(Please fill up the W-4 form I have attached it with the information provided)
Complete the W-4 Form for Zachary Fox, a new employee who is hired on December 6, 2021. Zachary (SSN 121-21-2121) is married (and files as married filing jointly), lives at 1483 Independence Road, Durham, NC 27701, does not want any additional withholding amounts, and claims the standard deduction on his tax return. Zachary (who expects to earn approximately $67,000 this year) has one eight-year-old child, does not hold any other jobs, and his spouse earns $68,200/year at her only job. He does not have other dependents and does not claim any credits on his tax return other than the dependent care credit. Note that this Form W-4 is not being sent to the IRS.
Notes:
- To accurately complete Form W-4, you should first fill out the Personal Allowances Worksheet.
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Form W-4 (Rev. December 2020) Department of the Treasury Internal Revenue Service Step 1: Enter Personal Information Employee's Withholding Certificate OMB No. 1545-0074 Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. 2021 Your withholding is subject to review by the IRS. (a) First name and middle initial Last name (b) Social security number Address Does your name match the name on your social. security card? If not, to ensure you get credit for your earnings, contact SSA 800-772-1213 or go to www.ssa.gov. City or town, state, and ZIP code (c) Single or Married filing separately Married filing jointly (or Qualifying widow(er)) 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.) Complete Steps 2-4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the estimator at www.irs.gov/W4App, and privacy. Step 2: 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. The correct amount of withholding depends on income earned from all of these jobs. Multiple Jobs or Spouse Do only one of the following. Works (a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or (c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay: otherwise, more tax than necessary may be withheld .. TIP: To be accurate, submit a 2021 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator. Complete Steps 3-4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3- 4(b) on the Form W-4 for the highest paying job.) If your income will be $200,000 or less ($400,000 or less if married filing jointly); Step 3: Claim Dependents Multiply the number of qualifying children under age 17 by $2,000 $ Multiply the number of other dependents by $500 S Add the amounts above and enter the total here. 3 $ withholding and significantly reduce your paycheck (often by thousands of dollars over the year). enter the total amount in Step 3. including these credits will increase your paycheck and reduce the amount of any refund you may receive when you file your tax return. When to use the estimator. Consider using the estimator at www.irs.gov/W4App if you: 1. Expect to work only part of the year; Step 4 (optional). 2. Have dividend or capital gain income, or are subject to additional taxes, such as the additional Medicare tax; 3. Have self-employment income (see below); or Step 4(a). Enter in this step the total of your other estimated income for the year, if any. You shouldn't include income from any jobs or self-employment. If you complete Step 4(a), you likely won't have to make estimated tax payments for that income. If you prefer to pay estimated tax rather than having tax on other income withheld from your paycheck, see Form 1040-ES, Estimated Tax for Individuals. 4. Prefer the most accurate withholding for multiple job situations. Self-employment. Generally, you will owe both income and self-employment taxes on any self-employment income you receive separate from the wages you receive as an employee. If you want to pay these taxes through withholding from your wages, use the estimator at www.irs.gov/W4App to figure the amount to have withheld. Step 4(b). Enter in this step the amount from the Deductions Worksheet, line 5, if you expect to claim deductions other than the basic standard deduction on your 2021 tax return and want to reduce your withholding to account for these deductions. This includes both itemized deductions and other deductions such as for student loan interest and IRAs. Nonresident alien. If you're a nonresident alien, see Notice 1392, Supplemental Form W-4 Instructions for Nonresident Aliens, before completing this form. Step 4(c).Enter in this step any additional tax you want withheld from your pay each pay period, including any amounts from the Multiple Jobs Worksheet, line 4. Entering an amount here will reduce your paycheck and will either increase your refund or reduce any amount of tax that you owe. Form W-4 (2021) Page 3 Step 2(b)-Multiple Jobs Worksheet (Keep for your records.) If you choose the option in Step 2(b) on Form W-4, complete this worksheet (which calculates the total extra tax for all jobs) on only ONE Form W-4. Withholding will be most accurate if you complete the worksheet and enter the result on the Form W-4 for the highest paying job. Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional tables; or, you can use the online withholding estimator at www.irs.gov/W4App. 1 Two jobs. If you have two jobs or you're married filing jointly and you and your spouse each have one job, find the amount from the appropriate table on page 4. Using the "Higher Paying Job" row and the "Lower Paying Job" column, find the value at the intersection of the two household salaries and enter that value on line 1. Then, skip to line 3 1 $ .. 2 Three jobs. If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and 2c below. Otherwise, skip to line 3. a Find the amount from the appropriate table on page 4 using the annual wages from the highest paying job in the "Higher Paying Job" row and the annual wages for your next highest paying job in the "Lower Paying Job" column. Find the value at the intersection of the two household salaries and enter that value on line 2a. 2a b Add the annual wages of the two highest paying jobs from line 2a together and use the total as the wages in the "Higher Paying Job" row and use the annual wages for your third job in the "Lower Paying Job" column t find the amount from the appropriate table on page 4 and enter this amount on line 2b 2b $ Add the amounts from lines 2a and 2b and enter the result on line 2c 2c $ 3 Enter the number of pay periods per year for the highest paying job. For example, if that job pays weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc. 3 $ Step 4 (optional): Other (a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income 4(a) $ Adjustments (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 3 and enter the result here 4(b) 4(c) (c)Extra withholding. Enter any additional tax you want withheld each pay period Step 5: Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete Sign Here Zachary Fox. 12/6/2021 Date Employee's signature (This form is not valid unless you sign it.) Employer's name and address First date of employment Employer identification number (EIN) Employers Only For Privacy Act and Paperwork Reduction Act Notice, see page 3. Form W-4 (2021) Form W-4 (2021) Page 2 General Instructions Specific Instructions Future developments Step 1(c). Check your anticipated filing status. This will determine the standard deduction and tax rates used to compute your withholding. For the latest information about any future developments related to Form W-4, such as legislation enacted after it was published, go to www.irs.gov/FormW4. Step 2. Use this step if you (1) have more than one job at the same time, or (2) are married filing jointly and you and your spouse both work. Purpose of Form Option (a) most accurately calculates the additional tax you need to have withheld, while option (b)does so with a little less accuracy. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. If too little is withheld, you will generally owe tax when you file your tax return and may owe a penalty. If too much is withheld, you will generally be due a refund. Complete a new Form W-4 when changes to your personal or financial situation would change the entries on the form. For more information on withholding and when you must furnish a new Form W-4, see Pub. 505, Tax Withholding and Estimated Tax. If you (and your spouse) have a total of only two jobs, you may instead check the box in option (c). The box must also be checked on the Form W-4 for the other job. If the box is checked, the standard deduction and tax brackets will be cut in half for each job to calculate withholding. This option is roughly accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld, and this extra amount will be larger the greater the difference in pay is between the two jobs. Exemption from withholding. You may claim exemption from withholding for 2021 if you meet both of the following conditions: you had no federal income tax liability in 2020 and you expect to have no federal income tax liability in 2021. You had no federal income tax liability in 2020 if (1) your total tax on line 24 on your 2020 Form 1040 or 1040-SR is zero (or less than the sum of lines 27, 28, 29, and 30), or (2) you were not required to file a return because your income was below the filing threshold for your correct filing status. If you claim exemption, you will have no income tax withheld from your paycheck and may owe taxes and penalties when you file your 2021 tax return. To claim exemption from withholding, certify that you meet both of the conditions above by writing "Exempt" on Form W-4 in the space below Step 4(c). Then, complete Steps 1(a), 1(b), and 5. Do not complete any other steps. You will need to submit a new Form W-4 by February 15, 2022. Multiple jobs. Complete Steps 3 through 4(b) on only one Form W-4. CAUTION Withholding will be most accurate if you do this on the Form W-4 for the highest paying job. to file a cone Your privacy. If you prefer to limit information provided in Steps 2 through 4, use the online estimator, which will also increase accuracy. Step3. This step provides instructions for determining amount of the child. tax credit and the credit for other dependents that you may be able to claim when you file your tax return. To qualify for the child tax credit, the child must be under age 17 as of December 31, must be your dependent who generally lives with you for more than half the year, and must have the required social security number. You may be able to claim a credit for other dependents for whom a child tax credit can't be claimed, such as an older child or a qualifying relative. For additional eligibility requirements for these credits, see Pub. 972, Child Tax Credit and Credit for Other Dependents. You can also include other tax credits in this step, suc education tax credits and the foreign credit. To do so, add an estimate of the amount for the year to your credits for dependents and enter the total amount in Step 3. Including these credits will increase your paycheck and reduce the amount of any refund you may receive when you file. your tax return. As an alternative to the estimator: if you have concerns with Step 2(c), you may choose Step 2(b); if you have concerns with Step 4(a), you may enter an additional amount you want withheld per pay period in Step 4(c). If this is the only job in your household, you may instead check the box i Step 2(c), which will increase your withholding and significantly reduce your paycheck (often by thousands of dollars over the year). Cat. No. 10220Q 4 Divide the annual amount on line 1 or line 2c by the number of pay periods on line 3. Enter this amount here and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional amount you want withheld). 4 Step 4(b)-Deductions Worksheet (Keep for your records.) 1 Enter an estimate of your 2021 itemized deductions (from Schedule A (Form 1040)). Such deductions may include qualifying home mortgage interest, charitable contributions, state and local taxes (up to $10,000), and medical expenses in excess of 7.5% of your income 1 $ . . . . . . . . $25,100 if you're married filing jointly or qualifying widow(er) $ 2 Enter: 2 $18,800 if you're head of household $12,550 if you're single or married filing separately 3 If line 1 is greater than line 2, subtract line 2 from line 1. If line 2 is greater than line 1, enter "-0-" 3 $ 4 Enter an estimate of your student loan interest, deductible IRA contributions, and certain other adjustments (from Part II of Schedule 1 (Form 1040 or 1040-SR)). See Pub. 505 for more information. 4 $ 5 Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4 5 $ You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103. Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to provide this information; your employer uses it to determine your federal income tax withholding. Failure to provide a properly completed form will result in your being treated as a single person with no other entries on the form; providing fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation; to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws; and to the Department of Health and Human Services for use in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return. If you have suggestions for making this form simpler, we would be happy to hear from you. 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SO $820 $930 1,900 2,130 $10,000 19,999 820 $20,000 29,999 930 2.130 2,360 $30,000 - 39,999 1,020 2,220 2,450 $40,000-49,999 1,020 2,470 3,700 $60,000 - 79,999 1,870 4,070 5,310 $80,000-99,999 1,880 4,280 5,710 how 4,200 2,040 4,440 5,870 FOTO 2,040 4,440 5,870 9,010 4,920 7,150 $100,000-124,999 ** 2000 2010 $125,000- 149,999 $150,000 174,999 2,040 $175,000 199,999 2.720 $200,000 - 249.999 2,970 $250,000 - 399,999 2.970 $400,000-449,999 2,970 5.920 8,150 6,470 9.000 6.470 9,000 6,470 9.000 $450,000 and over 3,140 6,840 9,570 AMME $20,000 S Married Filing Jointly or Qualifying Widow(er) Lower Paying Job Annual Taxable Wage & Salary - $70,000 - $30,000 - 39,999 $40,000 - $50,000 $60,000 - 49,999 59,999 69,999 79.999 $890 $1,020 $1,020 $1,020 $1,020 2.090 2,220 2,220 2,220 2,220 2,950 3.080 3.080 3,080 3,160 givew 3,150 3,280 3,280 3,360 wwww www www 3,000 4,360 para 3,280 3,410 3,490 4,490 5,490 ww MON MA 3,280 3.490 5,490 4,490 6,490 0.400 wwww we 3,360 4,490 5,490 6,490 7,490 www Mare Se Pret 4,360 5,490 6,490 7,490 8,490 10,490 20 Dow com com *** 6,210 7,340 8,340 9.340 10,340 11,340 12,340 www.re Be 14,940 7,130 8,260 17130 0,200 9,320 9,320 10,520 11,720 12,920 11,720 10.020 12,920 14,120 7,900 9,230 10,430 11,630 12,830 14,030 15,230 A SUOMEN Stron Bruse com 7,900 9,230 10,430 11,630 12,830 14,030 15,270 Sakatatal Skakadem www.com www.wate ade wat 7,900 9.230 1,900 11.630 10,430 12,870 3.430 14,870 16,870 BOSTON 10.070 Barts WOENS 14.010 7,900 9,230 10,470 12,470 14,470 16.470 18,470 7,940 10,070 12,070 14,070 16,070 18,070 20,070 10,980 13,110 15,110 17,110 19,110 21,190 23,490 12,130 14,560 16,860 19,160 21,460 23,760 26,060 12,900 15,530 18,030 20,530 23,030 25,530 28,030 Single or Married Filing Separately $90,000- $30,000 - 39,999 Lower Paying Job Annual Taxable Wage & Salary $40,000 $50,000 $60,000 - - 49,999 59,999 69,999 $1,870 $1,870 $70,000- $80,000 - 79,999 89,999 99,999 $1,020 $1,470 $1,870 $1,870 $2,030 2,020 3,020 3,470 3,470 3,470 3.640 3,840 3,100 4,100 4,550 4,550 4,720 4,920 5,120 Barce 100 wwwww week more 4,100 5,100 3,100 5,550 5,720 5,920 6,120 3000 6,320 vero 3,120 3,940 0,120 0,940 5,550 6,690 7,340 7,540 7,740 7,940 8,140 Be 5,890 7,090 7,740 7,940 8,140 8,340 8,540 Botte Land www VAND To 6,290 7,490 8,140 8,340 9,390 8,540 10,390 0,140 k 0,070 VICTO 3,350 10,330 6,320 7,520 8,360 9,360 10.360 11,360 12,360 Liver 15 000 6,910 8,910 10,360 11,360 12,450 13,750 15,050 vete LOVIO www proce 14-100 Tore De 8,910 10,910 12,600 13,900 15,200 16,500 17,800 10,910 CA www TAX 9,790 12,090 13,850 P 15,150 16,450 17,750 19,050 10,560 12,860 14,620 15.920 17,220 18,520 19,820 10,560 12,860 14,620 15,920 17,220 18,520 19,820 10.560 12,860 14.620 15,920 17,220 18,520 19,910 11,330 13,830 15,790 17,290 18.790 20,290 21,790 Head of Household Lower Paying Job Annual Taxable Wage & Salary $80,000 - $90,000 - $40,000 - $50,000 $60,000 - $70,000 - 49,999 69,999 79,999 59,999 89,999 99,999 $1,020 $1,020 $1,420 $1,870 $1,870 $1,910 2.220 2,620 3,620 4.070 4,110 4,310 2,850 3,850 4,850 5.340 5,540 5,740 3,940 4,940 5,980 6,630 6,830 7,030 5,800 7,000 8,200 8,850 9,050 9,250 7,800 9,000 10,200 10.850 10,690 11,050 11.250 8,200 9,400 10,600 11,250 11,590 12,590 Katow 8,360 9,560 11,240 12,690 13,690 14,690 0.010 CON 45.000 9,240 11,240 13.240 14.690 15,890 17,190 10,000 S 11,240 13,290 15,590 17,340 18,640 19,940 12.740 15.040 17.340 19,090 20,390 21,690 13,690 15,990 18,290 20,040 21,340 22.640 13.690 15,990 18,290 20,040 21,340 22,640 13,690 15,990 18,290 20,040 21,340 22,640 14,660 17,160 19,660 21,610 23,110 24,610 B $30,000 - 39,999 $1,020 2,220 2,450 2,940 4,790 6,600 7,000 41.000 7,160 How 7,240 resto 9,240 10,440 11,390 11,390 11,390 12.160 D $80,000- 89,999 See $100,000- 99,999 109,999 $1,870 4,070 5,930 7,130 wwww 8,260 9,260 we 10,260 M 11,260 10.000 13,260 ww.www 15,090 10,000 16,190 17.040 17,040 18,640 10,040 20,240 21,840 25,560 28,130 30,300 $100,000 - 109,999 $2,040 3,840 5,120 Bee 6,320 0,940 8,150 www 9,190 100 11,190 13,410 A 16,160 **** 18,910 20,150 20,930 20,930 21,220 23,100 $100,000- 109,999 $2,040 4,440 5,870 7,160 9,380 11,520 13,520 15,670 18,420 21,170 22,920 23,880 23,880 23,900 26,050 $1,020 $1,100 2.300 3,300 4.160 5,160 000 5,360 6,360 0,000 www 6,490 7,490 JON www 7,490 8,490 Dece 9,490 8,490 P 9,490 $90,000 - $110,000- 120,000 $1,870 4,070 5,930 wwwww 7,130 mew 8,260 0,400 9,260 10,260 10,400 11,260 ***** 13,460 15,290 16,400 18,040 40 840 19,640 19,040 21,240 22,840 26,860 29,430 31,800 $110,000 120,000 $2,040 3,840 5,120 Ones 0,320 6,320 8,150 9,990 01900 11,990 Mo 14,510 17,260 20,010 21,250 22,030 22,030 22,520 24,400 $110,000 - 120,000 $2,040 4,440 5.870 7,160 9,380 12,320 14,320 www 16,770 40.500 19,520 22,270 Ever 24,020 24,980 24,980 25,200 27,350
