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Page 3 Form W-4 (2023) <br /> <br />{ <br /> <br />If you choose the option in Step 2(b) on Form W-4, complete this worksheet (which calculates the total extra tax for all jobs) on only <br />ONE Form W-4. Withholding will be most accurate if you complete the worksheet and enter the result on the Form W-4 for the highest <br />paying job. To be accurate, submit a new Form W-4 for all other jobs if you have not updated your withholding since 2019. <br />Note: If more than one job has annual wages of more than $120,000 or there are more than three jobs, see Pub. 505 for additional <br />tables. <br />1 Two jobs. If you have two jobs or you’re married filing jointly and you and your spouse each have one <br />job, find the amount from the appropriate table on page 4. Using the “Higher Paying Job” row and the <br />“Lower Paying Job” column, find the value at the intersection of the two household salaries and enter <br />that value on line 1. Then, skip to line 3 . . . . . . . . . . . . . . . . . . . . . 1 $ <br />2 Three jobs. If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and <br />2c below. Otherwise, skip to line 3. <br />a Find the amount from the appropriate table on page 4 using the annual wages from the highest <br />paying job in the “Higher Paying Job” row and the annual wages for your next highest paying job <br />in the “Lower Paying Job” column. Find the value at the intersection of the two household salaries <br />and enter that value on line 2a . . . . . . . . . . . . . . . . . . . . . . . 2a $ <br /> <br />b Add the annual wages of the two highest paying jobs from line 2a together and use the total as the <br />wages in the “Higher Paying Job” row and use the annual wages for your third job in the “Lower <br />Paying Job” column to find the amount from the appropriate table on page 4 and enter this amount <br />on line 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b $ <br />c Add the amounts from lines 2a and 2b and enter the result on line 2c . . . . . . . . . . 2c $ <br />3 Enter the number of pay periods per year for the highest paying job. For example, if that job pays <br />weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc. . . . . . 3 <br /> <br />4 Divide the annual amount on line 1 or line 2c by the number of pay periods on line 3. Enter this <br />amount here and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional <br />amount you want withheld) . . . . . . . . . . . . . . . . . . . . . . . . . 4 $ <br /> <br /> <br /> <br />1 Enter an estimate of your 2023 itemized deductions (from Schedule A (Form 1040)). Such deductions <br />may include qualifying home mortgage interest, charitable contributions, state and local taxes (up to <br />$10,000), and medical expenses in excess of 7.5% of your income . . . . . . . . . . . . 1 $ <br />• $27,700 if you’re married filing jointly or a qualifying surviving spouse <br />2 Enter: • $20,800 if you’re head of household } . . . . . 2 $ <br />• $13,850 if you’re single or married filing separately <br /> <br />3 If line 1 is greater than line 2, subtract line 2 from line 1 and enter the result here. If line 2 is greater <br />than line 1, enter “-0-” . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <br />3 <br /> <br /> $ <br />4 Enter an estimate of your student loan interest, deductible IRA contributions, and certain other <br />adjustments (from Part II of Schedule 1 (Form 1040)). See Pub. 505 for more information . . . . <br /> <br />4 <br /> <br /> $ <br />5 Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4 . . . . . . . . . . . 5 $ <br /> <br />Privacy Act and Paperwork Reduction Act Notice. We ask for the information <br />on this form to carry out the Internal Revenue laws of the United States. Internal <br />Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to <br />provide this information; your employer uses it to determine your federal income <br />tax withholding. Failure to provide a properly completed form will result in your <br />being treated as a single person with no other entries on the form; providing <br />fraudulent information may subject you to penalties. Routine uses of this <br />information include giving it to the Department of Justice for civil and criminal <br />litigation; to cities, states, the District of Columbia, and U.S. commonwealths and <br />territories for use in administering their tax laws; and to the Department of Health <br />and Human Services for use in the National Directory of New Hires. We may also <br />disclose this information to other countries under a tax treaty, to federal and state <br />agencies to enforce federal nontax criminal laws, or to federal law enforcement <br />and intelligence agencies to combat terrorism. <br />You are not required to provide the information requested on a form that is <br />subject to the Paperwork Reduction Act unless the form displays a valid OMB <br />control number. Books or records relating to a form or its instructions must be <br />retained as long as their contents may become material in the administration of <br />any Internal Revenue law. Generally, tax returns and return information are <br />confidential, as required by Code section 6103. <br />The average time and expenses required to complete and file this form will vary <br />depending on individual circumstances. For estimated averages, see the <br />instructions for your income tax return. <br />If you have suggestions for making this form simpler, we would be happy to hear <br />from you. See the instructions for your income tax return. <br />Step 4(b)—Deductions Worksheet (Keep for your records.) <br />Step 2(b)—Multiple Jobs Worksheet (Keep for your records.) <br />Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE