Form W-4 - Employee'S Withholding Allowance Certificate - 2010, Form G-4 - Employee'S Withholding Allowance Certificate, Choicepayroll Employee Direct Deposit


Complete all worksheets that apply. However, you
payments using Form 1040-ES, Estimated Tax
Form W-4 (2010)
may claim fewer (or zero) allowances. For regular
for Individuals. Otherwise, you may owe
wages, withholding must be based on allowances
additional tax. If you have pension or annuity
you claimed and may not be a flat amount or
income, see Pub. 919 to find out if you should
Purpose. Complete Form W-4 so that your
adjust your withholding on Form W-4 or W-4P.
percentage of wages.
employer can withhold the correct federal income
tax from your pay. Consider completing a new
Two earners or multiple jobs. If you have a
Head of household. Generally, you may claim
Form W-4 each year and when your personal or
working spouse or more than one job, figure
head of household filing status on your tax
financial situation changes.
return only if you are unmarried and pay more
the total number of allowances you are entitled
than 50% of the costs of keeping up a home
to claim on all jobs using worksheets from only
Exemption from withholding. If you are
for yourself and your dependent(s) or other
one Form W-4. Your withholding usually will
exempt, complete only lines 1, 2, 3, 4, and 7
be most accurate when all allowances are
qualifying individuals. See Pub. 501,
and sign the form to validate it. Your exemption
claimed on the Form W-4 for the highest
Exemptions, Standard Deduction, and Filing
for 2010 expires February 16, 2011. See
paying job and zero allowances are claimed on
Information, for information.
Pub. 505, Tax Withholding and Estimated Tax.
the others. See Pub. 919 for details.
Note. You cannot claim exemption from
Tax credits. You can take projected tax
withholding if (a) your income exceeds $950
credits into account in figuring your allowable
Nonresident alien. If you are a nonresident
and includes more than $300 of unearned
number of withholding allowances. Credits for
alien, see Notice 1392, Supplemental Form
income (for example, interest and dividends)
child or dependent care expenses and the
W-4 Instructions for Nonresident Aliens, before
and (b) another person can claim you as a
child tax credit may be claimed using the
completing this form.
dependent on his or her tax return.
Personal Allowances Worksheet below. See
Check your withholding. After your Form W-4
Pub. 919, How Do I Adjust My Tax
Basic instructions. If you are not exempt,
takes effect, use Pub. 919 to see how the
Withholding, for information on converting
complete the Personal Allowances Worksheet
amount you are having withheld compares to
your other credits into withholding allowances.
below. The worksheets on page 2 further adjust
your projected total tax for 2010. See Pub.
your withholding allowances based on itemized
Nonwage income. If you have a large amount
919, especially if your earnings exceed
deductions, certain credits, adjustments to
of nonwage income, such as interest or
$130,000 (Single) or $180,000 (Married).
dividends, consider making estimated tax
income, or two-earners/multiple jobs situations.
Personal Allowances Worksheet (Keep for your records.)
Enter “1” for yourself if no one else can claim you as a dependent
● You are single and have only one job; or
● You are married, have only one job, and your spouse does not work; or
Enter “1” if:
● Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.
Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or
more than one job. (Entering “-0-” may help you avoid having too little tax withheld.)
Enter number of dependents (other than your spouse or yourself) you will claim on your tax return
Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above)
Enter “1” if you have at least $1,800 of child or dependent care expenses for which you plan to claim a credit
(Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.)
G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.
● If your total income will be less than $61,000 ($90,000 if married), enter “2” for each eligible child; then less “1” if you have three or more eligible children.
● If your total income will be between $61,000 and $84,000 ($90,000 and $119,000 if married), enter “1” for each eligible
child plus “1” additional if you have six or more eligible children.
Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.)
● If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions
For accuracy,
complete all
and Adjustments Worksheet on page 2.
● If you have more than one job or are married and you and your spouse both work and the combined earnings from all jobs exceed
that apply.
$18,000 ($32,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to avoid having too little tax withheld.
● If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below.
Cut here and give Form W-4 to your employer. Keep the top part for your records.
OMB No. 1545-0074
Employee’s Withholding Allowance Certificate
Whether you are entitled to claim a certain number of allowances or exemption from withholding is
Department of the Treasury
subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.
Internal Revenue Service
Type or print your first name and middle initial.
Last name
Your social security number
Home address (number and street or rural route)
Married, but withhold at higher Single rate.
Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.
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 1-800-772-1213 for a replacement card.
Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2)
Additional amount, if any, you want withheld from each paycheck
I claim exemption from withholding for 2010, 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
(Form is not valid unless you sign it.)
Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.)
Office code (optional) 10
Employer identification number (EIN)
For Privacy Act and Paperwork Reduction Act Notice, see page 2.
Cat. No. 10220Q


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