W-4 Tax Information Placeholder

Home Address Placeholder:

Step 1 Placeholder

Filing Status: Placeholder

[Complete Steps 2 through 4 ONLY if they apply to you]

Step 2 Placeholder

[View Instruction]

[Complete Steps 3 through 4(b) on Form W-4 for only one of these jobs]

Step 3 Placeholder

[View Instruction]

Step 4 Placeholder

[View Instruction]

Claim Exemption Placeholder

[I claim exemption from withholding for the year] [and I certify that I meet] [BOTH of the following...]
  • [Last year I had a right to a refund of ALL Federal income tax withheld because I had NO tax liability. ]
  • [This year I expect a refund of ALL Federal income tax withheld because I expect to have NO tax liability.]

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. Placeholder