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2017 Form W-4Form W The exceptions don't apply to supplemental wages Nonwage income. If you have a large amount of -4 (2017) greater than $1,000,000. nonwage income, such as interest or dividends, Basic instructions. If you aren't exempt, complete consider making estimated tax payments using Form 1040 -ES, Estimated Tax for Individuals. Otherwise, Purpose. Complete Form W -4 so that your the Personal Allowances Worksheet below. The you may owe additional tax. If you have pension or employer can withhold the correct federal income tax from your pay. Consider completing a new Form worksheets on page 2 further adjust your withholding allowances based on itemized annuity income, see Pub. 505 to find out if you should W -4 each year and when your personal or financial deductions, certain credits, adjustments to income, adjust your withholding on Form W -4 or W -4P. situation changes. or two - earners /multiple jobs situations. Two earners or multiple jobs. If you have a Exemption from withholding. If you are exempt, Complete all worksheets that apply. However, you working spouse or more than one job, figure the total number of allowances you are entitled to claim complete only lines 1, 2, 3, 4, and 7 and sign the form to validate it. Your exemption for 2017 expires may claim fewer (or zero) allowances. For regular wages, withholding must be based on allowances on all jobs using worksheets from only one Form February 15, 2018. See Pub. 505, Tax Withholding you claimed and may not be a flat amount or W -4. Your withholding usually will be most accurate when all allowances are claimed on the Form W -4 and Estimated Tax. percentage of wages. for the highest paying job and zero allowances are Note: If another person can claim you as a dependent Head of household. Generally, you can claim head claimed on the others. See Pub. 505 for details. on his or her tax return, you can't claim exemption from withholding if your total income exceeds $1,050 of household filing status on your tax return only if you are unmarried and pay more than 50% of the nonresident Nonresident alien. If you are a nonresident alien, see and includes more than $350 of unearned income (for costs of keeping up a home for yourself and your Notice 1392, Supplemental Form Instructions for Nonresident Aliens, before completing this form. example, interest and dividends). dependent(s) or other qualifying individuals. See Exceptions. An employee may be able to claim Pub. 501, Exemptions, Standard Deduction, and Check your withholding. After your Form W -4 takes exemption from withholding even if the employee is Filing Information, for information. effect, use Pub. 505 to see how the amount you are a dependent, if the employee: Tax credits. You can take projected tax credits into having withheld compares to your projected total tax for 2017. See Pub. 505, especially if your earnings • Is age 65 or older, account in figuring your allowable number of withholding allowances. Credits for child or dependent exceed $130,000 (Single) or $180,000 (Married). • Is blind, or care expenses and the child tax credit may be claimed Future developments. Information about any future using the Personal Allowances Worksheet below. developments affecting Form W -4 (such as • Will claim adjustments to income; tax credits; or See Pub. 505 for information on converting your other legislation enacted after we release it) will be posted itemized deductions, on his or her tax return. credits into withholding allowances. at www.irs.gov /w4. Personal Allowances Worksheet (Keep for vour records.) A Enter "1 " for yourself if no one else can claim you as a dependent . . . . . . . . . . . . . . . . . . A I You're single and have only one job; or B Enter "1 " if: • You're married, have only one job, and your spouse doesn't work; or B • Your wages from a second job or your spouse's wages (or the total of both) are $1,500 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 more than one job. (Entering " -0 -" may help you avoid having too little tax withheld.) . . . . . . . . . . . . . . C D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return . . . . . . . . D E Enter "1" if you will file as head of household on your tax return (see conditions under Head of household above) . . E F Enter "1" if you have at least $2,000 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). See Pub. 972, Child Tax Credit, for more information. • If your total income will be less than $70,000 ($100,000 if married), enter "2" for each eligible child; then less "1" if you have two to four eligible children or less "2" if you have five or more eligible children. • If your total income will be between $70,000 and $84,000 ($100,000 and $119,000 if married), enter "1" for each eligible child. G 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 For accuracy, and Adjustments Worksheet on page 2. complete all • If you are single and have more than one job or are married and you and your spouse both work and the combined worksheets earnings from all jobs exceed $50,000 ($20,000 if married), see the Two - Earners /Multiple Jobs Worksheet on page 2 that apply. 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. ---------------------------- - - - - -- Separate here and give Form W -4 to your employer. Keep the top part for your records. ---------------------------------- Employee's Withholding Allowance Certificate OMB No. 1545 -0074 Form Department of the Treasury III Whether you are entitled to claim a certain number of allowances or exemption from withholding is 2 O 1 7 Internal Revenue Service subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS. 1 Your first name and middle initial Last name 2 Your social security number Home address (number and street or rural route) 3 ❑ Single ❑ Married ❑ 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. ► ❑ 5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2) 5 6 Additional amount, if any, you want withheld from each paycheck . . . . . . . . . . . . . 6 $ 7 1 claim exemption from withholding for 2017, 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 . . . . . . . . . . . . . . . ► 17 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 (This form is not valid unless you sign it.) ► Date ► 8 Employer's name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code (optional) 10 Employer identification number (EIN) For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 10220Q Form W -4 (2017) Form W -4 (2017) Page 2 Deductions and Adjustments Worksheet Note: Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income. 1 Enter an estimate of your 2017 itemized deductions. These include qualifying home mortgage interest, charitable contributions, state 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 married filing separately. See Pub. 505 for details . . . . . . . . . . . . . . . . . . . . . 1 $ $12,700 if married filing jointly or qualifying widow(er) 2 Enter: 1 $9,350 if head of household . . . . . . . . . . . 2 $ $6,350 if single or married filing separately 3 Subtract line 2 from line 1. If zero or less, enter " -0 -" . . . . . . . . . . . . . . . . 3 $ 4 Enter an estimate of your 2017 adjustments to income and any additional standard deduction (see Pub. 505) 4 $ 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.) . . . . . . . . . . . . 5 $ 6 Enter an estimate of your 2017 nonwage income (such as dividends or interest) . . . . . . . . 6 $ 7 Subtract line 6 from line 5. If zero or less, enter " -0 -" . . . . . . 7 $ 8 Divide the amount on line 7 by $4,050 and enter the result here. Drop any fraction . . . . . . . 8 9 Enter the number from the Personal Allowances Worksheet, line H, page 1 . . . . . . . . . 9 10 Add lines 8 and 9 and enter the total here. If you plan to use the Two - Earners /Multiple Jobs Worksheet, also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W -4, line 5, page 1 10 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) 1 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 .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter " -0 - ") and on Form W -4, line 5, page 1. Do not use the rest of this worksheet . . . . . . . . . 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 . . . . . . . . . . 4 5 Enter the number from line 1 of this worksheet . . . . . . . . . . 5 6 Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here . . . . 7 $ 8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed . . 8 $ 9 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 9 $ 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 12 130,001 - 140,000 13 140,001 - 150,000 14 150,001 and over 15 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 who claims no withholding allowances; 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. 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. The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, seethe instructions for your income tax return. If you have suggestions for making this form simpler, we would be happy to hear from you. See the instructions for your income tax return.