Form W-4 - Employee'S Withholding Allowance Certificate - 2017 Page 2
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Form W-4 (2017)
Page
Deductions and Adjustments Worksheet
Note: Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income.
Enter an estimate of your 2017 itemized deductions. These include qualifying home mortgage interest, charitable contributions, state
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and local taxes, medical expenses in excess of 10% of your income, and miscellaneous deductions. For 2017, you may have to reduce
your itemized deductions if your income is over $313,800 and you’re married filing jointly or you’re a qualifying widow(er); $287,650
if you’re head of household; $261,500 if you’re single, not head of household and not a qualifying widow(er); or $156,900 if you’re
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married filing separately. See Pub. 505 for details .
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{
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$12,700 if married filing jointly or qualifying widow(er)
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2
Enter:
$9,350 if head of household
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2
$6,350 if single or married filing separately
3
Subtract line 2 from line 1. If zero or less, enter “-0-”
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$
4
Enter an estimate of your 2017 adjustments to income and any additional standard deduction (see Pub. 505)
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5
Add lines 3 and 4 and enter the total. (Include any amount for credits from the Converting Credits to
Withholding Allowances for 2017 Form W-4 worksheet in Pub. 505.) .
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$
5
$
6
Enter an estimate of your 2017 nonwage income (such as dividends or interest) .
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6
7
Subtract line 6 from line 5. If zero or less, enter “-0-”
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8
Divide the amount on line 7 by $4,050 and enter the result here. Drop any fraction
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8
9
Enter the number from the Personal Allowances Worksheet, line H, page 1 .
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9
Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet,
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also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1
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Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.)
Note: Use this worksheet only if the instructions under line H on page 1 direct you here.
1
Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet)
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2
Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if
you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more
than “3”
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If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter
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“-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet .
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3
Note: If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4 through 9 below to
figure the additional withholding amount necessary to avoid a year-end tax bill.
4
Enter the number from line 2 of this worksheet
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4
5
5
Enter the number from line 1 of this worksheet
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6
Subtract line 5 from line 4 .
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7
Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here
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7
$
8
Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed .
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8
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Divide line 8 by the number of pay periods remaining in 2017. For example, divide by 25 if you are paid every two
weeks and you complete this form on a date in January when there are 25 pay periods remaining in 2017. Enter
the result here and on Form W-4, line 6, page 1. This is the additional amount to be withheld from each paycheck
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Table 1
Table 2
Married Filing Jointly
All Others
Married Filing Jointly
All Others
If wages from LOWEST
Enter on
If wages from LOWEST
Enter on
If wages from HIGHEST
Enter on
If wages from HIGHEST
Enter on
paying job are—
line 2 above
paying job are—
line 2 above
paying job are—
line 7 above
paying job are—
line 7 above
$0 -
$7,000
0
$0 -
$8,000
0
$0 - $75,000
$610
$0 - $38,000
$610
7,001 -
14,000
1
8,001 -
16,000
1
75,001 - 135,000
1,010
38,001 -
85,000
1,010
14,001 -
22,000
2
16,001 -
26,000
2
135,001 - 205,000
1,130
85,001 - 185,000
1,130
22,001 -
27,000
3
26,001 -
34,000
3
205,001 - 360,000
1,340
185,001 - 400,000
1,340
27,001 -
35,000
4
34,001 -
44,000
4
360,001 - 405,000
1,420
400,001 and over
1,600
35,001 -
44,000
5
44,001 -
70,000
5
405,001 and over
1,600
44,001 -
55,000
6
70,001 -
85,000
6
55,001 -
65,000
7
85,001 - 110,000
7
65,001 -
75,000
8
110,001 - 125,000
8
75,001 -
80,000
9
125,001 - 140,000
9
80,001 -
95,000
10
140,001 and over
10
95,001 - 115,000
11
115,001 - 130,000
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130,001 - 140,000
13
140,001 - 150,000
14
150,001 and over
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Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form
You are not required to provide the information requested on a form that is
to carry out the Internal Revenue laws of the United States. Internal Revenue Code sections
subject to the Paperwork Reduction Act unless the form displays a valid OMB
3402(f)(2) and 6109 and their regulations require you to provide this information; your employer
control number. Books or records relating to a form or its instructions must be
uses it to determine your federal income tax withholding. Failure to provide a properly
retained as long as their contents may become material in the administration of
completed form will result in your being treated as a single person who claims no withholding
any Internal Revenue law. Generally, tax returns and return information are
allowances; providing fraudulent information may subject you to penalties. Routine uses of
confidential, as required by Code section 6103.
this information include giving it to the Department of Justice for civil and criminal litigation; to
The average time and expenses required to complete and file this form will vary
cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in
depending on individual circumstances. For estimated averages, see the
administering their tax laws; and to the Department of Health and Human Services for use in
instructions for your income tax return.
the National Directory of New Hires. We may also disclose this information to other countries
If you have suggestions for making this form simpler, we would be happy to hear
under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to
from you. See the instructions for your income tax return.
federal law enforcement and intelligence agencies to combat terrorism.
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