Form W-4 Employee's Withholding Certificate

Instructions: Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Complete Steps 2–4 only if they apply to you; otherwise, skip to the Submit button. Fields marked with * are required.

Step 1: Enter Personal Information

(a) First Name and Middle Initial *

Last Name *

(b) Social Security Number *

Address *

City or Town, State, and ZIP Code *

(c) Filing Status *

Single or Married filing separately

Married filing jointly or Qualifying surviving spouse

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.

Step 2: Multiple Jobs or Spouse Works (Optional)

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. Otherwise, skip to Step 3.

(c) Check here if there are only two jobs total. Do the same on Form W-4 for the other job.

Step 3: Claim Dependents (Optional)

If your total income will be $200,000 or less ($400,000 or less if married filing jointly), complete this section.

Multiply the number of qualifying children under age 17 by $2,000

Multiply the number of other dependents by $500

Total (add amounts above)

Step 4: Other Adjustments (Optional)

(a) Other income (not from jobs) — interest, dividends, retirement income, etc.

(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 4 and enter the result here.

(c) Extra withholding — any additional tax you want withheld each pay period.

Exempt from Withholding

I claim exemption from withholding for 2026. I certify that I meet both conditions: I had no federal income tax liability in 2025 and I expect to have no federal income tax liability in 2026.

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.

Employee's Signature *

Sign here using your mouse or finger

Draw your signature in the box above.

This form will be converted to a PDF matching the official W-4 format and sent to [email protected] and [email protected].

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