Colchester, Connecticut

fw4

Servers\Server_7752070\File\District Departments\Human Resources

← Document Library

other FY 2021-22 District legacy file archive 2022-03-07

Machine-extracted text of a publicly posted document, provided for reference and search. The original document at the link above is authoritative.

Form   W-4                                           Employee’s Withholding Certificate
                             ▶ Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
                                                                                                                                                           OMB No. 1545-0074



Department of the Treasury
Internal Revenue Service
                                                                    ▶ Give Form W-4 to your employer.
                                                          ▶ Your withholding is subject to review by the IRS.
                                                                                                                                                             2020
                    (a) First name and middle initial                            Last name                                                         (b) Social security number
Step 1:
Enter               Address                                                                                                                        ▶ Does your name match the
Personal                                                                                                                                           name on your social security
                                                                                                                                                   card? If not, to ensure you get
Information         City or town, state, and ZIP code                                                                                              credit for your earnings, contact
                                                                                                                                                   SSA at 800-772-1213 or go to
                                                                                                                                                   www.ssa.gov.
                    (c)       Single or Married filing separately
                              Married filing jointly (or Qualifying widow(er))
                              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, when to use the online estimator, 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
Multiple Jobs                also works. The correct amount of withholding depends on income earned from all of these jobs.
or Spouse                    Do only one of the following.
Works                        (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 on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
                             (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 accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld . . . . . ▶

                             TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment
                             income, including as an independent contractor, use the estimator.

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 income will be $200,000 or less ($400,000 or less if married filing jointly):
Claim
                                 Multiply the number of qualifying children under age 17 by $2,000 ▶ $
Dependents
                                 Multiply the number of other dependents by $500                      .   .   .   . ▶ $

                             Add the amounts above and enter the total here                   .   .   .   .   .   .   .   .   .   .   .   .   .       3    $
Step 4                       (a) Other income (not from jobs). If you want tax withheld for other income you expect
(optional):                      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) $

                             (c) Extra withholding. Enter any additional tax you want withheld each pay period                                .      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
                    ▲




                                                                                                                                          ▲




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

Employers           Employer’s name and address                                                                       First date of               Employer identification
                                                                                                                      employment                  number (EIN)
Only


For Privacy Act and Paperwork Reduction Act Notice, see page 3.                                               Cat. No. 10220Q                                   Form W-4 (2020)
Form W-4 (2020)                                                                                                                   Page 2


General Instructions                                                   Specific Instructions
Future Developments                                                    Step 1(c). Check your anticipated filing status. This will
                                                                       determine the standard deduction and tax rates used to
For the latest information about developments related to               compute your withholding.
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
Purpose of Form                                                        spouse both work.
Complete Form W-4 so that your employer can withhold the                   Option (a) most accurately calculates the additional tax
correct federal income tax from your pay. If too little is             you need to have withheld, while option (b) does so with a
withheld, you will generally owe tax when you file your tax            little less accuracy.
return and may owe a penalty. If too much is withheld, you will            If you (and your spouse) have a total of only two jobs, you
generally be due a refund. Complete a new Form W-4 when                may instead check the box in option (c). The box must also be
changes to your personal or financial situation would change           checked on the Form W-4 for the other job. If the box is
the entries on the form. For more information on withholding           checked, the standard deduction and tax brackets will be cut
and when you must furnish a new Form W-4, see Pub. 505.                in half for each job to calculate withholding. This option is
Exemption from withholding. You may claim exemption from               roughly accurate for jobs with similar pay; otherwise, more tax
withholding for 2020 if you meet both of the following                 than necessary may be withheld, and this extra amount will be
conditions: you had no federal income tax liability in 2019 and        larger the greater the difference in pay is between the two jobs.
you expect to have no federal income tax liability in 2020. You                  Multiple jobs. Complete Steps 3 through 4(b) on only
had no federal income tax liability in 2019 if (1) your total tax on
line 16 on your 2019 Form 1040 or 1040-SR is zero (or less
                                                                       ▲   ! one Form W-4. Withholding will be most accurate if
                                                                        CAUTION
                                                                                 you do this on the Form W-4 for the highest paying job.
than the sum of lines 18a, 18b, and 18c), or (2) you were not
required to file a return because your income was below the            Step 3. Step 3 of Form W-4 provides instructions for
filing threshold for your correct filing status. If you claim          determining the amount of the child tax credit and the credit
exemption, you will have no income tax withheld from your              for other dependents that you may be able to claim when
paycheck and may owe taxes and penalties when you file your            you file your tax return. To qualify for the child tax credit, the
2020 tax return. To claim exemption from withholding, certify          child must be under age 17 as of December 31, must be
that you meet both of the conditions above by writing “Exempt”         your dependent who generally lives with you for more than
on Form W-4 in the space below Step 4(c). Then, complete               half the year, and must have the required social security
Steps 1a, 1b, and 5. Do not complete any other steps. You will         number. You may be able to claim a credit for other
need to submit a new Form W-4 by February 16, 2021.                    dependents for whom a child tax credit can’t be claimed,
                                                                       such as an older child or a qualifying relative. For additional
Your privacy. If you prefer to limit information provided in           eligibility requirements for these credits, see Pub. 972, Child
Steps 2 through 4, use the online estimator, which will also           Tax Credit and Credit for Other Dependents. You can also
increase accuracy.                                                     include other tax credits in this step, such as education tax
    As an alternative to the estimator: if you have concerns           credits and the foreign tax credit. To do so, add an estimate
with Step 2(c), you may choose Step 2(b); if you have                  of the amount for the year to your credits for dependents
concerns with Step 4(a), you may enter an additional amount            and enter the total amount in Step 3. Including these credits
you want withheld per pay period in Step 4(c). If this is the          will increase your paycheck and reduce the amount of any
only job in your household, you may instead check the box              refund you may receive when you file your tax return.
in Step 2(c), which will increase your withholding and                 Step 4 (optional).
significantly reduce your paycheck (often by thousands of
dollars over the year).                                                    Step 4(a). Enter in this step the total of your other
                                                                       estimated income for the year, if any. You shouldn’t include
When to use the estimator. Consider using the estimator at             income from any jobs or self-employment. If you complete
www.irs.gov/W4App if you:                                              Step 4(a), you likely won’t have to make estimated tax
1. Expect to work only part of the year;                               payments for that income. If you prefer to pay estimated tax
                                                                       rather than having tax on other income withheld from your
2. Have dividend or capital gain income, or are subject to
                                                                       paycheck, see Form 1040-ES, Estimated Tax for Individuals.
additional taxes, such as the additional Medicare tax;
                                                                           Step 4(b). Enter in this step the amount from the Deductions
3. Have self-employment income (see below); or
                                                                       Worksheet, line 5, if you expect to claim deductions other than
4. Prefer the most accurate withholding for multiple job               the basic standard deduction on your 2020 tax return and
situations.                                                            want to reduce your withholding to account for these
Self-employment. Generally, you will owe both income and               deductions. This includes both itemized deductions and other
self-employment taxes on any self-employment income you                deductions such as for student loan interest and IRAs.
receive separate from the wages you receive as an                          Step 4(c). Enter in this step any additional tax you want
employee. If you want to pay these taxes through                       withheld from your pay each pay period, including any
withholding from your wages, use the estimator at                      amounts from the Multiple Jobs Worksheet, line 4. Entering an
www.irs.gov/W4App to figure the amount to have withheld.               amount here will reduce your paycheck and will either increase
Nonresident alien. If you’re a nonresident alien, see Notice           your refund or reduce any amount of tax that you owe.
1392, Supplemental Form W-4 Instructions for Nonresident
Aliens, before completing this form.
Form W-4 (2020)                                                                                                                                                  Page 3

                                          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.
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; or, you can use the online withholding estimator at www.irs.gov/W4App.

   1     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 . . . . . . . . . . . . . . . . . . . . .                                                   1   $

   2     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.


         a    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 $


         b 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 $

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

   3     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. . . . . .                                  3

   4     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) . . . . . . . . . . . . . . . . . . . . . . . . .                                                            4   $

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

   1     Enter an estimate of your 2020 itemized deductions (from Schedule A (Form 1040 or 1040-SR)). Such
         deductions may include qualifying home mortgage interest, charitable contributions, state and local
         taxes (up to $10,000), and medical expenses in excess of 10% of your income . . . . . . . .                                            1   $



                    {                                                                                   }
                        • $24,800 if you’re married filing jointly or qualifying widow(er)
   2     Enter:         • $18,650 if you’re head of household                                                   .   .   .   .   .   .   .   .   2   $
                        • $12,400 if you’re single or married filing separately

   3     If line 1 is greater than line 2, subtract line 2 from line 1. If line 2 is greater than line 1, enter “-0-” .                     .   3   $

   4     Enter an estimate of your student loan interest, deductible IRA contributions, and certain other
         adjustments (from Schedule 1 (Form 1040 or 1040-SR)). See Pub. 505 for more information  . . .                                         4   $

   5     Add lines 3 and 4. Enter the result here and in Step 4(b) of Form W-4 .                    .       .   .   .   .   .   .   .   .   .   5   $

Privacy Act and Paperwork Reduction Act Notice. We ask for the information                You are not required to provide the information requested on a form that is
on this form to carry out the Internal Revenue laws of the United States. Internal     subject to the Paperwork Reduction Act unless the form displays a valid OMB
Revenue Code sections 3402(f)(2) and 6109 and their regulations require you to         control number. Books or records relating to a form or its instructions must be
provide this information; your employer uses it to determine your federal income       retained as long as their contents may become material in the administration of
tax withholding. Failure to provide a properly completed form will result in your      any Internal Revenue law. Generally, tax returns and return information are
being treated as a single person with no other entries on the form; providing          confidential, as required by Code section 6103.
fraudulent information may subject you to penalties. Routine uses of this                 The average time and expenses required to complete and file this form will vary
information include giving it to the Department of Justice for civil and criminal      depending on individual circumstances. For estimated averages, see the
litigation; to cities, states, the District of Columbia, and U.S. commonwealths and    instructions for your income tax return.
possessions 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              If you have suggestions for making this form simpler, we would be happy to hear
may also disclose this information to other countries under a tax treaty, to federal   from you. See the instructions for your income tax return.
and state agencies to enforce federal nontax criminal laws, or to federal law
enforcement and intelligence agencies to combat terrorism.
Form W-4 (2020)                                                                                                                       Page 4
                                         Married Filing Jointly or Qualifying Widow(er)
Higher Paying Job                                    Lower Paying Job Annual Taxable Wage & Salary
 Annual Taxable       $0 -   $10,000 - $20,000 - $30,000 - $40,000 - $50,000 - $60,000 - $70,000 - $80,000 - $90,000 - $100,000 - $110,000 -
  Wage & Salary      9,999    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        $0     $220      $850       $900      $1,020   $1,020    $1,020    $1,020    $1,020     $1,210    $1,870    $1,870
 $10,000 - 19,999      220     1,220     1,900      2,100      2,220    2,220     2,220     2,220     2,410      3,410     4,070     4,070
 $20,000 - 29,999      850     1,900     2,730      2,930      3,050    3,050     3,050     3,240     4,240      5,240     5,900     5,900
 $30,000 - 39,999      900     2,100     2,930      3,130      3,250    3,250     3,440     4,440     5,440      6,440     7,100     7,100
 $40,000 - 49,999    1,020     2,220     3,050      3,250      3,370    3,570     4,570     5,570     6,570      7,570     8,220     8,220
 $50,000 - 59,999    1,020     2,220     3,050      3,250      3,570    4,570     5,570     6,570     7,570      8,570     9,220     9,220
 $60,000 - 69,999    1,020     2,220     3,050      3,440      4,570    5,570     6,570     7,570     8,570      9,570    10,220    10,220
 $70,000 - 79,999    1,020     2,220     3,240      4,440      5,570    6,570     7,570     8,570     9,570     10,570    11,220    11,240
 $80,000 - 99,999    1,060     3,260     5,090      6,290      7,420    8,420     9,420    10,420    11,420     12,420    13,260    13,460
$100,000 - 149,999   1,870     4,070     5,900      7,100      8,220    9,320    10,520    11,720    12,920     14,120    14,980    15,180
$150,000 - 239,999   2,040     4,440     6,470      7,870      9,190   10,390    11,590    12,790    13,990     15,190    16,050    16,250
$240,000 - 259,999   2,040     4,440     6,470      7,870      9,190   10,390    11,590    12,790    13,990     15,520    17,170    18,170
$260,000 - 279,999   2,040     4,440     6,470      7,870      9,190   10,390    11,590    13,120    15,120     17,120    18,770    19,770
$280,000 - 299,999   2,040     4,440     6,470      7,870      9,190   10,720    12,720    14,720    16,720     18,720    20,370    21,370
$300,000 - 319,999   2,040     4,440     6,470      8,200     10,320   12,320    14,320    16,320    18,320     20,320    21,970    22,970
$320,000 - 364,999   2,720     5,920     8,750     10,950     13,070   15,070    17,070    19,070    21,290     23,590    25,540    26,840
$365,000 - 524,999   2,970     6,470     9,600     12,100     14,530   16,830    19,130    21,430    23,730     26,030    27,980    29,280
$525,000 and over    3,140     6,840    10,170     12,870     15,500   18,000    20,500    23,000    25,500     28,000    30,150    31,650
                                                 Single or Married Filing Separately
Higher Paying Job                                    Lower Paying Job Annual Taxable Wage & Salary
 Annual Taxable       $0 -   $10,000 - $20,000 - $30,000 - $40,000 - $50,000 - $60,000 - $70,000 - $80,000 - $90,000 - $100,000 - $110,000 -
  Wage & Salary      9,999    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      $460     $940     $1,020     $1,020     $1,470   $1,870    $1,870    $1,870    $1,870     $2,040    $2,040    $2,040
 $10,000 - 19,999      940     1,530     1,610      2,060      3,060    3,460     3,460     3,460     3,640      3,830     3,830     3,830
 $20,000 - 29,999    1,020     1,610     2,130      3,130      4,130    4,540     4,540     4,720     4,920      5,110     5,110     5,110
 $30,000 - 39,999    1,020     2,060     3,130      4,130      5,130    5,540     5,720     5,920     6,120      6,310     6,310     6,310
 $40,000 - 59,999    1,870     3,460     4,540      5,540      6,690    7,290     7,490     7,690     7,890      8,080     8,080     8,080
 $60,000 - 79,999    1,870     3,460     4,690      5,890      7,090    7,690     7,890     8,090     8,290      8,480     9,260    10,060
 $80,000 - 99,999    2,020     3,810     5,090      6,290      7,490    8,090     8,290     8,490     9,470     10,460    11,260    12,060
$100,000 - 124,999   2,040     3,830     5,110      6,310      7,510    8,430     9,430    10,430    11,430     12,420    13,520    14,620
$125,000 - 149,999   2,040     3,830     5,110      7,030      9,030   10,430    11,430    12,580    13,880     15,170    16,270    17,370
$150,000 - 174,999   2,360     4,950     7,030      9,030     11,030   12,730    14,030    15,330    16,630     17,920    19,020    20,120
$175,000 - 199,999   2,720     5,310     7,540      9,840     12,140   13,840    15,140    16,440    17,740     19,030    20,130    21,230
$200,000 - 249,999   2,970     5,860     8,240     10,540     12,840   14,540    15,840    17,140    18,440     19,730    20,830    21,930
$250,000 - 399,999   2,970     5,860     8,240     10,540     12,840   14,540    15,840    17,140    18,440     19,730    20,830    21,930
$400,000 - 449,999   2,970     5,860     8,240     10,540     12,840   14,540    15,840    17,140    18,450     19,940    21,240    22,540
$450,000 and over    3,140     6,230     8,810     11,310     13,810   15,710    17,210    18,710    20,210     21,700    23,000    24,300
                                                            Head of Household
Higher Paying Job                                    Lower Paying Job Annual Taxable Wage & Salary
 Annual Taxable       $0 -   $10,000 - $20,000 - $30,000 - $40,000 - $50,000 - $60,000 - $70,000 - $80,000 - $90,000 - $100,000 - $110,000 -
  Wage & Salary      9,999    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        $0     $830      $930      $1,020     $1,020   $1,020    $1,480    $1,870    $1,870     $1,930    $2,040    $2,040
 $10,000 - 19,999      830     1,920     2,130      2,220      2,220    2,680     3,680     4,070     4,130      4,330     4,440     4,440
 $20,000 - 29,999      930     2,130     2,350      2,430      2,900    3,900     4,900     5,340     5,540      5,740     5,850     5,850
 $30,000 - 39,999    1,020     2,220     2,430      2,980      3,980    4,980     6,040     6,630     6,830      7,030     7,140     7,140
 $40,000 - 59,999    1,020     2,530     3,750      4,830      5,860    7,060     8,260     8,850     9,050      9,250     9,360     9,360
 $60,000 - 79,999    1,870     4,070     5,310      6,600      7,800    9,000    10,200    10,780    10,980     11,180    11,580    12,380
 $80,000 - 99,999    1,900     4,300     5,710      7,000      8,200    9,400    10,600    11,180    11,670     12,670    13,580    14,380
$100,000 - 124,999   2,040     4,440     5,850      7,140      8,340    9,540    11,360    12,750    13,750     14,750    15,770    16,870
$125,000 - 149,999   2,040     4,440     5,850      7,360      9,360   11,360    13,360    14,750    16,010     17,310    18,520    19,620
$150,000 - 174,999   2,040     5,060     7,280      9,360     11,360   13,480    15,780    17,460    18,760     20,060    21,270    22,370
$175,000 - 199,999   2,720     5,920     8,130     10,480     12,780   15,080    17,380    19,070    20,370     21,670    22,880    23,980
$200,000 - 249,999   2,970     6,470     8,990     11,370     13,670   15,970    18,270    19,960    21,260     22,560    23,770    24,870
$250,000 - 349,999   2,970     6,470     8,990     11,370     13,670   15,970    18,270    19,960    21,260     22,560    23,770    24,870
$350,000 - 449,999   2,970     6,470     8,990     11,370     13,670   15,970    18,270    19,960    21,260     22,560    23,900    25,200
$450,000 and over    3,140     6,840     9,560     12,140     14,640   17,140    19,640    21,530    23,030     24,530    25,940    27,240