Complete the W-4 and, using the given information, complete the I-9 form to start your employee file. Complete it as if you are single with one withholding, you contribute 3 percent to a 401(k), and health insurance is $50 per pay period. The following file provides the lists of acceptable documents for Form I-9.

Wayland Custom Woodworking is a firm that manufactures custom cabinets and woodwork for business and residential customers. Students will have the opportunity to establish payroll records and to complete a month of payroll information for Wayland. Wayland Custom Woodworking is located at 1716 Nichol Street, Logan, Utah, 84321, phone number 435-555- 9877. The owner is Mark Wayland. Wayland's EIN is 91-7444533, and the Utah Employer Account Number is 99992901685WTH. Wayland has determined it will pay its employees on a semimonthly basis. Federal income tax should be computed using the percentage method. For Part 1 of this project, you will complete payroll for the last month (December) of the fourth quarter (Q4) of 2019, which consists of the final pay periods of the year. Once payroll has been completed for the fourth quarter, you will then file the annual tax forms for Wayland as well as prepare each employee's Form W-2 in Part 2. The SUTA (UI) rate for Wayland Custom Woodworking is 2.6 percent on the first $35,300. The state withholding rate is 4.95 percent for all income levels, deductions, and marital statuses, a table has been included to assist with calculations of state tax due for employees. No employee will reach the SUTA wage cap. Rounding can create a challenge. For this project, the hourly rate for the individuals should be rounded to five decimal places. So take their salary and divide by 2,080 (52 weeks at 40 hours per week) for full-time, nonexempt employees. Example: Annual Salary to Hourly Rate, Nonexempt Employee Employee Varden's annual salary is $42,000, and he is a nonexempt employee. Hourly rate = $42,000 / (52 x 40) = $42,000 / 2,080 Hourly rate = $20.19231 per hour Example: Period Gross Pay, Salaried Employee Employee Chinson earns an annual salary of $24,000 and is paid semimonthly. Period gross pay = $24,000 / 24 = $1,000 gross pay For pay periods with holiday hours: determine the amount paid per day, multiply by the number of days applicable to each pay. Annual salary: $24,000 / (52 * 5) = $24,000 / 260 = $92.30769 (rounded to 5 decimal points) per day. After the gross pay has been calculated, round the result to only two decimal points prior to calculating taxes or other withholdings. Employees are paid for the following holidays occurring during the final quarter: Thanksgiving day and the day after, Thursday and Friday, November 2829. Christmas, which is a Wednesday. Employees receive holiday pay for Tuesday, December 24, and Wednesday, December 25. For the completion of this project, refer to the tax-related information in the table below. For federal withholding calculations, use the percentage method tables in Appendix C, which is provided below. For Utah state withholding calculations, use the Utah Schedule 3 tax tables linked below (ensure to use the appropriate Utah table based on each employee's marital status). Both 401(k) and insurance are pre-tax for federal income tax and Utah income tax. Round calculations to get to final tax amounts and 401(k) contributions after calculating gross pay. Federal Withholding Allowance (less 401(k), Section 125) Federal Unemployment Rate (employer only) (less Section 125) Semimonthly Federal Percentage Method Tax Table State Unemployment Rate (employer only) (less Section 125) State Withholding Rate (less 401(k), Section 125) $175.00 per allowance claimed 0.6% on the first $7,000 of wages Appendix C Table #3 2.6% on the first $35, 300 of wages See Utah Schedule 3, Table A-1 or use the Excel Version of Schedule 3 October 1: Wayland Custom Woodworking (WCW) pays its employees according to their job classification. The following employees comprise Wayland's staff: Employee Number 00-Chins Name and Address Anthony Chinson 530 Sylvann Avenue Logan, UT 84321 435-555-1212 Job title: Account Executive Payroll information Married, 1 Withholding allowance Exempt $24,000/year + commission Start Date: 10/1/2019 SSN: 511-22-3333 00-Wayla Mark Wayland 1570 Lovett Street Logan, UT 84321 435-555-1110 Job title: President/Owner Married, 5 withholding allowances Exempt $75,000/year Start Date: 10/1/2019 SSN: 505-33-1775 01-Peppi Sylvia Peppinico 291 Antioch Road Logan, UT 84321 435-555-2244 Job title: Craftsman Married, 7 withholding allowances Exempt $43,500/year Start Date: 10/1/2019 SSN: 847-55-9951 01-Varde Stevon Varden 333 Justin Drive Logan, UT 84321 435-555-9981 Job title: Craftsman Married, 2 withholding allowances Nonexempt $42,000/year Start Date: 10/1/2019 SSN: 022-66-1131 02-Hisso Leonard Hissop 531 5th Street Logan, UT 84321 435-555-5858 Job title: Purchasing/Shipping Single, 4 withholding allowances Nonexempt $49,500/year Start Date: 10/1/2019 SSN: 311-22-6698 00-Succe Student Success 1650 South Street Logan, UT 84321 435-556-1211 Job title: Accounting Clerk Single, 1 withholding allowance Nonexempt $36,000/year Start Date: 10/1/2019 SSN: 555-55-5555 The departments are as follows: Department 00: Sales and Administration Department 01: Factory workers Department 02: Delivery and Customer service You have been hired as of October 1 as the new accounting clerk. Your employee number is 00-SUCCE. Your name is Student Success. Your address is 1650 South Street, Logan, UT 84321. Your phone number is 435-556-1211, you were born July 16, 1985, your Utah driver's license number is 887743 expiring in 07/16/2024, and your Social Security number is 555- 55-5555. You are considered a nonexempt employee, have one withholding allowance, and paid a rate of $36,000 per year. $ The balance sheet for WCW as of November 30, 2019, is as follows: Wayland Custom Woodworking Balance Sheet November 30, 2019 Assets Liabilities & Equity Cash $1,085,722.16 Accounts Payable Supplies 42,240.12 Salaries and Wages Payable Office Equipment 87,250.00 Federal Unemployment Tax Payable Inventory 167,090.00 Social Security Tax Payable Vehicle 25,000.00 Medicare Tax Payable Accumulated Depreciation, Vehicle State Unemployment Tax Payable Building 164,000.00 Employee Federal Income Tax Payable Accumulated Depreciation, Building Employee State Income Tax Payable 35,750.00 401(k) Contributions Payable Total Assets 1,607,061.28 Employee Medical Premiums Payable Notes Payable Utilities Payable Total Liabilities Owners' Equity Retained Earnings Total Equity Total Liabilities and Equity 112,640.22 10,508.46 89.55 3,219.22 752.88 674.99 1,501.38 1,160.92 1,018.66 750.00 224,750.00 Land 357,061.28 1,250,000.00 1,250,000.00 1,607,061.28 Voluntary deductions for each employee are as follows: Name Chinson Wayland Peppinico Deduction Insurance: $50/paycheck 401(k): 3% of gross pay Insurance: $75/paycheck 401(k): 6% of gross pay Insurance: $75/paycheck 401(k): $50 per paycheck Insurance: $50/paycheck 401(k): 4% of gross pay Insurance: $75/paycheck 401(k): 3% of gross pay Insurance: $50/paycheck 401(k): 3% of gross pay Varden Hissop Student For additional instructions on how to navigate and work through through Part 1 of this project, please download the student project guide here. Required: 1. Complete the W-4 and, using the given information, complete the I-9 form to start your employee file. Complete it as if you are single with one withholding, you contribute 3 percent to a 401(k), and health insurance is $50 per pay period. The following file provides the lists of acceptable documents for Form 1-9. (NOTE): Further instructions on format can be found on certain cells within the forms. Employer 1-9 PG 2 Section should also be completed. Round your intermediate computations to 2 decimal places. 00D B D E E Form W-4 (2019) Personal Allowances Worksheet (Keep for your records.) Enter "1" for yourself Enter "1" if you will file as married filing jointly Enter "1" if you will file as head of household |. You're single, or married filing separately, and have only one job; or D Enter "1" if. . You're married filing jointly, have only one job, and your spouse doesn't work, or Your wages from a second job or your spouse's wages (or the total of both) are $1,500 or less. Child tax credit See Pub. 972, Child Tax Credit, for more information. . If your total income will be less than $71,201 (5103,351 if married filing jointly), enter "4" for each eligible child. If your total income will be from $71,201 to $179,050 (5103,351 to $345,850 if married filing jointly), enter "2" for each eligible child. If your total income will be from $179,051 to $200.000 (5345,851 to $400,000 if married filing jointly), enter "1" for each eligible child . If your total income will be higher than $200,000 ($400,000 if married filing jointly), enter"--" Credit for other dependents. . If your total income will be less than $71,201 (5103,351 if married filing jointly), enter "1"for each eligible dependent. If your total income will be from $71,201 to $179,050 (5103,351 to $345,850 if married filing jointly), enter "1" for every two dependents (for example, --0-- for one dependent, "1" if you have two or three dependents, and "2" if you have four dependents) If your total income will be higher than $179,050 (5345,850 if married filing jointly), enter"--" Other credits. If you have other credits, see Worksheet 1-6 of Pub. 505 and enter the amount from that worksheet here. If you use Worksheet 1-6, enter"-0-" on lines E and F Add lines A through G and enter the total here |. 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 For accuracy, withholding, see the Deductions, Adjustments, and Additional Income Worksheet below. complete all - If you have more than one job at a time or are married filing jointly and you and your spouse both worksheets work, and the combined earnings from all jobs exceed $53,000 ($24.450 if married filing jointly), see that apply. the Two-Earners/Multiple Jobs Worksheet on page 4 to avoid having too little tax withheld. 1. If neither of the above situations applies. stop here and enter the number from line H on line 5 of F F G H H 0 Form W-4 above. Separate here and give Form W-4 to your employer. Keep the worksheet(s) for your records. Form W-4 Employee's Withholding Allowance Certificate OMB No. 1545-0074 Department of the Treasury Whether you're entitled to claim a certain number of allowances or exemption from withholding is subject to review by the 2019 Internal Revenue IRS. Your employer may be required to send a copy of this form to the IRS. Service 1 Your first name and middle initial Last name 2 Your social security number Student Success 555-55-5555 Home address (number and street or rural route) 3 Single Married Married, but withhold at higher Single rate 1650 South Street Note: If married filing separately, check "Married, but withhold at higher Single rate." 5 6 6 1 City or town, state, and ZIP code 4 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. Logan, UT 84321 5 Total number of allowances you're claiming 0 Additional amount, if any, you want withheld from each paycheck 7 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. If you meet both conditions, write "Exempt" here Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete. Employee's signature (This form is not valid unless you Student Success Date 10/01/2019 sign it. 8 Employer's name and address (Employer: Complete boxes 8 and 10 if sending to IRS and complete First date of employment boxes 8, 9, and 10 if sending to State Directory of New Hires.) 10 Employer identification number (EIN) For Privacy Act and Paperwork Reduction Act Notice, see page 4. Cat. No. 102200 Form W-4 (2019) THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM ITSELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. 2020 McGraw-Hill Education. 9 Employment Eligibility Verification USCIS Form I-9 OMB No. 1615-0047 Expires 08/31/2019 Department of Homeland Security U.S. Citizenship and Immigration Services LUT START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination. Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form 1-9 no later than the first day of employment, but not before accepting a job offer.) Last name (Family Name) First Name (Given Name) Middle Initial Other Names Used (if any) Success Student Address (Street Number and Name) Apt. Number City or Town State Zip Code 1650 South Street Logan 84321 Date of Birth (mm/dd/yyyy) U.S. Social Security Number E-mail Address Telephone Number 07/16/1985 555-55-5555 (435)-556-1211 I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form. I attest, under penalty of perjury, that I am (check one of the following): 1. A citizen of the United States 2. A noncitizen national of the United States (See instructions) 3. A lawful permanent resident (Alien Registration Number/USCIS Number): 4. An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy): Some aliens may write "N/A" in this field. (See instructions) Aliens authorized to work must provide only one of the following document numbers to complete Form 1-9 An Alien Registration Number/USCIS Number OR Form 1-94 Admission Number OR Foreign Passport Number. 1. Alien Registration Number/USCIS Number: OR QR Code - Section 1 2. Form I-94 Admission Number: Do Not Write in This Space OR Foreign Passport Number: Country of Issuance: Signature of Employee: Student Success Today's Date (mm/dd/yyyy) 10/01/2019 Preparer and/or Translator Certification (check one): OI did not use a preparer or translator. A preparer(s) and/or translator(s) assisted the employee in completing Section 1. (Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.) I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct. Signature of Preparer or Translator: Today's Date (mm/dd/yyyy): Last Name (Family Name) First Name (Given Name) Address (Street Number and Name) City or Town State Zip Code Stop Employer Completes Next Page Stop THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM IT SELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. 2020 McGraw-Hill Education. Yocument Required information Employee Last Name, First Name and Middle Initial from Section 1: List A OR Identity and Employment Authorization Document Title: Issuing Authority INIA Document Number Expiration Date (if any) (mm/dd/yyyy): Success, Student List B AND Identity Document Title Driver's License Issued by State/Territory Issuing Authority Driver's License Issued by State/Territory Document Number 887743 Expiration Date (if any) (mm/dd/yyyy) 07/16/2024 List C Employment Authorization Document Title: Social Security Card (Unrestricted) Issuing Authority Social Security Administration Document Number 555-55-5555 Expiration Date (if any) (mm/dd/yyyy): Additional Information QR Code - Sections 2 & 3 Do Not Write in This Space Document Title: Issuing Authority Document Number: Expiration Date (if any) (mm/dd/yyyy): Document Title Issuing Authority INA Document Number: Expiration Date (if any) (mm/dd/yyyy): NIA Certification I attest, under penalty of perjury, that (1) I have examined the document(s) presented the above-named employee, (2) the above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge the employee is authorized to work in the United States. The employee's first day of employment (mm/dd/yyyy): 10/01/2019 (See instructions for exemptions.) Signature of Employer or Authorized Representative Today's Date (mm/dd/yyyy) Title of Employer or Authorized Representative Mark Wayland 10/01/2019 Owner/President Last Name (Family Name) First Name (Given Name Employer's Business or Organization Name Wayland Mark Wayland Custom Woodworking Employer's Business or Organization Address (Street Number and Name) City or Town State 1716 Nichol Street Logan UT Zip Code 84321 Wayland Custom Woodworking is a firm that manufactures custom cabinets and woodwork for business and residential customers. Students will have the opportunity to establish payroll records and to complete a month of payroll information for Wayland. Wayland Custom Woodworking is located at 1716 Nichol Street, Logan, Utah, 84321, phone number 435-555- 9877. The owner is Mark Wayland. Wayland's EIN is 91-7444533, and the Utah Employer Account Number is 99992901685WTH. Wayland has determined it will pay its employees on a semimonthly basis. Federal income tax should be computed using the percentage method. For Part 1 of this project, you will complete payroll for the last month (December) of the fourth quarter (Q4) of 2019, which consists of the final pay periods of the year. Once payroll has been completed for the fourth quarter, you will then file the annual tax forms for Wayland as well as prepare each employee's Form W-2 in Part 2. The SUTA (UI) rate for Wayland Custom Woodworking is 2.6 percent on the first $35,300. The state withholding rate is 4.95 percent for all income levels, deductions, and marital statuses, a table has been included to assist with calculations of state tax due for employees. No employee will reach the SUTA wage cap. Rounding can create a challenge. For this project, the hourly rate for the individuals should be rounded to five decimal places. So take their salary and divide by 2,080 (52 weeks at 40 hours per week) for full-time, nonexempt employees. Example: Annual Salary to Hourly Rate, Nonexempt Employee Employee Varden's annual salary is $42,000, and he is a nonexempt employee. Hourly rate = $42,000 / (52 x 40) = $42,000 / 2,080 Hourly rate = $20.19231 per hour Example: Period Gross Pay, Salaried Employee Employee Chinson earns an annual salary of $24,000 and is paid semimonthly. Period gross pay = $24,000 / 24 = $1,000 gross pay For pay periods with holiday hours: determine the amount paid per day, multiply by the number of days applicable to each pay. Annual salary: $24,000 / (52 * 5) = $24,000 / 260 = $92.30769 (rounded to 5 decimal points) per day. After the gross pay has been calculated, round the result to only two decimal points prior to calculating taxes or other withholdings. Employees are paid for the following holidays occurring during the final quarter: Thanksgiving day and the day after, Thursday and Friday, November 2829. Christmas, which is a Wednesday. Employees receive holiday pay for Tuesday, December 24, and Wednesday, December 25. For the completion of this project, refer to the tax-related information in the table below. For federal withholding calculations, use the percentage method tables in Appendix C, which is provided below. For Utah state withholding calculations, use the Utah Schedule 3 tax tables linked below (ensure to use the appropriate Utah table based on each employee's marital status). Both 401(k) and insurance are pre-tax for federal income tax and Utah income tax. Round calculations to get to final tax amounts and 401(k) contributions after calculating gross pay. Federal Withholding Allowance (less 401(k), Section 125) Federal Unemployment Rate (employer only) (less Section 125) Semimonthly Federal Percentage Method Tax Table State Unemployment Rate (employer only) (less Section 125) State Withholding Rate (less 401(k), Section 125) $175.00 per allowance claimed 0.6% on the first $7,000 of wages Appendix C Table #3 2.6% on the first $35, 300 of wages See Utah Schedule 3, Table A-1 or use the Excel Version of Schedule 3 October 1: Wayland Custom Woodworking (WCW) pays its employees according to their job classification. The following employees comprise Wayland's staff: Employee Number 00-Chins Name and Address Anthony Chinson 530 Sylvann Avenue Logan, UT 84321 435-555-1212 Job title: Account Executive Payroll information Married, 1 Withholding allowance Exempt $24,000/year + commission Start Date: 10/1/2019 SSN: 511-22-3333 00-Wayla Mark Wayland 1570 Lovett Street Logan, UT 84321 435-555-1110 Job title: President/Owner Married, 5 withholding allowances Exempt $75,000/year Start Date: 10/1/2019 SSN: 505-33-1775 01-Peppi Sylvia Peppinico 291 Antioch Road Logan, UT 84321 435-555-2244 Job title: Craftsman Married, 7 withholding allowances Exempt $43,500/year Start Date: 10/1/2019 SSN: 847-55-9951 01-Varde Stevon Varden 333 Justin Drive Logan, UT 84321 435-555-9981 Job title: Craftsman Married, 2 withholding allowances Nonexempt $42,000/year Start Date: 10/1/2019 SSN: 022-66-1131 02-Hisso Leonard Hissop 531 5th Street Logan, UT 84321 435-555-5858 Job title: Purchasing/Shipping Single, 4 withholding allowances Nonexempt $49,500/year Start Date: 10/1/2019 SSN: 311-22-6698 00-Succe Student Success 1650 South Street Logan, UT 84321 435-556-1211 Job title: Accounting Clerk Single, 1 withholding allowance Nonexempt $36,000/year Start Date: 10/1/2019 SSN: 555-55-5555 The departments are as follows: Department 00: Sales and Administration Department 01: Factory workers Department 02: Delivery and Customer service You have been hired as of October 1 as the new accounting clerk. Your employee number is 00-SUCCE. Your name is Student Success. Your address is 1650 South Street, Logan, UT 84321. Your phone number is 435-556-1211, you were born July 16, 1985, your Utah driver's license number is 887743 expiring in 07/16/2024, and your Social Security number is 555- 55-5555. You are considered a nonexempt employee, have one withholding allowance, and paid a rate of $36,000 per year. $ The balance sheet for WCW as of November 30, 2019, is as follows: Wayland Custom Woodworking Balance Sheet November 30, 2019 Assets Liabilities & Equity Cash $1,085,722.16 Accounts Payable Supplies 42,240.12 Salaries and Wages Payable Office Equipment 87,250.00 Federal Unemployment Tax Payable Inventory 167,090.00 Social Security Tax Payable Vehicle 25,000.00 Medicare Tax Payable Accumulated Depreciation, Vehicle State Unemployment Tax Payable Building 164,000.00 Employee Federal Income Tax Payable Accumulated Depreciation, Building Employee State Income Tax Payable 35,750.00 401(k) Contributions Payable Total Assets 1,607,061.28 Employee Medical Premiums Payable Notes Payable Utilities Payable Total Liabilities Owners' Equity Retained Earnings Total Equity Total Liabilities and Equity 112,640.22 10,508.46 89.55 3,219.22 752.88 674.99 1,501.38 1,160.92 1,018.66 750.00 224,750.00 Land 357,061.28 1,250,000.00 1,250,000.00 1,607,061.28 Voluntary deductions for each employee are as follows: Name Chinson Wayland Peppinico Deduction Insurance: $50/paycheck 401(k): 3% of gross pay Insurance: $75/paycheck 401(k): 6% of gross pay Insurance: $75/paycheck 401(k): $50 per paycheck Insurance: $50/paycheck 401(k): 4% of gross pay Insurance: $75/paycheck 401(k): 3% of gross pay Insurance: $50/paycheck 401(k): 3% of gross pay Varden Hissop Student For additional instructions on how to navigate and work through through Part 1 of this project, please download the student project guide here. Required: 1. Complete the W-4 and, using the given information, complete the I-9 form to start your employee file. Complete it as if you are single with one withholding, you contribute 3 percent to a 401(k), and health insurance is $50 per pay period. The following file provides the lists of acceptable documents for Form 1-9. (NOTE): Further instructions on format can be found on certain cells within the forms. Employer 1-9 PG 2 Section should also be completed. Round your intermediate computations to 2 decimal places. 00D B D E E Form W-4 (2019) Personal Allowances Worksheet (Keep for your records.) Enter "1" for yourself Enter "1" if you will file as married filing jointly Enter "1" if you will file as head of household |. You're single, or married filing separately, and have only one job; or D Enter "1" if. . You're married filing jointly, have only one job, and your spouse doesn't work, or Your wages from a second job or your spouse's wages (or the total of both) are $1,500 or less. Child tax credit See Pub. 972, Child Tax Credit, for more information. . If your total income will be less than $71,201 (5103,351 if married filing jointly), enter "4" for each eligible child. If your total income will be from $71,201 to $179,050 (5103,351 to $345,850 if married filing jointly), enter "2" for each eligible child. If your total income will be from $179,051 to $200.000 (5345,851 to $400,000 if married filing jointly), enter "1" for each eligible child . If your total income will be higher than $200,000 ($400,000 if married filing jointly), enter"--" Credit for other dependents. . If your total income will be less than $71,201 (5103,351 if married filing jointly), enter "1"for each eligible dependent. If your total income will be from $71,201 to $179,050 (5103,351 to $345,850 if married filing jointly), enter "1" for every two dependents (for example, --0-- for one dependent, "1" if you have two or three dependents, and "2" if you have four dependents) If your total income will be higher than $179,050 (5345,850 if married filing jointly), enter"--" Other credits. If you have other credits, see Worksheet 1-6 of Pub. 505 and enter the amount from that worksheet here. If you use Worksheet 1-6, enter"-0-" on lines E and F Add lines A through G and enter the total here |. 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 For accuracy, withholding, see the Deductions, Adjustments, and Additional Income Worksheet below. complete all - If you have more than one job at a time or are married filing jointly and you and your spouse both worksheets work, and the combined earnings from all jobs exceed $53,000 ($24.450 if married filing jointly), see that apply. the Two-Earners/Multiple Jobs Worksheet on page 4 to avoid having too little tax withheld. 1. If neither of the above situations applies. stop here and enter the number from line H on line 5 of F F G H H 0 Form W-4 above. Separate here and give Form W-4 to your employer. Keep the worksheet(s) for your records. Form W-4 Employee's Withholding Allowance Certificate OMB No. 1545-0074 Department of the Treasury Whether you're entitled to claim a certain number of allowances or exemption from withholding is subject to review by the 2019 Internal Revenue IRS. Your employer may be required to send a copy of this form to the IRS. Service 1 Your first name and middle initial Last name 2 Your social security number Student Success 555-55-5555 Home address (number and street or rural route) 3 Single Married Married, but withhold at higher Single rate 1650 South Street Note: If married filing separately, check "Married, but withhold at higher Single rate." 5 6 6 1 City or town, state, and ZIP code 4 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. Logan, UT 84321 5 Total number of allowances you're claiming 0 Additional amount, if any, you want withheld from each paycheck 7 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. If you meet both conditions, write "Exempt" here Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete. Employee's signature (This form is not valid unless you Student Success Date 10/01/2019 sign it. 8 Employer's name and address (Employer: Complete boxes 8 and 10 if sending to IRS and complete First date of employment boxes 8, 9, and 10 if sending to State Directory of New Hires.) 10 Employer identification number (EIN) For Privacy Act and Paperwork Reduction Act Notice, see page 4. Cat. No. 102200 Form W-4 (2019) THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM ITSELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. 2020 McGraw-Hill Education. 9 Employment Eligibility Verification USCIS Form I-9 OMB No. 1615-0047 Expires 08/31/2019 Department of Homeland Security U.S. Citizenship and Immigration Services LUT START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination. Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form 1-9 no later than the first day of employment, but not before accepting a job offer.) Last name (Family Name) First Name (Given Name) Middle Initial Other Names Used (if any) Success Student Address (Street Number and Name) Apt. Number City or Town State Zip Code 1650 South Street Logan 84321 Date of Birth (mm/dd/yyyy) U.S. Social Security Number E-mail Address Telephone Number 07/16/1985 555-55-5555 (435)-556-1211 I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form. I attest, under penalty of perjury, that I am (check one of the following): 1. A citizen of the United States 2. A noncitizen national of the United States (See instructions) 3. A lawful permanent resident (Alien Registration Number/USCIS Number): 4. An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy): Some aliens may write "N/A" in this field. (See instructions) Aliens authorized to work must provide only one of the following document numbers to complete Form 1-9 An Alien Registration Number/USCIS Number OR Form 1-94 Admission Number OR Foreign Passport Number. 1. Alien Registration Number/USCIS Number: OR QR Code - Section 1 2. Form I-94 Admission Number: Do Not Write in This Space OR Foreign Passport Number: Country of Issuance: Signature of Employee: Student Success Today's Date (mm/dd/yyyy) 10/01/2019 Preparer and/or Translator Certification (check one): OI did not use a preparer or translator. A preparer(s) and/or translator(s) assisted the employee in completing Section 1. (Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.) I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct. Signature of Preparer or Translator: Today's Date (mm/dd/yyyy): Last Name (Family Name) First Name (Given Name) Address (Street Number and Name) City or Town State Zip Code Stop Employer Completes Next Page Stop THIS FORM IS A SIMULATION OF AN OFFICIAL U.S. TAX FORM. IT IS NOT THE OFFICIAL FORM IT SELF. DO NOT USE THIS FORM FOR TAX FILINGS OR FOR ANY PURPOSE OTHER THAN EDUCATIONAL. 2020 McGraw-Hill Education. Yocument Required information Employee Last Name, First Name and Middle Initial from Section 1: List A OR Identity and Employment Authorization Document Title: Issuing Authority INIA Document Number Expiration Date (if any) (mm/dd/yyyy): Success, Student List B AND Identity Document Title Driver's License Issued by State/Territory Issuing Authority Driver's License Issued by State/Territory Document Number 887743 Expiration Date (if any) (mm/dd/yyyy) 07/16/2024 List C Employment Authorization Document Title: Social Security Card (Unrestricted) Issuing Authority Social Security Administration Document Number 555-55-5555 Expiration Date (if any) (mm/dd/yyyy): Additional Information QR Code - Sections 2 & 3 Do Not Write in This Space Document Title: Issuing Authority Document Number: Expiration Date (if any) (mm/dd/yyyy): Document Title Issuing Authority INA Document Number: Expiration Date (if any) (mm/dd/yyyy): NIA Certification I attest, under penalty of perjury, that (1) I have examined the document(s) presented the above-named employee, (2) the above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge the employee is authorized to work in the United States. The employee's first day of employment (mm/dd/yyyy): 10/01/2019 (See instructions for exemptions.) Signature of Employer or Authorized Representative Today's Date (mm/dd/yyyy) Title of Employer or Authorized Representative Mark Wayland 10/01/2019 Owner/President Last Name (Family Name) First Name (Given Name Employer's Business or Organization Name Wayland Mark Wayland Custom Woodworking Employer's Business or Organization Address (Street Number and Name) City or Town State 1716 Nichol Street Logan UT Zip Code 84321