Employee's Withholding Certificate | cxsmeen restore
> Campi arm Ws yur ample can wa cre ere et er rp
mrs Ge Fam Wate yor nous mr! 2021
Vow wannany n sahecris meee aS.
eat aaa area
Full Full mide | Past ase, sent ute dees
oes Srieee
eee Roar ee
meses) oe
Ose a nornteamerew
VW Ginraranancr ee ttere sine nn ran tnt ce free sere ret sere tet
Complete Steps 2-4 ONLY 1 ey apply to your otherwise, akip to Step 5. See page 2 for more information on each step, who cary
élaim exemetion rom withholding, when to use the estimator at wane ir gov/W4ADp, and prvacy.
= ‘ompnie tha sop you 0) hold mare han one pb aa ire, or@) wre maria fing jy end you spouse
Mutipte Jobe ‘Se ors Tho comes anaunt ol wang ependsonincae eared rom af these a
or Spouse Do onty one fh atowing
Works {0 Use tn estimator at enc gov A or most scat woking forth tap (and tpn 3-4 OF
(8) Use the Mute Jobs Worksheet on page 3 and ener theres n Step 4) below for roughly accurate withholding: of
{@) there are ony two jobs total you may check this bor. Do the sama on Form W-4 forthe other J. This option
(tocurate for fobs wih sxmiar ay, otharwiae, More wx than necessary MEY be withheld « ro
TIP: To be accurate, submit a 2021 Form W-d for al other Jobs If you (or your spouse) have settempioyment
Income, inching as an Independent contractor, use the estimator,
Complete Steps 3-410) on Form W-4 for only ONE of these Jobs. Leave those steps blank forthe other fobs. (Your wAthhoking wil
'be most accurate you complete Steps 3-42) onthe Form W-4 forthe highest paying Job)
Step TW yous otal come wil bv $200,000 or ass ($400,000 oF tse f marred fing JY:
beolat Muripty te ruber of qualtyngchlren underage 17 by $2,000 $
Musipy the ruber of other dependents by $500... S
‘Ack the amounts above and entor te total her a eats
‘Steps (2) Other income (pot from Jobab. you wart tax witha for otter neome you expect
Grtional: thes year that wor't rane wokdng, enter te amount of ter nome here. Tis Tay
: Inekde rterest dividends, and retrerrent nome ans ate)|s
Adiustinents 6) pecuctions. i you expect to chim deductions other than the standard deckcton
Sho wart to radtes your withokding, Use be Deauctons Worksheet on page 3 and
cere reathew = = ees ee [als
(€) Extra withholding. Enter any acetone tx you want wittheld each pay period
aic)|8
EXEMPT
sere
5 h a
sion By: Risha- Matic : Beverly BeneGerarye MA 1 oa
oe Skye aerartre Tis Tors na vad unis you sgn) va
ieee Een ma Soe
+ heres ere tine EW ee Bien
eS eye" | "or Relu
Se — sce