W4 Personal Allowance Worksheet
Use this IRS worksheet to set up the number of allowances you will claim on your W4.
A Enter '1' for yourself if no one else can claim you as a dependent:
B Enter '1' if you are single and have only one job; or you are married, have only one job, and your spouse doesn't work; or 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. (Enter a '0' may help you avoid having too little tax withheld):
D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return:
E Enter '1' if you will file as head of household on your tax return:
F Enter '1' if you have at least $2,000 of child or dependent care expenses for which you plan to claim credit:
G Child Tax Credit. If your total income will be less than $70,000 ($100,000 if married), enter '2' for each eligible child; 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:
H Total of lines A through G:
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.....General Information.....
For Payroll in Tax Year:
Pay Periods per Year:
(Optional: Use Pay Period )
.....Federal W4? Information.....
Federal W4 Withholding Status:
Federal W4 Allowances:
W4 Allowance Worksheet
Federal W4 Additional Withholding Amount:
.....Paycheck Income.....
Employee Type:     Salaried
Gross Salary per Pay Period:
Income to be taxed as supplemental income:?
.....Paycheck Deductions.....
Before Tax Retirement Benefits:?
Before Tax Cafeteria Plan Benefits:?
After Tax Deduction:?
Check for FICA Withholding?:     
Check for Medicare Withholding?:     
Gross Salary YTD?:
(Do not include this paycheck)