Create Your W-4

1 Employee details

Tax year

Use your name as it appears on your Social Security card.

First name *Middle initial / nameLast name *Social Security number *

Street address *

Apartment / suite Optional

Apartment / suite

City *State *ZIP code *

Anticipated filing status *

Head of household has specific eligibility requirements. Choose the status you expect to use on your tax return.

Exemption from withholding Only if eligible

I want to claim exemption from federal income tax withholding.

Special circumstances, including nonresident alien status? Review IRS Notice 1392 ↗ before completing your form. This builder does not apply special nonresident adjustments.

2 Jobs & withholding

Which situation applies?

Already have an amount from the IRS estimator ↗? Leave the worksheet off and enter its amounts below. Use the estimator for more than three jobs, self-employment or more than one job above $120,000.

3 Dependents & adjustments

Optional. Leave these sections closed if they do not apply. For multiple jobs, apply Step 3 and 4(b) on only one W-4, usually the highest-paying job.

Dependents & other credits Step 3

How would you like to enter credits?

Step 3 total: —

Deductions Step 4(b)

How would you like to enter deductions?

Step 4(b) adjustment: —

Other income & extra withholding Steps 4(a) & 4(c)

Other income for the entire year

Income without withholding, such as interest or dividends. Exclude wages and self-employment income.Additional withholding each paycheck

Added to any multiple-jobs worksheet amount above.

Total extra withholding per paycheck: —

Employer details Optional · for employer use

Business / employer nameEmployer EINStreet addressApartment / suite

CityStateZIP code

First date of employment

Signature

How would you like to sign?

Your signature and signing date will stay blank. Print and sign before giving the certificate to your employer.

Review, download & sign

Choose to draw and apply your signature above, or leave it blank and sign after printing. Review your certificate before giving it to your employer. Purchasing does not submit the W-4.

By clicking “Continue to checkout,” you confirm that you have reviewed the preview and entered amounts.

Your details stay private. Checkout saves an encrypted copy of your order.

A little treat for your next form.