1 5 1 41 1 1 1 59 518 59 15 96.461472 Multiple 5 1 41 1 1 2 123 518 37 12 82.208725 Jobs 2 1 42 0 0 0 196 513 617 14 -1 3 1 42 1 0 0 196 513 617 14 -1 4 1 42 1 1 0 196 513 617 14 -1 5 1 42 1 1 1 196 513 26 11 96.076553 also 5 1 42 1 1 2 227 513 38 11 94.388573 works. 5 1 42 1 1 3 273 513 24 11 96.963058 The 5 1 42 1 1 4 301 514 45 10 96.869057 correct 5 1 42 1 1 5 351 514 48 10 96.942528 amount 5 1 42 1 1 6 404 513 12 11 96.423447 of 5 1 42 1 1 7 420 513 74 14 95.936043 withholding 5 1 42 1 1 8 499 513 55 13 96.879677 depends 5 1 42 1 1 9 559 516 15 8 96.954552 on 5 1 42 1 1 10 580 516 46 8 96.566910 income 5 1 42 1 1 11 630 513 44 11 63.977036 eared 5 1 42 1 1 12 679 513 28 11 95.725273 from 5 1 42 1 1 13 713 513 13 11 86.345215 all 5 1 42 1 1 14 731 513 12 11 86.345215 of 5 1 42 1 1 15 747 513 35 11 95.599754 these 5 1 42 1 1 16 786 513 27 14 95.599754 jobs. 2 1 43 0 0 0 58 537 77 14 -1 3 1 43 1 0 0 58 537 77 14 -1 4 1 43 1 1 0 58 537 77 14 -1 5 1 43 1 1 1 58 540 16 9 90.977165 or 5 1 43 1 1 2 78 537 57 14 96.768784 Spouse 2 1 44 0 0 0 197 537 181 14 -1 3 1 44 1 0 0 197 537 181 14 -1 4 1 44 1 1 0 197 537 181 14 -1 5 1 44 1 1 1 197 537 17 11 95.119759 Do 5 1 44 1 1 2 219 537 28 13 95.273811 only 5 1 44 1 1 3 251 540 25 8 96.971886 one 5 1 44 1 1 4 281 537 12 11 96.543495 of 5 1 44 1 1 5 297 537 20 11 96.543495 the 5 1 44 1 1 6 321 537 57 14 73.107590 following, 2 1 45 0 0 0 58 555 48 12 -1 3 1 45 1 0 0 58 555 48 12 -1 4 1 45 1 1 0 58 555 48 12 -1 5 1 45 1 1 1 58 555 48 12 61.869625 Works 2 1 46 0 0 0 196 558 710 14 -1 3 1 46 1 0 0 196 558 710 14 -1 4 1 46 1 1 0 196 558 710 14 -1 5 1 46 1 1 1 196 558 16 14 86.078568 {a) 5 1 46 1 1 2 220 558 24 11 96.247261 Use 5 1 46 1 1 3 249 559 19 10 96.247261 the 5 1 46 1 1 4 273 559 60 10 96.830978 estimator 5 1 46 1 1 5 337 559 12 10 93.299599 at 5 1 46 1 1 6 354 558 131 14 49.319290 www.irs.gov/W4App 5 1 46 1 1 7 490 558 17 11 96.791046 for 5 1 46 1 1 8 511 559 20 10 95.929047 the 5 1 46 1 1 9 536 559 31 10 96.360596 most 5 1 46 1 1 10 572 559 55 10 85.270691 accurate 5 1 46 1 1 11 632 558 73 14 88.676224 withholding 5 1 46 1 1 12 710 558 17 11 96.786537 for 5 1 46 1 1 13 731 558 22 11 96.949577 this 5 1 46 1 1 14 758 559 27 13 96.860176 step 5 1 46 1 1 15 790 558 27 14 96.845947 (and 5 1 46 1 1 16 822 558 37 14 96.845947 Steps 5 1 46 1 1 17 863 559 27 13 76.862289 3-4). 5 1 46 1 1 18 899 558 7 11 94.917877 If 2 1 47 0 0 0 219 575 447 14 -1 3 1 47 1 0 0 219 575 447 14 -1 4 1 47 1 1 0 219 575 447 14 -1 5 1 47 1 1 1 219 578 23 11 94.677467 you 5 1 47 1 1 2 247 578 13 8 92.200714 or 5 1 47 1 1 3 264 578 28 11 96.949127 your 5 1 47 1 1 4 296 578 47 11 95.642380 spouse 5 1 47 1 1 5 348 575 29 11 95.908539 have 5 1 47 1 1 6 382 575 107 14 95.908539 self-employment 5 1 47 1 1 7 494 578 46 8 96.918533 income, 5 1 47 1 1 8 549 578 22 8 96.750137 use 5 1 47 1 1 9 576 575 22 11 96.127930 this 5 1 47 1 1 10 603 576 39 13 96.837303 option; 5 1 47 1 1 11 652 578 14 8 74.554871 or 2 1 48 0 0 0 196 598 575 14 -1 3 1 48 1 0 0 196 598 575 14 -1 4 1 48 1 1 0 196 598 575 14 -1 5 1 48 1 1 1 196 598 17 14 89.391594 (b) 5 1 48 1 1 2 220 598 24 11 96.919800 Use 5 1 48 1 1 3 249 599 19 10 96.925529 the 5 1 48 1 1 4 274 598 49 14 96.257645 Multiple 5 1 48 1 1 5 328 598 31 11 94.108871 Jobs 5 1 48 1 1 6 363 598 69 11 96.046135 Worksheet 5 1 48 1 1 7 437 601 15 8 96.827141 on 5 1 48 1 1 8 457 601 32 11 88.634476 page 5 1 48 1 1 9 493 599 7 10 88.634476 3 5 1 48 1 1 10 505 599 23 10 96.386658 and 5 1 48 1 1 11 534 599 32 10 94.312187 enter 5 1 48 1 1 12 570 599 20 10 94.312187 the 5 1 48 1 1 13 595 599 34 10 94.778122 result 5 1 48 1 1 14 634 601 10 8 94.778122 in 5 1 48 1 1 15 650 598 29 14 92.635498 Step 5 1 48 1 1 16 683 598 23 14 92.214722 4(c) 5 1 48 1 1 17 711 599 41 12 96.821106 below; 5 1 48 1 1 18 758 601 13 8 91.281952 or 2 1 49 0 0 0 196 619 695 14 -1 3 1 49 1 0 0 196 619 695 14 -1 4 1 49 1 1 0 196 619 695 14 -1 5 1 49 1 1 1 196 619 16 14 78.193268 (c) 5 1 49 1 1 2 220 620 7 10 93.513237 If 5 1 49 1 1 3 231 620 33 11 93.513237 there 5 1 49 1 1 4 268 622 20 8 96.488388 are 5 1 49 1 1 5 293 620 25 13 96.488388 only 5 1 49 1 1 6 323 620 23 10 96.789398 two 5 1 49 1 1 7 350 620 27 13 96.830238 jobs 5 1 49 1 1 8 382 620 27 10 91.368996 total, 5 1 49 1 1 9 418 622 23 11 96.892372 you 5 1 49 1 1 10 446 622 27 11 94.851379 may 5 1 49 1 1 11 477 620 38 11 94.851379 check 5 1 49 1 1 12 519 620 23 11 96.881012 this 5 1 49 1 1 13 547 620 23 10 95.683479 box. 5 1 49 1 1 14 580 620 17 10 96.892853 Do 5 1 49 1 1 15 601 620 20 11 96.877068 the 5 1 49 1 1 16 626 622 34 9 95.465691 same 5 1 49 1 1 17 665 622 15 9 96.972282 on 5 1 49 1 1 18 685 620 32 10 93.189774 Form 5 1 49 1 1 19 723 620 12 10 40.445076 W-<4 5 1 49 1 1 20 753 620 18 11 92.547249 for 5 1 49 1 1 21 775 620 19 11 96.384819 the 5 1 49 1 1 22 799 620 33 10 96.384819 other 5 1 49 1 1 23 836 620 20 13 96.393616 job. 5 1 49 1 1 24 864 620 27 11 92.020798 This 2 1 50 0 0 0 219 636 693 14 -1 3 1 50 1 0 0 219 636 693 14 -1 4 1 50 1 1 0 219 636 693 14 -1 5 1 50 1 1 1 219 637 40 13 59.807301 ‘option 5 1 50 1 1 2 265 639 9 8 96.843094 is 5 1 50 1 1 3 278 637 58 13 96.706856 generally 5 1 50 1 1 4 341 639 32 8 96.706856 more 5 1 50 1 1 5 378 637 55 10 96.293739 accurate 5 1 50 1 1 6 437 637 28 10 96.614937 than 5 1 50 1 1 7 470 636 29 14 93.302559 Step 5 1 50 1 1 8 504 637 23 13 92.146240 2(b) 5 1 50 1 1 9 533 637 6 10 96.974060 if 5 1 50 1 1 10 544 639 22 11 96.974060 pay 5 1 50 1 1 11 571 637 12 10 96.914742 at 5 1 50 1 1 12 587 637 20 10 96.747658 the 5 1 50 1 1 13 612 637 34 10 92.912216 lower 5 1 50 1 1 14 651 639 41 11 96.641472 paying 5 1 50 1 1 15 697 637 20 13 96.775917 job 5 1 50 1 1 16 722 639 9 8 95.878120 is 5 1 50 1 1 17 736 639 32 8 95.878120 more 5 1 50 1 1 18 773 637 27 10 96.946465 than 5 1 50 1 1 19 806 636 22 11 89.487549 half 5 1 50 1 1 20 833 637 12 10 96.309456 of 5 1 50 1 1 21 849 637 20 10 96.516861 the 5 1 50 1 1 22 874 639 22 11 96.917267 pay 5 1 50 1 1 23 901 637 11 10 93.662857 at 2 1 51 0 0 0 219 654 386 14 -1 3 1 51 1 0 0 219 654 386 14 -1 4 1 51 1 1 0 219 654 386 14 -1 5 1 51 1 1 1 219 655 20 10 95.515739 the 5 1 51 1 1 2 244 654 39 14 96.904251 higher 5 1 51 1 1 3 288 657 41 11 94.319069 paying 5 1 51 1 1 4 334 655 20 13 94.319069 job. 5 1 51 1 1 5 363 654 67 13 96.893768 Otherwise, 5 1 51 1 1 6 436 654 29 14 92.447334 Step 5 1 51 1 1 7 470 654 23 14 91.938591 2(b) 5 1 51 1 1 8 498 657 10 8 96.777878 is 5 1 51 1 1 9 513 657 32 8 94.271324 more 5 1 51 1 1 10 550 655 55 10 93.134338 accurate 2 1 52 0 0 0 58 678 854 14 -1 3 1 52 1 0 0 58 678 854 14 -1 4 1 52 1 1 0 58 678 854 14 -1 5 1 52 1 1 1 58 678 66 14 82.973129 Complete 5 1 52 1 1 2 129 678 38 14 93.302711 Steps 5 1 52 1 1 3 172 678 40 14 45.415001 3-4(b) 5 1 52 1 1 4 217 681 16 8 96.790276 on 5 1 52 1 1 5 238 678 35 11 93.266350 Form 5 1 52 1 1 6 278 678 27 11 85.201599 W-4 5 1 52 1 1 7 309 678 19 11 96.984276 for 5 1 52 1 1 8 333 678 28 14 96.804939 only 5 1 52 1 1 9 365 678 31 11 93.647125 ONE 5 1 52 1 1 10 400 678 14 11 96.964951 of 5 1 52 1 1 11 418 678 37 11 93.209961 these 5 1 52 1 1 12 459 678 33 14 96.403847 jobs. 5 1 52 1 1 13 498 678 37 11 95.894058 Leave 5 1 52 1 1 14 539 678 36 11 96.858963 those 5 1 52 1 1 15 579 679 35 13 96.914154 steps 5 1 52 1 1 16 619 679 34 10 94.987228 blank 5 1 52 1 1 17 657 678 17 11 96.804016 for 5 1 52 1 1 18 679 678 19 11 92.774818 the 5 1 52 1 1 19 703 679 33 10 96.631927 other 5 1 52 1 1 20 740 679 27 13 96.706413 jobs. 5 1 52 1 1 21 776 678 33 14 96.951721 (Your 5 1 52 1 1 22 814 678 73 14 94.967522 withholding 5 1 52 1 1 23 892 678 20 11 89.331375 will 2 1 53 0 0 0 58 695 588 14 -1 3 1 53 1 0 0 58 695 588 14 -1 4 1 53 1 1 0 58 695 588 14 -1 5 1 53 1 1 1 58 695 16 11 94.173882 be 5 1 53 1 1 2 79 696 31 10 96.866768 most 5 1 53 1 1 3 115 696 55 10 85.228760 accurate 5 1 53 1 1 4 175 695 6 11 96.516327 if 5 1 53 1 1 5 186 698 22 11 96.808723 you 5 1 53 1 1 6 214 695 59 14 96.453072 complete 5 1 53 1 1 7 278 695 36 14 93.304619 Steps 5 1 53 1 1 8 319 695 38 14 90.481186 3-4(b) 5 1 53 1 1 9 362 698 15 8 96.935265 on 5 1 53 1 1 10 382 695 20 11 96.968102 the 5 1 53 1 1 11 407 695 32 11 92.912567 Form 5 1 53 1 1 12 444 695 26 11 57.502346 W-4 5 1 53 1 1 13 475 695 17 11 86.826462 for 5 1 53 1 1 14 497 695 19 11 86.826462 the 5 1 53 1 1 15 521 695 46 14 96.956596 highest 5 1 53 1 1 16 572 698 42 11 96.321533 paying 5 1 53 1 1 17 618 695 28 14 95.501236 job.) 2 1 54 0 0 0 58 724 48 15 -1 3 1 54 1 0 0 58 724 48 15 -1 4 1 54 1 1 0 58 724 48 15 -1 5 1 54 1 1 1 58 724 34 15 96.955780 Step 5 1 54 1 1 2 98 724 8 12 96.431511 3: 2 1 55 0 0 0 197 721 414 15 -1 3 1 55 1 0 0 197 721 414 15 -1 4 1 55 1 1 0 197 721 414 15 -1 5 1 55 1 1 1 197 722 7 11 96.088379 If 5 1 55 1 1 2 209 725 28 11 96.913368 your 5 1 55 1 1 3 242 722 28 11 96.729042 total 5 1 55 1 1 4 276 725 46 8 96.559700 income 5 1 55 1 1 5 327 722 20 11 92.204735 will 5 1 55 1 1 6 353 722 15 11 96.551491 be 5 1 55 1 1 7 374 721 59 13 88.712852 $200,000 5 1 55 1 1 8 439 725 13 8 96.964798 or 5 1 55 1 1 9 457 722 24 11 96.140007 less 5 1 55 1 1 10 487 721 63 14 93.571312 ($400,000 5 1 55 1 1 11 556 725 12 8 96.496796 or 5 1 55 1 1 12 574 722 24 11 91.626175 less 5 1 55 1 1 13 604 722 7 11 88.308243 if 2 1 56 0 0 0 58 748 43 12 -1 3 1 56 1 0 0 58 748 43 12 -1 4 1 56 1 1 0 58 748 43 12 -1 5 1 56 1 1 1 58 748 43 12 92.452538 Claim 2 1 57 0 0 0 197 739 47 11 -1 3 1 57 1 0 0 197 739 47 11 -1 4 1 57 1 1 0 197 739 47 11 -1 5 1 57 1 1 1 197 739 47 11 94.691360 married 2 1 58 0 0 0 271 739 56 14 -1 3 1 58 1 0 0 271 739 56 14 -1 4 1 58 1 1 0 271 739 56 14 -1 5 1 58 1 1 1 271 742 7 11 84.500420 1g 5 1 58 1 1 2 283 739 44 13 95.230614 jointly): 2 1 59 0 0 0 59 767 82 15 -1 3 1 59 1 0 0 59 767 82 15 -1 4 1 59 1 1 0 59 767 82 15 -1 5 1 59 1 1 1 59 767 82 15 95.622574 Dependent 2 1 60 0 0 0 196 761 415 14 -1 3 1 60 1 0 0 196 761 415 14 -1 4 1 60 1 1 0 196 761 415 14 -1 5 1 60 1 1 1 196 761 16 13 82.508301 {a) 5 1 60 1 1 2 220 761 49 14 82.211823 Multiply 5 1 60 1 1 3 275 761 20 11 96.827568 the 5 1 60 1 1 4 302 761 49 11 96.651955 number 5 1 60 1 1 5 357 761 12 11 94.994171 of 5 1 60 1 1 6 376 761 60 14 95.756264 qualifying 5 1 60 1 1 7 444 761 50 11 96.854660 children 5 1 60 1 1 8 501 761 36 11 96.714478 under 5 1 60 1 1 9 544 764 23 11 96.014664 age 5 1 60 1 1 10 574 761 15 11 93.894257 17 5 1 60 1 1 11 596 761 15 14 93.894257 by 2 1 61 0 0 0 58 785 76 12 -1 3 1 61 1 0 0 58 785 76 12 -1 4 1 61 1 1 0 58 785 76 12 -1 5 1 61 1 1 1 58 785 27 12 96.745178 and 5 1 61 1 1 2 91 785 43 12 95.254921 Other 2 1 62 0 0 0 219 777 53 13 -1 3 1 62 1 0 0 219 777 53 13 -1 4 1 62 1 1 0 219 777 53 13 -1 5 1 62 1 1 1 219 777 53 13 89.995613 $2,200 5 1 62 1 1 2 268 771 8 28 79.325142 . 2 1 63 0 0 0 627 778 39 14 -1 3 1 63 1 0 0 627 778 39 14 -1 4 1 63 1 1 0 627 778 39 14 -1 5 1 63 1 1 1 627 779 24 13 65.073593 3(a) 5 1 63 1 1 2 659 778 7 12 65.073593 |$ 2 1 64 0 0 0 196 798 341 14 -1 3 1 64 1 0 0 196 798 341 14 -1 4 1 64 1 1 0 196 798 341 14 -1 5 1 64 1 1 1 196 798 17 14 44.154831 (6) 5 1 64 1 1 2 220 798 49 14 37.757702 Muttiply 5 1 64 1 1 3 274 799 19 10 94.529938 the 5 1 64 1 1 4 298 787 51 22 94.529938 number 5 1 64 1 1 5 351 798 12 11 96.930214 of 5 1 64 1 1 6 366 787 35 22 92.923843 other 5 1 64 1 1 7 404 787 79 25 92.923843 dependents 5 1 64 1 1 8 486 787 16 25 96.921234 by 5 1 64 1 1 9 506 787 31 23 96.283203 $500 2 1 65 0 0 0 627 798 39 14 -1 3 1 65 1 0 0 627 798 39 14 -1 4 1 65 1 1 0 627 798 39 14 -1 5 1 65 1 1 1 627 798 25 14 56.921135 3(b) 5 1 65 1 1 2 659 798 7 12 56.921135 |S 2 1 66 0 0 0 58 803 55 13 -1 3 1 66 1 0 0 58 803 55 13 -1 4 1 66 1 1 0 58 803 55 13 -1 5 1 66 1 1 1 58 803 55 13 81.132881 Credits 2 1 67 0 0 0 196 818 564 13 -1 3 1 67 1 0 0 196 818 564 13 -1 4 1 67 1 1 0 196 818 564 13 -1 5 1 67 1 1 1 196 818 26 11 77.301254 ‘Add 5 1 67 1 1 2 227 818 20 11 95.847000 the 5 1 67 1 1 3 253 819 55 10 95.854706 amounts 5 1 67 1 1 4 313 818 29 11 96.957176 from 5 1 67 1 1 5 348 818 36 13 93.302643 Steps 5 1 67 1 1 6 390 818 22 13 73.704330 3(a) 5 1 67 1 1 7 418 818 23 11 93.011444 and 5 1 67 1 1 8 447 818 23 13 90.734909 3(b), 5 1 67 1 1 9 480 818 26 13 96.485191 plus 5 1 67 1 1 10 511 818 20 11 96.485191 the 5 1 67 1 1 11 536 819 48 10 96.974838 amount 5 1 67 1 1 12 589 818 18 11 96.985542 for 5 1 67 1 1 13 612 818 33 11 96.876892 other 5 1 67 1 1 14 650 818 43 11 96.587738 credits. 5 1 67 1 1 15 705 818 31 11 96.806572 Enter 5 1 67 1 1 16 742 818 18 11 94.912788 the 2 1 68 0 0 0 196 836 60 11 -1 3 1 68 1 0 0 196 836 60 11 -1 4 1 68 1 1 0 196 836 60 11 -1 5 1 68 1 1 1 196 836 27 11 96.120728 total 5 1 68 1 1 2 229 836 27 11 91.167122 here 2 1 69 0 0 0 786 836 30 13 -1 3 1 69 1 0 0 786 836 30 13 -1 4 1 69 1 1 0 786 836 30 13 -1 5 1 69 1 1 1 786 837 7 10 57.120087 3 5 1 69 1 1 2 809 836 7 13 19.976330 /$ 2 1 70 0 0 0 58 859 52 14 -1 3 1 70 1 0 0 58 859 52 14 -1 4 1 70 1 1 0 58 859 52 14 -1 5 1 70 1 1 1 58 859 34 14 93.702530 Step 5 1 70 1 1 2 97 859 13 11 93.702530 4: 2 1 71 0 0 0 197 859 563 14 -1 3 1 71 1 0 0 197 859 563 14 -1 4 1 71 1 1 0 197 859 563 14 -1 5 1 71 1 1 1 197 859 15 13 91.122017 (a) 5 1 71 1 1 2 220 859 38 11 96.742310 Other 5 1 71 1 1 3 266 862 49 8 96.077515 income 5 1 71 1 1 4 324 859 26 13 96.110657 (not 5 1 71 1 1 5 357 859 32 11 96.840912 from 5 1 71 1 1 6 397 859 33 13 96.721062 jobs). 5 1 71 1 1 7 443 859 7 10 93.422180 If 5 1 71 1 1 8 458 862 23 11 94.793602 you 5 1 71 1 1 9 489 860 31 10 94.793602 want 5 1 71 1 1 10 528 860 19 10 96.968590 tax 5 1 71 1 1 11 556 859 52 11 94.154083 withheld 5 1 71 1 1 12 617 859 17 11 96.631783 for 5 1 71 1 1 13 642 859 33 11 92.416389 other 5 1 71 1 1 14 683 862 46 8 96.395538 income 5 1 71 1 1 15 737 862 23 10 96.972855 you 2 1 72 0 0 0 219 876 537 13 -1 3 1 72 1 0 0 219 876 537 13 -1 4 1 72 1 1 0 219 876 537 13 -1 5 1 72 1 1 1 219 877 43 12 81.470230 expect 5 1 72 1 1 2 267 876 22 11 96.849365 this 5 1 72 1 1 3 294 878 27 11 96.849365 year 5 1 72 1 1 4 325 876 24 11 96.852913 that 5 1 72 1 1 5 354 876 35 11 84.983452 won't 5 1 72 1 1 6 394 876 30 11 94.462631 have 5 1 72 1 1 7 428 876 77 13 94.462631 withholding, 5 1 72 1 1 8 510 877 33 10 96.384750 enter 5 1 72 1 1 9 547 876 20 11 92.816154 the 5 1 72 1 1 10 571 877 48 10 92.816154 amount 5 1 72 1 1 11 624 876 12 11 96.969749 of 5 1 72 1 1 12 640 876 33 11 96.897659 other 5 1 72 1 1 13 678 879 46 8 96.897659 income 5 1 72 1 1 14 729 876 27 11 94.373322 here. 2 1 73 0 0 0 58 883 43 12 -1 3 1 73 1 0 0 58 883 43 12 -1 4 1 73 1 1 0 58 883 43 12 -1 5 1 73 1 1 1 58 883 43 12 96.645111 Other 2 1 74 0 0 0 58 901 96 15 -1 3 1 74 1 0 0 58 901 96 15 -1 4 1 74 1 1 0 58 901 96 15 -1 5 1 74 1 1 1 58 901 96 15 92.171333 Adjustments 2 1 75 0 0 0 219 894 382 13 -1 3 1 75 1 0 0 219 894 382 13 -1 4 1 75 1 1 0 219 894 382 13 -1 5 1 75 1 1 1 219 894 26 10 96.420082 This 5 1 75 1 1 2 250 896 26 11 96.981133 may 5 1 75 1 1 3 282 894 45 10 96.575272 include 5 1 75 1 1 4 332 894 50 12 96.709595 interest, 5 1 75 1 1 5 387 894 65 12 93.299248 dividends, 5 1 75 1 1 6 457 894 23 10 96.927055 and 5 1 75 1 1 7 486 894 64 10 96.709824 retirement 5 1 75 1 1 8 555 896 46 8 95.093407 income 2 1 76 0 0 0 777 894 39 14 -1 3 1 76 1 0 0 777 894 39 14 -1 4 1 76 1 1 0 777 894 39 14 -1 5 1 76 1 1 1 777 894 24 14 0.000000 ata) 5 1 76 1 1 2 809 894 7 12 0.000000 |s 2 1 77 0 0 0 196 916 565 14 -1 3 1 77 1 0 0 196 916 565 14 -1 4 1 77 1 1 0 196 916 565 14 -1 5 1 77 1 1 1 196 916 17 14 76.640388 (b) 5 1 77 1 1 2 220 917 78 11 92.083778 Deductions. 5 1 77 1 1 3 305 917 24 11 96.931915 Use 5 1 77 1 1 4 335 917 19 10 96.954315 the 5 1 77 1 1 5 362 917 69 10 91.990837 Deductions 5 1 77 1 1 6 438 917 66 11 96.195038 Worksheet 5 1 77 1 1 7 510 919 15 8 96.735382 on 5 1 77 1 1 8 533 919 30 11 96.660324 page 5 1 77 1 1 9 569 917 7 10 96.587242 4 5 1 77 1 1 10 583 917 12 10 90.340057 to 5 1 77 1 1 11 602 917 61 10 90.340057 determine 5 1 77 1 1 12 670 917 19 10 96.385460 the 5 1 77 1 1 13 696 918 46 9 92.786758 amount 5 1 77 1 1 14 749 917 12 10 96.041145 of 2 1 78 0 0 0 219 934 541 14 -1 3 1 78 1 0 0 219 934 541 14 -1 4 1 78 1 1 0 219 934 541 14 -1 5 1 78 1 1 1 219 935 69 10 94.285957 deductions 5 1 78 1 1 2 294 937 22 11 94.609344 you 5 1 78 1 1 3 324 937 25 11 96.145561 may 5 1 78 1 1 4 355 935 36 12 93.723938 claim, 5 1 78 1 1 5 398 935 36 10 96.781013 which 5 1 78 1 1 6 441 935 18 10 89.388504 will 5 1 78 1 1 7 467 935 42 10 89.388504 reduce 5 1 78 1 1 8 515 937 27 11 96.518616 your 5 1 78 1 1 9 549 935 74 13 86.871727 withholding. 5 1 78 1 1 10 630 934 11 14 87.369720 (If 5 1 78 1 1 11 647 937 22 11 95.087578 you 5 1 78 1 1 12 676 935 25 13 96.222672 skip 5 1 78 1 1 13 708 935 21 10 96.222672 this 5 1 78 1 1 14 736 935 24 12 94.846443 line, 2 1 79 0 0 0 219 951 492 14 -1 3 1 79 1 0 0 219 951 492 14 -1 4 1 79 1 1 0 219 951 492 14 -1 5 1 79 1 1 1 219 954 27 11 91.737518 your 5 1 79 1 1 2 250 951 71 14 88.033745 withholding 5 1 79 1 1 3 326 951 18 11 96.845459 will 5 1 79 1 1 4 349 952 15 10 96.906326 be 5 1 79 1 1 5 369 952 37 10 96.974159 based 5 1 79 1 1 6 411 954 14 8 96.719467 on 5 1 79 1 1 7 430 952 19 10 96.911636 the 5 1 79 1 1 8 454 951 54 11 93.610245 standard 5 1 79 1 1 9 513 951 68 14 95.353889 deduction.) 5 1 79 1 1 10 587 951 31 11 96.764679 Enter 5 1 79 1 1 11 623 952 18 10 96.986252 the 5 1 79 1 1 12 646 952 33 10 90.167282 result 5 1 79 1 1 13 684 952 27 10 95.882866 here 2 1 80 0 0 0 777 951 39 14 -1 3 1 80 1 0 0 777 951 39 14 -1 4 1 80 1 1 0 777 951 39 14 -1 5 1 80 1 1 1 777 951 24 14 14.621897 4(b) 5 1 80 1 1 2 809 951 7 12 65.673309 |S. 2 1 81 0 0 0 196 979 527 14 -1 3 1 81 1 0 0 196 979 527 14 -1 4 1 81 1 1 0 196 979 527 14 -1 5 1 81 1 1 1 196 979 16 13 41.779396 (c) 5 1 81 1 1 2 220 979 34 11 96.664917 Extra 5 1 81 1 1 3 259 979 82 13 93.189766 withholding. 5 1 81 1 1 4 346 979 33 11 96.841812 Enter 5 1 81 1 1 5 383 982 22 11 96.487274 any 5 1 81 1 1 6 409 979 61 11 93.616447 additional 5 1 81 1 1 7 475 980 19 10 96.893158 tax 5 1 81 1 1 8 498 982 23 10 96.781891 you 5 1 81 1 1 9 526 980 30 10 96.993225 want 5 1 81 1 1 10 560 979 53 11 92.821182 withheld 5 1 81 1 1 11 618 979 30 11 96.936798 each 5 1 81 1 1 12 653 982 23 10 96.835442 pay 5 1 81 1 1 13 681 979 42 13 96.835442 period 2 1 82 0 0 0 777 980 39 13 -1 3 1 82 1 0 0 777 980 39 13 -1 4 1 82 1 1 0 777 980 39 13 -1 5 1 82 1 1 1 777 980 24 13 63.326321 Alc) 5 1 82 1 1 2 809 980 7 13 89.770416 |$ 2 1 83 0 0 0 58 1038 67 14 -1 3 1 83 1 0 0 58 1038 67 14 -1 4 1 83 1 1 0 58 1038 67 14 -1 5 1 83 1 1 1 58 1038 39 14 85.365219 Exempt 5 1 83 1 1 2 101 1038 24 11 85.365219 from 2 1 84 0 0 0 162 1038 726 14 -1 3 1 84 1 0 0 162 1038 726 14 -1 4 1 84 1 1 0 162 1038 726 14 -1 5 1 84 1 1 1 162 1039 42 10 0.000000 claim 5 1 84 1 1 2 211 1039 66 13 96.463066 exemption 5 1 84 1 1 3 284 1038 28 11 96.848610 from 5 1 84 1 1 4 318 1039 74 13 94.970963 withholding 5 1 84 1 1 5 398 1039 17 10 96.162811 for 5 1 84 1 1 6 421 1039 31 10 96.839378 2026, 5 1 84 1 1 7 462 1039 23 10 96.885963 and 5 1 84 1 1 8 493 1039 1 10 94.416733 | 5 1 84 1 1 9 501 1039 39 13 94.816742 certify 5 1 84 1 1 10 546 1039 24 10 94.816742 that 5 1 84 1 1 11 578 1039 1 10 95.976624 | 5 1 84 1 1 12 586 1039 31 10 96.177223 meet 5 1 84 1 1 13 623 1038 30 11 96.769936 both 5 1 84 1 1 14 660 1039 12 10 97.010780 of 5 1 84 1 1 15 677 1039 20 10 96.923500 the 5 1 84 1 1 16 703 1039 66 10 88.653694 conditions 5 1 84 1 1 17 775 1038 17 11 96.521896 for 5 1 84 1 1 18 798 1039 67 13 96.745857 exemption 5 1 84 1 1 19 871 1039 17 10 96.890404 for 2 1 85 0 0 0 58 1055 61 13 -1 3 1 85 1 0 0 58 1055 61 13 -1 4 1 85 1 1 0 58 1055 61 13 -1 5 1 85 1 1 1 58 1055 61 13 67.877983 withholding 2 1 86 0 0 0 162 1054 706 14 -1 3 1 86 1 0 0 162 1054 706 14 -1 4 1 86 1 1 0 162 1054 706 14 -1 5 1 86 1 1 1 162 1055 31 10 96.002563 2026. 5 1 86 1 1 2 202 1054 24 11 94.937599 See 5 1 86 1 1 3 230 1055 68 13 95.607231 Exemption 5 1 86 1 1 4 303 1055 28 10 93.863396 from 5 1 86 1 1 5 337 1055 73 13 91.878387 withholding 5 1 86 1 1 6 415 1057 15 8 96.142418 on 5 1 86 1 1 7 435 1057 32 11 96.969391 page 5 1 86 1 1 8 471 1055 7 10 90.654015 2. 5 1 86 1 1 9 488 1055 2 10 90.654015 | 5 1 86 1 1 10 495 1055 72 10 95.809402 understand 5 1 86 1 1 11 568 1046 6 28 91.173981 | 5 1 86 1 1 12 580 1055 19 10 96.204697 will 5 1 86 1 1 13 605 1055 30 10 96.204697 need 5 1 86 1 1 14 640 1055 12 10 95.159554 to 5 1 86 1 1 15 657 1055 43 10 95.159554 submit 5 1 86 1 1 16 705 1057 7 8 96.266357 a 5 1 86 1 1 17 717 1057 26 8 96.266357 new 5 1 86 1 1 18 748 1054 32 11 93.191238 Form 5 1 86 1 1 19 785 1055 26 10 68.427124 W-4 5 1 86 1 1 20 816 1054 17 11 96.769951 for 5 1 86 1 1 21 837 1055 31 10 93.313599 2027 2 1 87 0 0 0 902 1053 14 14 -1 3 1 87 1 0 0 902 1053 14 14 -1 4 1 87 1 1 0 902 1053 14 14 -1 5 1 87 1 1 1 902 1053 14 14 65.765511 Qa 2 1 88 0 0 0 58 1080 48 15 -1 3 1 88 1 0 0 58 1080 48 15 -1 4 1 88 1 1 0 58 1080 48 15 -1 5 1 88 1 1 1 58 1080 34 15 96.538963 Step 5 1 88 1 1 2 98 1080 8 12 94.442665 5: 2 1 89 0 0 0 157 1078 717 12 -1 3 1 89 1 0 0 157 1078 717 12 -1 4 1 89 1 1 0 157 1078 717 12 -1 5 1 89 1 1 1 157 1078 34 10 87.700928 Under 5 1 89 1 1 2 196 1078 50 12 87.700928 penalties 5 1 89 1 1 3 250 1078 11 10 96.122231 of 5 1 89 1 1 4 265 1080 42 10 95.851753 perjury, 5 1 89 1 1 5 312 1078 2 9 95.440208 | 5 1 89 1 1 6 318 1078 42 10 96.279770 declare 5 1 89 1 1 7 364 1078 21 10 96.390221 that 5 1 89 1 1 8 390 1078 19 10 96.580795 this 5 1 89 1 1 9 414 1078 55 10 81.908287 certificate, 5 1 89 1 1 10 477 1079 11 9 95.372734 to 5 1 89 1 1 11 492 1078 17 10 95.372734 the 5 1 89 1 1 12 514 1078 24 10 96.681557 best 5 1 89 1 1 13 542 1078 11 10 96.681557 of 5 1 89 1 1 14 557 1080 17 10 96.624985 my 5 1 89 1 1 15 578 1078 61 12 96.383125 knowledge 5 1 89 1 1 16 644 1078 20 10 96.889412 and 5 1 89 1 1 17 669 1078 30 10 54.542431 belief, 5 1 89 1 1 18 707 1080 8 8 54.542431 is 5 1 89 1 1 19 719 1079 22 9 96.887680 true, 5 1 89 1 1 20 749 1079 40 9 85.649788 correct, 5 1 89 1 1 21 796 1078 21 10 96.422485 and 5 1 89 1 1 22 822 1078 52 12 95.172440 complete. 2 1 90 0 0 0 58 1104 33 15 -1 3 1 90 1 0 0 58 1104 33 15 -1 4 1 90 1 1 0 58 1104 33 15 -1 5 1 90 1 1 1 58 1104 33 15 96.582535 Sign 2 1 91 0 0 0 59 1122 35 12 -1 3 1 91 1 0 0 59 1122 35 12 -1 4 1 91 1 1 0 59 1122 35 12 -1 5 1 91 1 1 1 59 1122 35 12 96.254036 Here 2 1 92 0 0 0 165 1134 365 12 -1 3 1 92 1 0 0 165 1134 365 12 -1 4 1 92 1 1 0 165 1134 365 12 -1 5 1 92 1 1 1 165 1134 59 12 83.457596 Employee’s 5 1 92 1 1 2 239 1134 57 12 96.958214 signature 5 1 92 1 1 3 300 1134 27 12 96.691383 (This 5 1 92 1 1 4 331 1134 25 10 96.709282 form 5 1 92 1 1 5 361 1136 8 8 95.762230 is 5 1 92 1 1 6 374 1135 17 9 96.919022 not 5 1 92 1 1 7 395 1134 26 10 96.645866 valid 5 1 92 1 1 8 426 1134 36 10 88.579651 unless 5 1 92 1 1 9 466 1136 20 10 96.777199 you 5 1 92 1 1 10 490 1136 23 10 90.614204 sign 5 1 92 1 1 11 518 1134 12 11 88.065956 it) 2 1 93 0 0 0 742 1133 27 10 -1 3 1 93 1 0 0 742 1133 27 10 -1 4 1 93 1 1 0 742 1133 27 10 -1 5 1 93 1 1 1 742 1133 27 10 93.928215 Date 2 1 94 0 0 0 59 1157 79 14 -1 3 1 94 1 0 0 59 1157 79 14 -1 4 1 94 1 1 0 59 1157 79 14 -1 5 1 94 1 1 1 59 1157 79 14 96.750221 Employers 2 1 95 0 0 0 157 1155 173 12 -1 3 1 95 1 0 0 157 1155 173 12 -1 4 1 95 1 1 0 157 1155 173 12 -1 5 1 95 1 1 1 157 1155 63 12 77.392967 Employer's 5 1 95 1 1 2 224 1158 31 7 96.896858 name 5 1 95 1 1 3 260 1155 20 10 95.219223 and 5 1 95 1 1 4 285 1155 45 10 94.079628 address 2 1 96 0 0 0 633 1155 67 10 -1 3 1 96 1 0 0 633 1155 67 10 -1 4 1 96 1 1 0 633 1155 67 10 -1 5 1 96 1 1 1 633 1155 23 10 96.730026 First 5 1 96 1 1 2 661 1155 25 10 96.707695 date 5 1 96 1 1 3 690 1155 10 10 87.759491 of 2 1 97 0 0 0 760 1155 129 12 -1 3 1 97 1 0 0 760 1155 129 12 -1 4 1 97 1 1 0 760 1155 129 12 -1 5 1 97 1 1 1 760 1155 53 12 96.646141 Employer 5 1 97 1 1 2 817 1155 72 10 96.293739 identification 2 1 98 0 0 0 632 1170 71 12 -1 3 1 98 1 0 0 632 1170 71 12 -1 4 1 98 1 1 0 632 1170 71 12 -1 5 1 98 1 1 1 632 1170 71 12 81.856415 ‘employment 2 1 99 0 0 0 759 1170 74 11 -1 3 1 99 1 0 0 759 1170 74 11 -1 4 1 99 1 1 0 759 1170 74 11 -1 5 1 99 1 1 1 759 1170 44 9 45.843967 ‘number 5 1 99 1 1 2 807 1170 26 11 91.912315 (EIN) 2 1 100 0 0 0 58 1175 34 15 -1 3 1 100 1 0 0 58 1175 34 15 -1 4 1 100 1 1 0 58 1175 34 15 -1 5 1 100 1 1 1 58 1175 34 15 96.266823 Only 2 1 101 0 0 0 58 1222 396 12 -1 3 1 101 1 0 0 58 1222 396 12 -1 4 1 101 1 1 0 58 1222 396 12 -1 5 1 101 1 1 1 58 1222 20 10 96.970406 For 5 1 101 1 1 2 82 1222 44 12 96.807304 Privacy 5 1 101 1 1 3 130 1222 20 10 96.632957 Act 5 1 101 1 1 4 154 1222 23 10 96.632957 and 5 1 101 1 1 5 181 1222 66 12 95.856422 Paperwork 5 1 101 1 1 6 252 1222 61 10 96.804871 Reduction 5 1 101 1 1 7 317 1222 20 10 96.646370 Act 5 1 101 1 1 8 342 1222 42 11 96.843842 Notice, 5 1 101 1 1 9 388 1224 21 8 87.786499 see 5 1 101 1 1 10 414 1224 29 10 94.888474 page 5 1 101 1 1 11 447 1222 7 9 95.245712 4. 2 1 102 0 0 0 557 1223 84 9 -1 3 1 102 1 0 0 557 1223 84 9 -1 4 1 102 1 1 0 557 1223 84 9 -1 5 1 102 1 1 1 557 1223 17 9 88.068909 ‘Cat. 5 1 102 1 1 2 581 1223 14 9 89.896957 No. 5 1 102 1 1 3 603 1223 38 9 91.325073 102200 2 1 103 0 0 0 744 1220 178 13 -1 3 1 103 1 0 0 744 1220 178 13 -1 4 1 103 1 1 0 744 1220 178 13 -1 5 1 103 1 1 1 744 1223 25 9 93.243210 Form 5 1 103 1 1 2 773 1220 30 11 65.977165 W-4 5 1 103 1 1 3 807 1223 30 10 96.745163 (2026) 5 1 103 1 1 4 840 1223 40 9 96.674568 Created 5 1 103 1 1 5 885 1223 37 9 95.652954 12/8/25