Publication 505 - Tax Withholding And Estimated Tax Page 9

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income, or two-earner/two-job situations. Com-
Two earners/two jobs. If you have a working
Form W-4 (2002)
plete all worksheets that apply. However, you
spouse or more than one job, figure the total
may claim fewer (or zero) allowances.
number of allowances you are entitled to claim
Purpose. Complete Form W-4 so your employer
Head of household. Generally, you may claim
on all jobs using worksheets from only one Form
can withhold the correct Federal income tax
head of household filing status on your tax
W-4. Your withholding usually will be most accu-
from your pay. Because your tax situation may
return only if you are unmarried and pay more
rate when all allowances are claimed on the
change, you may want to refigure your withhold-
than 50% of the costs of keeping up a home for
Form W-4 for the highest paying job and zero
ing each year.
yourself and your dependent(s) or other qualify-
allowances are claimed on the others.
Exemption
from
withholding.
If
you
are
ing individuals. See line E below.
Nonresident alien. If you are a nonresident
exempt, complete only lines 1, 2, 3, 4, and 7 and
Tax credits. You can take projected tax credits
alien, see the Instructions for Form 8233 before
sign the form to validate it. Your exemption for
into account in figuring your allowable number of
completing this Form W-4.
2002 expires February 16, 2003. See Pub. 505,
withholding allowances. Credits for child or
Check your withholding. After your Form W-4
Tax Withholding and Estimated Tax.
dependent care expenses and the child tax
takes effect, use Pub. 919 to see how the dollar
Note: You cannot claim exemption from with-
credit may be claimed using the Personal
amount you are having withheld compares to
holding if (a) your income exceeds $750 and
Allowances Worksheet below. See Pub. 919,
your projected total tax for 2002. See Pub. 919,
includes more than $250 of unearned income
How Do I Adjust My Tax Withholding? for infor-
especially if you used the Two-Earner/Two-Job
(e.g., interest and dividends) and (b) another
mation on converting your other credits into
Worksheet on page 2 and your earnings exceed
person can claim you as a dependent on their
withholding allowances.
$125,000 (Single) or $175,000 (Married).
tax return.
Nonwage income. If you have a large amount of
Recent name change? If your name on line 1
Basic instructions. If you are not exempt, com-
nonwage income, such as interest or dividends,
differs from that shown on your social security
plete the Personal Allowances Worksheet
consider making estimated tax payments using
card, call 1-800-772-1213 for a new social secu-
below. The worksheets on page 2 adjust your
Form 1040-ES, Estimated Tax for Individuals.
rity card.
withholding
allowances
based
on
itemized
Otherwise, you may owe additional tax.
deductions,
certain
credits,
adjustments
to
Example 1.3
Personal Allowances Worksheet (Keep for your records.)
1
A
Enter “1” for yourself if no one else can claim you as a dependent
A
● You are single and have only one job; or
● You are married, have only one job, and your spouse does not work; or
B
Enter “1” if:
B
● Your wages from a second job or your spouse’s wages (or the total of both) are $1,000 or less.
C
Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or
1
more than one job. (Entering “-0-” may help you avoid having too little tax withheld.)
C
2
D
Enter number of dependents (other than your spouse or yourself) you will claim on your tax return
D
E
E
Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above)
1
F
Enter “1” if you have at least $1,500 of child or dependent care expenses for which you plan to claim a credit
F
(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):
● If your total income will be between $15,000 and $42,000 ($20,000 and $65,000 if married), enter “1” for each eligible child plus 1 additional
if you have three to five eligible children or 2 additional if you have six or more eligible children.
● If your total income will be between $42,000 and $80,000 ($65,000 and $115,000 if married), enter “1” if you have one or two eligible children,
2
“2” if you have three eligible children, “3” if you have four eligible children, or “4” if you have five or more eligible children.
G
7
H
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.
H
● If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions
and Adjustments Worksheet on page 2.
For accuracy,
● If you have more than one job or are married and you and your spouse both work and the combined earnings
complete all
worksheets
from all jobs exceed $35,000, see the Two-Earner/Two-Job Worksheet on page 2 to avoid having too little tax
that apply.
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.
W-4
OMB No. 1545-0010
Employee’s Withholding Allowance Certificate
Form
2002
Department of the Treasury
For Privacy Act and Paperwork Reduction Act Notice, see page 2.
Internal Revenue Service
1
Type or print your first name and middle initial
Last name
2
Your social security number
John M.
Green
444
00
4444
Home address (number and street or rural route)
3
Single
Married
Married, but withhold at higher Single rate.
28 Fairway
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 on your social security card,
Anytown, State
00000
check here. You must call 1-800-772-1213 for a new card
6
5
5
Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2)
$
6
6
Additional amount, if any, you want withheld from each paycheck
7
I claim exemption from withholding for 2002, 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
7
Under penalties of perjury, I certify that I am entitled to the number of withholding allowances claimed on this certificate, or I am entitled to claim exempt status.
Employee’s signature
(Form is not valid
John M. Green
January 4, 2002
Date
unless you sign it.)
8
Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.)
9
Office code
10
Employer identification number
(optional)
Cat. No. 10220Q
Chapter 1 Tax Withholding for 2002
Page 9

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