Form W-4 (2017) Sa Troe core oR, Ramwitcwissnow | GS beagine hacen” ERR ERS, Se mrmiyoreniiewe Lame Sexkeeaooarn Tresrnenermamn ita (Sooper tS and ad So By Conpate stvetaee at sony owmer yw Ea nindara shousromy bs sates Cam Mgiirmrarcinmsserse fred ona ore ienctn SMgetemeecaii, ietelimanemueee Ee Se eoesaae Enea Reise esmeanon ime SEE SE Parsonal Allowances Worksheet (Keep for your records) 1% Ertan "fer youre no one ele can claim you a8 cependent x ts ang rv yon bor _ 8 env { “ave manawa oat wk } . "ar oge tora secand po yr eas wages teat et) ae $1 20s. Err“ you spmune ts yuay cone ooo i you me aed arava ¢ wo pov mee ton one brary "may mip ov avoahvrg oo Weta ta) e © Enornnbw ef dopentet eran yor apne ret yo wl anon tix kin ° = Ener" ins head ethomtolécnyartaretm pesca nde Hendorteuatad tows) | F _Ener-1tyounaveat na $20 och or pander ere paneer whch ou panto can ace F (Mote: Do nt intude chia sport paymants. See Pub. 603, Cid and Dependent Care Expenses, or eats) © Chit Tax Cred (ncuting tonal hi ax exo Se Pu 972, Child Tax Cet, for more oration. +H your total ncome wl be as than $70,000 ($10,000 # mic, eter" foreach eb chic hen las" you have two four elgtlechidon or lees "2" you have fe or mor lila chien. + tyr oalincome wil be between $70 000 an $84 000 $10,00 ar! $19,000 marie, enter "1" foreach gle cd, Hine Ato Gad eater, Noe Ths ay be fret tore rumba of examgns yeu cm on our tee) H Foraccucy, [_ antadstments Worksheet nase Secaseceemeneesiatay compete a!_| "rou ar sng and have mote tan ejb or a0 mare and you and you spouse both wok nthe combines Tarte | ions BO ra st woot sob Wotton? joey. | ‘ovo hn ihe tar wana {irae fs ave stato apps. top here and eer he ruber tom in Hon inet Ferm Wt stn, ‘Separate here and give Form Wo your employer. Keep the op pat for your records a W: ‘4 Employee's Withholding Allowance Certificate OME No. 1545-0074 one | Shnssinsssoraesee | 2017 aaah = asa Ta as Fn a oT) 3 UT sige CT waned CT wan awa ange Sng ae re owen roar re Sb aaa aa 4 yar ae fers tat shown on Yu ei wert ear ‘hack re You mun a 0-78-21 fora aplacrant car») '5 Total rumba of alowances you are claming from Ine Wabove or om the appicabie wokshostonpape2) [5 {© Adctona amount, far, you wat wiht rom each paycheck ng 1 aim exemption ram witnolding to 2017, and cat tat eet both the folowing Condon or exemption. + Last year hada htt aroind oa feral ncome fax witha cause | had no tx aby, and 4 Ths yar expecta refund of alfaeral income tax whl because | expect to have not al Ityou mest Bab candtion, wee “Exempt” here ir [Uae prses of par, Sele Mal Rave exsined Wi BAAS Wi he BH ry OWRIGY a Dole EW, COT ATCT Employee's signature {instr moka ries ou sgn) ate» Ens none data Enola Conga nent ay Tarra RS) [0 ORR] 1 Egan AERO Re ENT For Privacy al and Paperwork Reduction Ad Notice, So pape a a Fan W aaaFemw- e017 Poe Deductions and Adjustments Worksheet ‘Wat ee Bi warahoat on ryou plan fo Rerize deductions or cm coin credits or austria nome: 11 tr ena to 207 tara dedi. The re gain ome naa es, cable Sle ‘nsloe tum meses tpmenen aco 108 yor rome mons Sears Fy into Jeuried daar ya nam xo 8915800 jaa mar trey yur cali wow 287650 Fut wot tte 826150 # youre sige mt alsa ent gag meow S156, 800 ue ned ing py, See is. SO eae 512,00 mare ting jt 0 quafyng widower mec | §5350:fhead of househas 8.350 single er marie ling separately Subtract nw 2 rom in 1.1200 es enter"-0-" Emer an estimate of your2017aqustments to income and ry adtiona standard deduction (ee Pub. 05) ‘Add ines 3 and 4 and eater he ta. Include ary amour for eres fom the Camering Codes to Itholdng Alowarces for 207 Form Wt worksheet a Pubs 505). Entra estate of you 2017 nonage income (sich as vider or inorest) ‘Subtract ne om ne 51 eo or les, enter-0-" Divide the amount en ine 7 by $4.50 and enter the est here. Drop any ation Enter te number tom the Personal Afowances Worksheet, eH, p30? ‘Ad ios 8 and 9 an orate otal ef you plan fo usa the Twe-Eamers/Multipe Jobs Workshoet, ‘300 efter he tat ontne | below. Others stop hare and err this etal on Frm W-4.ne sage 10 “Two-Eamers/Multiple Jobs Worksheet (See Two earners or multpke jobs on page 1) (Wate s Bis worshea! on ifthe nstuctens under toe Hon page Teck you Bor. 41 rare rrbarror nH, ap rom na 10 bor ys nthe Dede and Adurtets Worksheet 2 Find he number in Table 1 bon that applies to the LOWEST paying job and enter it hore. However ‘youre marie ing jt) an wages tom the highest paying ob are $5,000 a less, do ol eter more ton " 3 Hine 1's more than or equal to ne 2. stat ne 2 tom line 1. Enter the rst here (220 enter 0") and on Form Wa, nes page Do not use the west ois worksheet Noes in 1 es than ine 2, eter 0" on Fem We, ne, page 1. Compe ‘igo he scion wit amount necesary to avoid a youn x i. ines ¢ tog 8 bow to 1 4 Enter he number fom ine 2 his worksheet ‘ ‘5 Ener number om ine $f is worksheet 5 © Subtactine Strom nw § ‘ 17 Find the amountin Table 2 below tha apples tthe HIGHEST paying jb ae ener it Pre rs {8 Muti Ine 7by Ine and ene the res here, Tiss he adctonal annual witoiing needed ag 8 _Dvide ne 8 bythe numer pay pried remaining 2017 For exampa, dd by 25 you ae peer two ‘wen an you compas the form ona dete Jar wen re m6 25 pay pets ein 2017, Etat thorsif acon Fam We 6, page 1. Ths thea route witht rom each paycheck 8 $ Tablet Table 2 aed Fling Joy “Hii Marea Fling Sy ioe trtanaw | saagaee ines 90m | payeo nae fron |pamgpoaee | weston 5 son: ftom | oot sam | fae sect tan | Ste ‘ay el an Pp nA Ma i rb mao nie he Pepe easton At sess ne om dos 908) OMB See i ‘Sinise febund's arta S108 comemettesnenmnter ‘Sr er ne ne Dr ta fer Sos ‘lane ee ny sas aon tess ‘Sorte when tater race nares ee a ‘Sule etter ates pce cea een ‘yee fone Gru aane and rau tata ae ‘toa we urd Caer sens “heavens ti ard paras euro camp an ha i vay secession us ‘iting neers rr itr at nw be sy ee