Restaurant Manager Human Resources

Location:

Carolina Beach, NC, 28428

Posted:

January 13, 2024

Contact this candidate

Resume:

Form W-*

Employee’s Withholding Certificate

Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.

Give Form W-4 to your employer.

OMB No. 1545-0074

Department of the Treasury

Internal Revenue Service

2023

Your withholding is subject to review by the IRS.

(a) First name and middle initial

Last name

Marshburn

(b) Social security number

237130758

Does your name match the

name on your social security

card? If not, to ensure you get

credit for your earnings,

contact SSA at 800-***-****

or go to www.ssa.gov.

Step 1:

Janet

Address

Enter

Personal

Information

165 Halyburton Memorial Pkwy Apt 215

City or town, state, and ZIP code

Wilmington, NC 28412

(c)

Single or Married filing separately

Married filing jointly or Qualifying surviving spouse

Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)

Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can

claim exemption from withholding, other details, and privacy.

Step 2:

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse

also works. The correct amount of withholding depends on income earned from all of these jobs.

Multiple Jobs

or Spouse

Works

Do only one of the following.

(a) Reserved for future use.

(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; or

option is generally more accurate than (b) if pay at the lower paying job is more than half of the pay at the

higher paying job. Otherwise, (b) is more accurate

TIP: If you have self-employment income, see page 2.

Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will

be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)

Step 3:

If your total income will be $200,000 or less ($400,000 or less if married filing jointly):

0.00

Claim

Multiply the number of qualifying children under age 17 by $2,000

Dependent

and Other

Credits

500.00

Multiply the number of other dependents by $500 . $

Add the amounts above for qualifying children and other dependents. You may add to

this the amount of any other credits. Enter the total here

500.00

Step 4

(a) Other income (not from jobs). If you want tax withheld for other income you

(optional):

expect this year that won’t have withholding, enter the amount of other income here.

This may include interest, dividends, and retirement income

4(a) $

Other

Adjustments

(b) Deductions. If you expect to claim deductions other than the standard deduction and

want to reduce your withholding, use the Deductions Worksheet on page 3 and enter

the result here

4(b) $

4(c) $

Step 5:

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

Sign

Here

Janet Marshburn 10/14/2023 01:50:39

Employee’s signature (This form is not valid unless you sign it.)

10/14/2023

Date

Employers Employer’s name and address

Only

First date of

employment

Employer identification

number (EIN)

56-1994932

Summit Hospitality Incorporated 3141 John Humphries Wynd Ste 200 Raleigh NC 27612

For Privacy Act and Paperwork Reduction Act Notice, see page 3.

Cat. No. 10220Q

Form W-4 (2023)

Page

Form W-4 (2023)

General Instructions

Specific Instructions

Section references are to the Internal Revenue Code.

Step 1(c). Check your anticipated filing status. This will

determine the standard deduction and tax rates used to

compute your withholding.

Future Developments

For the latest information about developments related to

Form W-4, such as legislation enacted after it was published,

go to www.irs.gov/FormW4.

Step 2. Use this step if you (1) have more than one job at the

same time, or (2) are married filing jointly and you and your

spouse both work.

Purpose of Form

If you (and your spouse) have a total of only two jobs, you

may check the box in option (c). The box must also be

checked on the Form W-4 for the other job. If the box is

checked, the standard deduction and tax brackets will be

cut in half for each job to calculate withholding. This option

is roughly accurate for jobs with similar pay; otherwise, more

tax than necessary may be withheld, and this extra amount

will be larger the greater the difference in pay is between the

two jobs.

Complete Form W-4 so that your employer can withhold the

correct federal income tax from your pay. If too little is

withheld, you will generally owe tax when you file your tax

return and may owe a penalty. If too much is withheld, you

will generally be due a refund. Complete a new Form W-4

when changes to your personal or financial situation would

change the entries on the form. For more information on

withholding and when you must furnish a new Form W-4,

see Pub. 505, Tax Withholding and Estimated Tax.

Multiple jobs. Complete Steps 3 through 4(b) on only

one Form W-4. Withholding will be most accurate if

Exemption from withholding. You may claim exemption

from withholding for 2023 if you meet both of the following

conditions: you had no federal income tax liability in 2022

and you expect to have no federal income tax liability in

2023. You had no federal income tax liability in 2022 if (1)

your total tax on line 24 on your 2022 Form 1040 or 1040-SR

is zero (or less than the sum of lines 27, 28, and 29), or (2)

you were not required to file a return because your income

was below the filing threshold for your correct filing status. If

you claim exemption, you will have no income tax withheld

from your paycheck and may owe taxes and penalties when

you file your 2023 tax return. To claim exemption from

withholding, certify that you meet both of the conditions

above by writing “Exempt” on Form W-4 in the space below

Step 4(c). Then, complete Steps 1(a), 1(b), and 5. Do not

complete any other steps. You will need to submit a new

Form W-4 by February 15, 2024.

CAUTION you do this on the Form W-4 for the highest paying job.

Step 3. This step provides instructions for determining the

amount of the child tax credit and the credit for other

dependents that you may be able to claim when you file your

tax return. To qualify for the child tax credit, the child must

be under age 17 as of December 31, must be your

dependent who generally lives with you for more than half

the year, and must have the required social security number.

You may be able to claim a credit for other dependents for

whom a child tax credit can’t be claimed, such as an older

child or a qualifying relative. For additional eligibility

requirements for these credits, see Pub. 501, Dependents,

Standard Deduction, and Filing Information. You can also

include other tax credits for which you are eligible in this

step, such as the foreign tax credit and the education tax

credits. To do so, add an estimate of the amount for the year

to your credits for dependents and enter the total amount in

Step 3. Including these credits will increase your paycheck

and reduce the amount of any refund you may receive when

you file your tax return.

Your privacy. If you have concerns with Step 2(c), you may

choose Step 2(b); if you have concerns with Step 4(a), you

may enter an additional amount you want withheld per pay

period in Step 4(c).

Step 4 (optional).

Self-employment. Generally, you will owe both income and

self-employment taxes on any self-employment income you

receive separate from the wages you receive as an

Step 4(a). Enter in this step the total of your other

estimated income for the year, if any. You shouldn’t include

income from any jobs or self-employment. If you complete

Step 4(a), you likely won’t have to make estimated tax

payments for that income. If you prefer to pay estimated tax

rather than having tax on other income withheld from your

paycheck, see Form 1040-ES, Estimated Tax for Individuals.

employee. If you want to pay income and self-employment

taxes through withholding from your wages, you should

enter the self-employment income on Step 4(a). Then

compute your self-employment tax, divide that tax by the

number of pay periods remaining in the year, and include

that resulting amount per pay period on Step 4(c). You can

also add half of the annual amount of self-employment tax to

Step 4(b) as a deduction. To calculate self-employment tax,

you generally multiply the self-employment income by

14.13% (this rate is a quick way to figure your self-

employment tax and equals the sum of the 12.4% social

security tax and the 2.9% Medicare tax multiplied by

0.9235). See Pub. 505 for more information, especially if the

sum of self-employment income multiplied by 0.9235 and

wages exceeds $160,200 for a given individual.

Step 4(b). Enter in this step the amount from the

Deductions Worksheet, line 5, if you expect to claim

deductions other than the basic standard deduction on your

2023 tax return and want to reduce your withholding to

account for these deductions. This includes both itemized

deductions and other deductions such as for student loan

interest and IRAs.

Step 4(c). Enter in this step any additional tax you want

withheld from your pay each pay period, including any

amounts from the Multiple Jobs Worksheet, line 4. Entering

an amount here will reduce your paycheck and will either

increase your refund or reduce any amount of tax that you

owe.

Nonresident alien. If you’re a nonresident alien, see Notice

1392, Supplemental Form W-4 Instructions for Nonresident

Aliens, before completing this form.

Page

Form W-4 (2023)

Step 2(b)—Multiple Jobs Worksheet (Keep for your records.)

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

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

paying job. To be accurate, submit a new Form W-4 for all other jobs if you have not updated your withholding since 2019.

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

tables.

Two jobs. If you have two jobs or you’re married filing jointly and you and your spouse each have one

job, find the amount from the appropriate table on page 4. Using the “Higher Paying Job” row and the

“Lower Paying Job” column, find the value at the intersection of the two household salaries and enter

that value on line 1. Then, skip to line 3 .

Three jobs. If you and/or your spouse have three jobs at the same time, complete lines 2a, 2b, and

2c below. Otherwise, skip to line 3.

Find the amount from the appropriate table on page 4 using the annual wages from the highest

paying job in the “Higher Paying Job” row and the annual wages for your next highest paying job

in the “Lower Paying Job” column. Find the value at the intersection of the two household salaries

and enter that value on line 2a .

2a $

Add the annual wages of the two highest paying jobs from line 2a together and use the total as the

wages in the “Higher Paying Job” row and use the annual wages for your third job in the “Lower

Paying Job” column to find the amount from the appropriate table on page 4 and enter this amount

on line 2b

2b $

2c $

Add the amounts from lines 2a and 2b and enter the result on line 2c .

Enter the number of pay periods per year for the highest paying job. For example, if that job pays

weekly, enter 52; if it pays every other week, enter 26; if it pays monthly, enter 12, etc.

Divide the annual amount on line 1 or line 2c by the number of pay periods on line 3. Enter this

amount here and in Step 4(c) of Form W-4 for the highest paying job (along with any other additional

amount you want withheld) .

Step 4(b)—Deductions Worksheet (Keep for your records.)

Enter an estimate of your 2023 itemized deductions (from Schedule A (Form 1040)). Such deductions

may include qualifying home mortgage interest, charitable contributions, state and local taxes (up to

$10,000), and medical expenses in excess of 7.5% of your income .

• $27,700 if you’re married filing jointly or a qualifying surviving spouse

• $20,800 if you’re head of household

• $13,850 if you’re single or married filing separately

{

}

Enter:

If line 1 is greater than line 2, subtract line 2 from line 1 and enter the result here. If line 2 is greater

than line 1, enter “-0-”

Enter an estimate of your student loan interest, deductible IRA contributions, and certain other

adjustments (from Part II of Schedule 1 (Form 1040)). See Pub. 505 for more information

Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4 . .

Privacy Act and Paperwork Reduction Act Notice. We ask for the information

on this form to carry out the Internal Revenue laws of the United States. Internal

Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to

provide this information; your employer uses it to determine your federal income

tax withholding. Failure to provide a properly completed form will result in your

being treated as a single person with no other entries on the form; providing

fraudulent information may subject you to penalties. Routine uses of this

information include giving it to the Department of Justice for civil and criminal

litigation; to cities, states, the District of Columbia, and U.S. commonwealths and

territories for use in administering their tax laws; and to the Department of Health

and Human Services for use in the National Directory of New Hires. We may also

disclose this information to other countries under a tax treaty, to federal and state

agencies to enforce federal nontax criminal laws, or to federal law enforcement

and intelligence agencies to combat terrorism.

You are not required to provide the information requested on a form that is

subject to the Paperwork Reduction Act unless the form displays a valid OMB

control number. Books or records relating to a form or its instructions must be

retained as long as their contents may become material in the administration of

any Internal Revenue law. Generally, tax returns and return information are

confidential, as required by Code section 6103.

The average time and expenses required to complete and file this form will vary

depending on individual circumstances. For estimated averages, see the

instructions for your income tax return.

If you have suggestions for making this form simpler, we would be happy to hear

from you. See the instructions for your income tax return.

Page

Form W-4 (2023)

Married Filing Jointly or Qualifying Surviving Spouse

Lower Paying Job Annual Taxable Wage & Salary

Higher Paying Job

Annual Taxable

Wage & Salary

$0 -

9,999

$10,000 - $20,000 - $30,000 - $40,000 - $50,000 - $60,000 - $70,000 - $80,000 - $90,000 - $100,000 - $110,000 -

19,999

29,999

39,999

49,999

59,999

69,999

79,999

89,999

99,999

109,999

120,000

$0 - 9,999

$10,000 - 19,999

$20,000 - 29,999

$30,000 - 39,999

$40,000 - 49,999

$50,000 - 59,999

$60,000 - 69,999

$70,000 - 79,999

$80,000 - 99,999

$100,000 - 149,999

$150,000 - 239,999

$240,000 - 259,999

$260,000 - 279,999

$280,000 - 299,999

$300,000 - 319,999

$320,000 - 364,999

$365,000 - 524,999

$525,000 and over

930

$850

1,850

2,920

3,120

3,320

3,340

4,170

6,190

6,760

9,890

10,460

$850

2,000

3,120

3,320

3,520

3,540

5,370

7,390

8,160

8,550

12,390

13,160

$1,000

2,200

3,320

3,520

3,720

3,740

4,720

6,570

8,590

9,560

10,750

14,890

15,860

$1,020

2,220

$1,020

2,220

$1,020

2,220

$1,020

2,220

$1,020

2,220

$1,020

3,200

$1,870

4,070

850

1,850

2,000

2,200

2,220

4,070

4,440

6,470

6,840

3,340

4,320

5,320

6,190

850

3,540

4,520

5,520

6,520

7,390

1,000

1,020

1,870

2,040

2,970

3,140

3,740

4,720

5,720

6,720

7,720

8,590

3,760

4,750

5,750

6,750

7,750

8,750

9,610

4,750

5,750

6,750

7,750

8,750

9,750

10,610

11,610

13,460

16,330

17,850

18,140

19,740

21,340

24,640

30,880

33,250

5,750

6,750

7,750

8,750

9,750

10,750

12,600

15,260

16,780

17,870

19,470

22,770

28,720

30,890

7,600

8,600

9,600

10,600

12,860

14,380

15,470

18,770

24,120

25,890

11,600

14,060

15,580

15,870

17,470

20,770

26,420

28,390

9,610

10,610

11,980

14,770

19,520

20,890

11,660

13,180

13,470

16,770

21,820

23,390

10,780

12,770

17,220

18,390

Single or Married Filing Separately

Lower Paying Job Annual Taxable Wage & Salary

Higher Paying Job

Annual Taxable

Wage & Salary

$0 -

9,999

$10,000 - $20,000 - $30,000 - $40,000 - $50,000 - $60,000 - $70,000 - $80,000 - $90,000 - $100,000 - $110,000 -

19,999

29,999

39,999

49,999

59,999

69,999

79,999

89,999

99,999

109,999

120,000

$0 - 9,999

$10,000 - 19,999

$20,000 - 29,999

$30,000 - 39,999

$40,000 - 59,999

$60,000 - 79,999

$80,000 - 99,999

$100,000 - 124,999

$125,000 - 149,999

$150,000 - 174,999

$175,000 - 199,999

$200,000 - 249,999

$250,000 - 399,999

$400,000 - 449,999

$450,000 and over

$310

890

$890

1,630

1,750

3,450

3,600

3,730

3,970

5,450

5,930

6,010

6,380

$1,020

1,750

1,880

2,720

4,570

4,730

5,060

5,300

5,610

7,580

8,360

8,440

9,010

$1,020

1,750

2,720

3,720

5,570

5,860

6,260

6,500

7,610

9,580

10,660

10,740

11,510

$1,020

2,600

3,720

4,720

6,570

7,060

7,460

7,700

9,610

11,580

12,960

13,040

14,010

$1,860

3,600

$1,870

3,600

$1,870

3,600

$1,870

3,600

$1,870

3,760

$2,030

3,960

$2,040

3,970

1,020

1,710

1,870

2,040

2,720

2,900

2,970

3,140

4,720

4,730

4,890

5,090

5,290

5,300

5,720

5,730

5,890

6,090

6,290

6,490

6,500

7,700

7,910

8,110

8,310

8,510

8,710

8,720

8,260

8,460

8,660

8,860

9,060

9,260

9,280

8,660

8,860

9,060

9,260

9,460

10,430

12,610

14,900

17,650

20,380

21,770

21,840

24,010

11,240

13,430

16,020

18,770

21,490

22,880

22,960

25,330

8,900

9,110

9,610

10,610

12,610

15,050

17,780

19,170

19,240

21,010

11,610

13,610

16,350

19,080

20,470

20,540

22,510

9,610

10,610

12,610

15,180

16,570

16,640

18,010

11,610

13,750

16,480

17,870

17,940

19,510

11,610

13,870

15,260

15,340

16,510

Head of Household

Lower Paying Job Annual Taxable Wage & Salary

Higher Paying Job

Annual Taxable

Wage & Salary

$0 -

9,999

$10,000 - $20,000 - $30,000 - $40,000 - $50,000 - $60,000 - $70,000 - $80,000 - $90,000 - $100,000 - $110,000 -

19,999

29,999

39,999

49,999

59,999

69,999

79,999

89,999

99,999

109,999

120,000

$0 - 9,999

$10,000 - 19,999

$20,000 - 29,999

$30,000 - 39,999

$40,000 - 59,999

$60,000 - 79,999

$80,000 - 99,999

$100,000 - 124,999

$125,000 - 149,999

$150,000 - 174,999

$175,000 - 199,999

$200,000 - 249,999

$250,000 - 449,999

$450,000 and over

620

$620

1,630

2,060

2,220

3,700

4,070

4,440

5,390

6,190

6,470

6,840

$860

2,060

2,490

2,650

3,130

5,130

5,690

6,070

7,820

8,920

9,200

9,770

$1,020

2,220

2,650

2,810

4,290

6,290

7,050

7,430

7,980

9,980

11,380

11,660

12,430

$1,020

2,220

2,650

3,440

5,290

7,480

8,250

8,630

9,980

11,980

13,680

13,960

14,930

$1,020

2,220

3,280

4,440

6,290

8,680

9,450

9,830

9,980

11,980

14,060

15,980

16,260

17,430

$1,020

2,850

$1,650

3,850

$1,870

4,070

$1,870

4,090

$1,890

4,290

$2,040

4,440

860

4,280

5,280

5,520

5,720

5,920

6,070

1,020

1,500

1,870

2,040

2,190

2,720

2,970

3,140

5,440

6,460

6,880

7,080

7,280

7,430

7,480

8,680

9,100

9,300

9,500

9,650

9,880

11,080

11,850

12,230

13,980

15,980

18,660

20,580

20,860

22,430

11,500

12,260

13,190

15,190

17,420

20,170

22,090

22,380

24,150

11,700

12,460

14,190

16,190

18,720

21,470

23,390

23,680

25,650

11,900

12,870

15,190

17,270

20,020

22,770

24,690

24,980

27,150

12,050

13,820

16,150

18,530

21,280

24,030

25,950

26,230

28,600

10,650

11,030

11,980

13,980

16,360

18,280

18,560

19,930

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