deductions, adjustments to income, or Two earners/two jobs.

If you have a working

Form W-4 (2000) two-earner/two-job situations. Complete all
worksheets that apply. They will help you figure
spouse or more than one job, figure the total
number of allowances you are entitled to claim
the number of withholding allowances you are on all jobs using worksheets from only one
Purpose. Complete Form W-4 so your employer entitled to claim. However, you may claim
can withhold the correct Federal income tax Form W-4. Your withholding usually will be most
fewer (or zero) allowances.
from your pay. Because your tax situation may accurate when all allowances are claimed on
change, you may want to refigure your Child tax and higher education credits. For
the Form W-4 prepared for the highest paying
withholding each year. details on adjusting withholding for these and
other credits, see Pub. 919, How Do I Adjust job and zero allowances are claimed for the
Exemption from withholding. If you are My Tax Withholding? others.
exempt, complete only lines 1, 2, 3, 4, and 7, Check your withholding. After your Form W-4
and sign the form to validate it. Your exemption Head of household. Generally, you may claim
head of household filing status on your tax takes effect, use Pub. 919 to see how the dollar
for 2000 expires February 16, 2001. amount you are having withheld compares to
return only if you are unmarried and pay more
Note: You cannot claim exemption from than 50% of the costs of keeping up a home for your projected total tax for 2000. Get Pub. 919
withholding if (1) your income exceeds $700 and yourself and your dependent(s) or other especially if you used the Two-Earner/Two-Job
includes more than $250 of unearned income qualifying individuals. See line E below. Worksheet on page 2 and your earnings
(e.g., interest and dividends) and (2) another exceed $150,000 (Single) or $200,000 (Married).
person can claim you as a dependent on their Nonwage income. If you have a large amount
of nonwage income, such as interest or Recent name change? If your name on line 1
tax return. differs from that shown on your social security
dividends, you should consider making
Basic instructions. If you are not exempt, estimated tax payments using Form 1040-ES, card, call 1-800-772-1213 for a new social
complete the Personal Allowances Worksheet Estimated Tax for Individuals. Otherwise, you security card.
below. The worksheets on page 2 adjust your may owe additional tax.
withholding allowances based on itemized
Personal Allowances Worksheet (Keep for your records.)
A Enter “1” for yourself if no one else can claim you as a dependent A

兵 其
● You are single and have only one job; or
B Enter “1” if: ● You are married, have only one job, and your spouse does not work; or B
● Your wages from a second job or your spouse’s wages (or the total of both) are $1,000 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. (Entering -0- may help you avoid having too little tax withheld.) C
D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return D
E Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above) E
F Enter “1” if you have at least $1,500 of child or dependent care expenses for which you plan to claim a credit F
G Child Tax Credit:
● If your total income will be between $18,000 and $50,000 ($23,000 and $63,000 if married), enter “1” for each eligible child.
● If your total income will be between $50,000 and $80,000 ($63,000 and $115,000 if married), enter “1” if you have two
eligible children, enter “2” if you have three or four eligible children, or enter “3” if you have five or more eligible children G
H 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 H

兵
● If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions
For accuracy, and Adjustments Worksheet on page 2.
complete all ● If you are single, have more than one job and your combined earnings from all jobs exceed $34,000, OR if you
worksheets are married and have a working spouse or more than one job and the combined earnings from all jobs exceed
that apply. $60,000, see the Two-Earner/Two-Job 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.

Cut here and give Form W-4 to your employer. Keep the top part for your records.

Form W-4 Employee’s Withholding Allowance Certificate OMB No. 1545-0010

Department of the Treasury

Internal Revenue Service 䊳 For Privacy Act and Paperwork Reduction Act Notice, see page 2. 2000
1 Type or print your first name and middle initial Last name 2 Your social security number

Home address (number and street or rural route)

3 Single Married Married, but withhold at higher Single rate.
Note: If married, but legally separated, or spouse is a nonresident alien, check the Single box.
City or town, state, and ZIP code 4 If your last name differs from that on your social security card, check
here. You must call 1-800-772-1213 for a new card 䊳

5 Total number of allowances you are claiming (from line H above OR from the applicable worksheet on page 2) 5
6 Additional amount, if any, you want withheld from each paycheck $ 6
7 I claim exemption from withholding for 2000, 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 7
Under penalties of perjury, I certify that I am entitled to the number of withholding allowances claimed on this certificate, or I am entitled to claim exempt status.
Employee’s signature
(Form is not valid
unless you sign it) 䊳 Date 䊳

8 Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code 10 Employer identification number
(optional)

Cat. No. 10220Q

Form W-4 (2000) Page 2
Deductions and Adjustments Worksheet
Note: Use this worksheet only if you plan to itemize deductions or claim adjustments to income on your 2000 tax return.
1 Enter an estimate of your 2000 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. (For 2000, you may have to reduce your itemized deductions if your income
is over $128,950 ($64,475 if married filing separately). See Worksheet 3 in Pub. 919 for details.) 1 $

兵 其
$7,350 if married filing jointly or qualifying widow(er)
$6,450 if head of household 2 $
2 Enter:
$4,400 if single
$3,675 if married filing separately
3 Subtract line 2 from line 1. If line 2 is greater than line 1, enter -0- 3 $
4 Enter an estimate of your 2000 adjustments to income, including alimony, deductible IRA contributions, and student loan interest 4 $
5 Add lines 3 and 4 and enter the total (Include any amount for credits from Worksheet 7 in Pub. 919.) 5 $
6 Enter an estimate of your 2000 nonwage income (such as dividends or interest) 6 $
7 Subtract line 6 from line 5. Enter the result, but not less than -0- 7 $
8 Divide the amount on line 7 by $3,000 and enter the result here. Drop any fraction 8
9 Enter the number from the Personal Allowances Worksheet, line H, page 1 9
10 Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earner/Two-Job Worksheet, also
enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1 10
Two-Earner/Two-Job Worksheet
Note: Use this worksheet only if the instructions under line H on page 1 direct you here.
1 Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet) 1
2 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here 2
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 3
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
calculate the additional withholding amount necessary to avoid a year end tax bill.
4 Enter the number from line 2 of this worksheet 4
5 Enter the number from line 1 of this worksheet 5
6 Subtract line 5 from line 4 6
7 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here 7 $
8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed 8 $
9 Divide line 8 by the number of pay periods remaining in 2000. For example, divide by 26 if you are paid
every other week and you complete this form in December 1999. Enter the result here and on Form W-4,
line 6, page 1. This is the additional amount to be withheld from each paycheck 9 $
Table 1: Two-Earner/Two-Job Worksheet
Married Filing Jointly All Others
If wages from LOWEST Enter on If wages from LOWEST Enter on If wages from LOWEST Enter on If wages from LOWEST Enter on
paying job are— line 2 above paying job are— line 2 above paying job are— line 2 above paying job are— line 2 above
$0 - $4,000 0 41,001 - 45,000 8 $0 - $5,000 0 65,001 - 80,000 8
4,001 - 7,000 1 45,001 - 55,000 9 5,001 - 11,000 1 80,001 - 100,000 9
7,001 - 13,000 2 55,001 - 63,000 10 11,001 - 17,000 2 100,001 and over 10
13,001 - 19,000 3 63,001 - 70,000 11 17,001 - 22,000 3
19,001 - 25,000 4 70,001 - 85,000 12 22,001 - 27,000 4
25,001 - 31,000 5 85,001 - 100,000 13 27,001 - 40,000 5
31,001 - 37,000 6 100,001 - 110,000 14 40,001 - 50,000 6
37,001 - 41,000 7 110,001 and over 15 50,001 - 65,000 7

Table 2: Two-Earner/Two-Job Worksheet

Married Filing Jointly All Others
If wages from HIGHEST Enter on If wages from HIGHEST Enter on
paying job are— line 7 above paying job are— line 7 above
$0 - $50,000 $420 $0 - $30,000 $420
50,001 - 100,000 780 30,001 - 60,000 780
100,001 - 130,000 870 60,001 - 120,000 870
130,001 - 250,000 1,000 120,001 - 270,000 1,000
250,001 and over 1,100 270,001 and over 1,100

Privacy Act and Paperwork Reduction Act Notice. We ask for the control number. Books or records relating to a form or its instructions must be
information on this form to carry out the Internal Revenue laws of the United retained as long as their contents may become material in the administration
States. The Internal Revenue Code requires this information under sections of any Internal Revenue law. Generally, tax returns and return information are
3402(f)(2)(A) and 6109 and their regulations. Failure to provide a properly confidential, as required by Code section 6103.
completed form will result in your being treated as a single person who claims The time needed to complete this form will vary depending on individual
no withholding allowances; providing fraudulent information may also circumstances. The estimated average time is: Recordkeeping 46 min.,
subject you to penalties. Routine uses of this information include giving it to Learning about the law or the form 13 min., Preparing the form 59 min. If
the Department of Justice for civil and criminal litigation, to cities, states, and you have comments concerning the accuracy of these time estimates or
the District of Columbia for use in administering their tax laws, and for use in suggestions for making this form simpler, we would be happy to hear from
the National Directory of New Hires. you. You can write to the Tax Forms Committee, Western Area Distribution
You are not required to provide the information requested on a form that is Center, Rancho Cordova, CA 95743-0001. DO NOT send the tax form to this
subject to the Paperwork Reduction Act unless the form displays a valid OMB address. Instead, give it to your employer.