IRS W-4 Form

Please Note: this form generates a signed 2024 IRS W-4 Form within our online employment system. Optionally, you may also download the document PDF here and return a signed copy to us by fax or email attachment.

STEP 1: PERSONAL INFORMATION

Name(Required)

First Middle Initial ONLY Last

Phone(Required)

Use the same cell phone on all forms.

Email(Required)

Use the same email on all forms.

Social Security Number(Required)

Home Address(Required)

City or Town(Required)

State(Required)

Zip(Required)

STEP 1c: FILING STATUS

Check ONLY one filing status box below.

Single or Married filing separately

Married filing jointly or Qualifying surviving spouse

Head of household

(Only check head of household if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)

Step 2: Multiple Jobs or Spouse Works

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 one of the following.

(a) Use the estimator at www.irs.gov/W4App for the most accurate withholding for this step (and Steps 3—4). If you or your spouse have self-employment income, use this option; or
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; or

Two Jobs Total YES

(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This 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

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: Claim Dependent and Other Credits

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

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

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.

STEP 4: OTHER ADJUSTMENTS (Optional)

4(a) Other income (not from jobs)

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.

4(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.

4c Extra withholding

Enter any additional tax you want withheld each pay period.

Agreement

Legal Consent(Required)

Consumer Disclosure Regarding Conducting Business Electronically and Signing IRS w-4 Forms Electronically

Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By submitting this IRS w-4 form electronically, you are agreeing that you have reviewed this Consumer Disclosure and consent to transact business electronically, to use electronic signatures instead of wet ink signatures for this form and any related tax forms, and to receive notices and disclosures electronically.

You are not required to submit tax forms electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from Professional Recruiters Group and withdraw your consent at any time, as described below.

Scope of Consent
By utilizing this Service, you agree to submit the IRS w-4 form and any related tax forms electronically. You also agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your employment with Professional Recruiters Group. You may withdraw your consent, at any time, by following the procedures outlined below.

Paper Copies
You are not required to submit tax forms electronically, or receive notices or disclosures electronically, and may request paper copies of documents or disclosures, if you prefer. You also have the ability to download and print any signed or unsigned documents sent to you through the electronic signature service. Professional Recruiters Group may also email you a copy of all documents you sign using the electronic signature service. If you wish to receive paper copies instead of electronic documents you may request paper copies from Professional Recruiters Group by following the procedures outlined below. Professional Recruiters Group may apply a charge for additional expenses incurred by printing and mailing paper copies.

Withdrawal of Consent
You may withdraw your consent to submit forms and receive electronic documents, notices or disclosures at any time. In order to withdraw consent you must notify Professional Recruiters Group that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below.

Withdrawing your consent, requesting a paper copy, or updating your contact information
You always have the ability to download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please contact Professional Recruiters Group directly; by telephone, by email (sent to Professional Recruiters Group with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices.

“Withdrawal of Consent To Transact Business Electronically” To allow Professional Recruiters Group to identify and facilitate your withdrawal of consent to transact business electronically, please provide your name, email address, the date on which you are withdrawing your consent, your telephone number and mailing address.

“Requesting A Paper Copy” To allow Professional Recruiters Group to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide Professional Recruiters Group with your name, email address, mailing address, telephone number, and name of the document of which you are requesting a paper copy.

I agree to the terms and conditions.

Today's Date(Required)

Employee's Signature(Required)

Use the box below and sign your name here.

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Employers Name

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Employers Address

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Employers EIN #

IRS W-4

To download the 2024 IRS W-4 or the forms instructions; click on an image below.