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W-4

Form W-4

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Online Application 100% Job Offer 100% Onboarding 40% You must complete Form W-4 so the payroll Department can calculate the correct amount of tax to withhold from your pay. Federal income tax is withheld from your wages based on this form. You can file a new Form W-4 anytime your tax situation changes and you choose to have more, or less, tax withheld.

Instructions I i for completing l i Form W-4: : Steps 1 and 5 are the only parts that must be completed. Steps 2 through Steps 4 are optional, but your withholding will more accurately match your tax liability if you complete them. By not completing these steps, your withholding will be computed based on your filing status's standard deduction and tax rates, with no other adjustments. Please review the actual IRS Form W-4 for more detailed instructions on how to complete this form and to address any privacy concerns that you may have. The form can be found at

https://www.irs.gov/pub/irs-pdf/fw4.pdf.

Helpful l l Hint: i : By completing only Steps 1 and 5, your 2022 withholdings will be the equivalent of filing Single-2 (two allowances) under the old method for Single and Married Filing Separately filers. lt will be the equivalent of Married - 3

(three allowances) under the old method for Married Filing Jointly filers. If Single - 2 or Married - 3 would result in too little being withheld, check the box in Step 2. This will result in the equivalent of Single - 0 (no allowances) or Married - 0

(no allowances) being withheld under the old method. W-4 Step 1: Personal Information

Indicate I i Marital i l Status ( *Required i )::

You must call 1-800-***-**** for a replacement card. W-4 Step 2: Multiple Jobs or Spouse Works

This i section i of the W-4 Form is i optional. i l. 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 these jobs.

Do only l one of the following:

W-4 Step 3: Claim Dependents

This i section i of the W-4 Form is i optional. i l. Claim l i Dependents

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

W-4 Step 4: Other Adjustments

This i section i of the W-4 Form is i optional. i l. Claim Exemption

lf you claim an exemption from withholding, you will need to submit a new Form W-4 by February 15, 2023.

Single i l or Married i filing fili separately t l Married i filing fili jointly j i tl (or Qualifying widow(er)) Head of f Household l (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)

If your last name differs from that shown on your social security card, check here.

TIP I : To be accurate, submit a 2022 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.

(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3-4); or

(b) Use the Multiple Jobs Worksheet located on the IRS Form W-4 located at https://www.irs.gov/pub/irs-

pdf/fw4.pdf and enter the result in "Extra

Withholdings i l i "; or

(c) If there are only two jobs total, you may check this box.

Multiply the number of qualifying children under age 17 by

$2,000

$

Multiply the number of other dependents by $500

$

Total l Claim l i Dependent Amount: :

$

Other Income I (not from jobs)j . . If you want tax withheld for other income you expect this year that won't have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income.

$

Deductions. i . If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet located at

https://www.irs.gov/pub/irs-pdf/fw4.pdf and enter the result here:

$

Extra Withholding. i l i . Enter any additional tax you want withheld each pay period.

$

I I claim l i exemption i from withholding i l i for 2022,, and I I certify i that I I meet both of the conditions i i for exemption: i :

Last year I had no federal income tax liability.

I expect to have no federal income tax liability in 2022

If you meet both conditions, check 'Exempt' here.

W-4 Step 5: Signature

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete. I agree that my electronic signature is the legally binding equivalent to my handwritten

signature. By my electronic signature, I acknowledge that I have carefully reviewed this Agreement and

understand its contents.

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