Fill - Free fillable Irs-form-w-4-2010 2010 Form W-4 PDF form

Form W-4 (2010)

Purpose. Complete Form W-4 so that your

employer can withhold the correct federal income

tax from your pay. Consider completing a new

Form W-4 each year and when your personal or

financial situation changes.

Head of household. Generally, you may claim

head of household filing status on your tax

return only if you are unmarried and pay more

than 50% of the costs of keeping up a home

for yourself and your dependent(s) or other

qualifying individuals. See Pub. 501,

Exemptions, Standard Deduction, and Filing

Information, for information.

Exemption from withholding. If you are

exempt, complete only lines 1, 2, 3, 4, and 7

and sign the form to validate it. Your exemption

for 2010 expires February 16, 2011. See

Pub. 505, Tax Withholding and Estimated Tax.

Check your withholding. After your Form W-4

takes effect, use Pub. 919 to see how the

amount you are having withheld compares to

your projected total tax for 2010. See Pub.

919, especially if your earnings exceed

$130,000 (Single) or $180,000 (Married).

Basic instructions. If you are not exempt,

complete the Personal Allowances Worksheet

below. The worksheets on page 2 further adjust

your withholding allowances based on itemized

deductions, certain credits, adjustments to

income, or two-earners/multiple jobs situations.

Two earners or multiple jobs. If you have a

working spouse or more than one job, figure

the total number of allowances you are entitled

to claim on all jobs using worksheets from only

one Form W-4. Your withholding usually will

be most accurate when all allowances are

claimed on the Form W-4 for the highest

paying job and zero allowances are claimed on

the others. See Pub. 919 for details.

Personal Allowances Worksheet (Keep for your records.)

Enter “1” for yourself if no one else can claim you as a dependentA

● You are single and have only one job; or

Enter “1” if:B ● You are married, have only one job, and your spouse does not work; or

● Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.

兵

其

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 returnD

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.)

䊳

● 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,

complete all

worksheets

that apply.

● 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

$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.

兵

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

W-4Form

Department of the Treasury

Internal Revenue Service

䊳

Whether you are entitled to claim a certain number of allowances or exemption from withholding is

subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.

Type or print your first name and middle initial.1 Last name 2 Your social security number

Home address (number and street or rural route)

MarriedSingle

Married, but withhold at higher Single rate.

City or town, state, and ZIP code

Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.

Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2)

6 Additional amount, if any, you want withheld from each paycheck

7 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

䊳

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.)

䊳

Date

䊳

Employer identification number (EIN)

Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.)

Office code (optional)

Enter “1” if you have at least $1,800 of child or dependent care expenses for which you plan to claim a credit

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.

䊳

Cat. No. 10220Q

Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above)

Note. You cannot claim exemption from

withholding if (a) your income exceeds $950

and includes more than $300 of unearned

income (for example, interest and dividends)

and (b) another person can claim you as a

dependent on his or her tax return.

Nonwage income. If you have a large amount

of nonwage income, such as interest or

dividends, consider making estimated tax

G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.

● 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.

●

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.

(Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.)

Tax credits. You can take projected tax

credits into account in figuring your allowable

number of withholding allowances. Credits for

child or dependent care expenses and the

child tax credit may be claimed using the

Personal Allowances Worksheet below. See

Pub. 919, How Do I Adjust My Tax

Withholding, for information on converting

your other credits into withholding allowances.

Nonresident alien. If you are a nonresident

alien, see Notice 1392, Supplemental Form

W-4 Instructions for Nonresident Aliens, before

completing this form.

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Form W-4 (2010)

Complete all worksheets that apply. However, you

may claim fewer (or zero) allowances. For regular

wages, withholding must be based on allowances

you claimed and may not be a flat amount or

percentage of wages.

payments using Form 1040-ES, Estimated Tax

for Individuals. Otherwise, you may owe

additional tax. If you have pension or annuity

income, see Pub. 919 to find out if you should

adjust your withholding on Form W-4 or W-4P.

Page 2Form W-4 (2010)

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 2010 itemized deductions. These include qualifying home mortgage interest,

charitable contributions, state and local taxes, medical expenses in excess of 7.5% of your income, and

miscellaneous deductions

$11,400 if married filing jointly or qualifying widow(er)

$8,400 if head of household 2Enter:2

$5,700 if single or married filing separately

其

兵

3 Subtract line 2 from line 1. If zero or less, enter “-0-” 3

Enter an estimate of your 2010 adjustments to income and any additional standard deduction. (Pub. 919)

5Add lines 3 and 4 and enter the total. (Include any amount for credits from Worksheet 6 in Pub. 919.)5

6Enter an estimate of your 2010 nonwage income (such as dividends or interest)6

7Subtract line 6 from line 5. If zero or less, enter “-0-”7

Divide the amount on line 7 by $3,650 and enter the result here. Drop any fraction8 8

Enter the number from the Personal Allowances Worksheet, line H, page 19 9

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

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.

Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet)

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.”

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

Note. If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4–9 below to figure the additional

withholding amount necessary to avoid a year-end tax bill.

Enter the number from line 2 of this worksheet4 4

Enter the number from line 1 of this worksheet

5 5

Subtract line 5 from line 46 6

Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here7 7

Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed8 8

Divide line 8 by the number of pay periods remaining in 2010. For example, divide by 26 if you are paid

every two weeks and you complete this form in December 2009. Enter the result here and on Form W-4,

line 6, page 1. This is the additional amount to be withheld from each paycheck

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 using it 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.

The average time and expenses required to complete and file this form will vary

depending on individual circumstances. For estimated averages, see the

instructions for your income tax return.

Table 1

All OthersMarried Filing Jointly

If wages from LOWEST

paying job are—

Table 2

All Others

Married Filing Jointly

If wages from HIGHEST

paying job are—

Enter on

line 7 above

If wages from HIGHEST

paying job are—

Enter on

line 7 above

Enter on

line 2 above

If wages from LOWEST

paying job are—

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.

Enter on

line 2 above

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.

$0 -

7,001 -

10,001 -

16,001 -

22,001 -

27,001 -

35,001 -

44,001 -

50,001 -

55,001 -

65,001 -

72,001 -

85,001 -

105,001 -

115,001 -

$7,000 -

10,000 -

16,000 -

22,000 -

27,000 -

35,000 -

44,000 -

50,000 -

55,000 -

65,000 -

72,000 -

85,000 -

130,001 - and over

$0 -

6,001 -

12,001 -

19,001 -

26,001 -

35,001 -

50,001 -

65,001 -

80,001 -

90,001 -

$6,000 -

12,000 -

19,000 -

26,000 -

35,000 -

50,000 -

65,000 -

80,000 -

90,000 -

120,000 -

120,001 and over

$0 -

65,001 -

120,001 -

185,001 -

$550

910

1,020

1,200

1,280330,001 and over

$65,000

120,000

185,000

330,000

$0 -

35,001 -

90,001 -

165,001 -

$550

910

1,020

1,200

1,280370,001 and over

$35,000

90,000

165,000

370,000

105,000 -

115,000 -

130,000 -

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