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Form W-4 (2015)

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.

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 2015 expires

February 16, 2016. See Pub. 505, Tax Withholding

and Estimated Tax.

Note. If another person can claim you as a dependent

on his or her tax return, you cannot claim exemption

from withholding if your income exceeds $1,050 and

includes more than $350 of unearned income (for

example, interest and dividends).

Exceptions. An employee may be able to claim

exemption from withholding even if the employee is a

dependent, if the employee:

• Is age 65 or older,

• Is blind, or

• Will claim adjustments to income; tax credits; or

itemized deductions, on his or her tax return.

The exceptions do not apply to supplemental wages

greater than $1,000,000.

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.

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.

Head of household. Generally, you can 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.

Tax credits. You can take projected tax credits into account

in figuring your allowable number of withholding...