2020 Federal W4 - Augusta Office

This online form is only for applicants/employees who do not have complex tax allowance set up. For anyone who needs to calculate additional deductions and allowances, please ask the office staff to email you the complete tax worksheet. Print that out, complete it and email, fax or mail it back to the Prosper Home Care Office.

If you use standard deduction allowances, you may complete this online form.

Step 1

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Social Security Number *

Are you a new hire or an existing employee? *

New Hire

Existing Employee

Filing Status *

Single or Married Filing Separately

Married Filing Jointly

Head of Household

Step 2 - Multiple Jobs or Spouse Works

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse
also works. The correct amount of withholding depends on income earned from all of these jobs.

Do only one of the following.
(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . .

Only two jobs

TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
income, including as an independent contractor, use the estimator.

Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)

Step 3 - Claim Dependents

If your income will be $200,000 or less ($400,000 or less if married filing jointly):

Enter the number of qualifying children below and then click calculate.

Number of qualifying children under the age of 17

Qualifying Children Total:

0.00

Enter the number of other dependents and then click calculate.

Number of other dependents

Other Dependent Total:

0.00

For the total dependent allowance amount, click calculate below.

Total of Dependents Claim Allowance

0.00

Step 4 (optional) - Other Adjustments

Enter the appropriate dollar amounts below. If the amount is "0," please enter the number 0.

	Amount
(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income	Amount
(b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here	Amount
(c) Extra withholding. Enter any additional tax you want withheld each pay period	Amount

If you want to be exempt from Federal Withholding and do not expect to have any Federal Tax Liability for the year 2020, check this box. No Federal Taxes will be withdrawn from your paychecks. Please note that you will be solely responsible for year end filing amounts.

File Exempt

Step 5 - Signature

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

Employee Signature *

clear