Timbers W4 - Timbers Prime

Please enable JavaScript in your browser to complete this form.

Personal Details

1. Name

First

Last

2. SSN

Address

Address Line 1

Address Line 2

City

State

Zip Code

3. Marital Status

Single/Married Filing Separately
Married Filing Jointly/Widowed
Unmarried Head of Household

4. If your last name differs from that shown on your social security card, check here. You must call 800-772-1213 for a replacement card. ▶4

5. Total number of allowances you’re claiming (from the applicable worksheet on the following pages) . . . .

or (from (see

6. Additional amount, if any, you want withheld from each paycheck . .

6. I claim exemption from withholding for 2019, and I certify that I meet both of the following conditions for exemption. • Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and • This year I expect a refund of all federal income tax withheld because I expect to have no tax liability. If you meet both conditions, write “Exempt” here ▶6

If you meet both conditions, write “Exempt” here ▶ 7

8. Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete. Employee’s signature (This form is not valid unless you sign it.) ▶Signature

Clear Signature

9. First Day Date / Time

Date

Time

10 Employer identification number (EIN) Which Timbers?

A Enter “1” for yourself A.

Enter “1” if you will file as married filing jointly B

Enter “1” if you will file as head of household C

Child tax credit. See Pub. 972, Child Tax Credit, for more information. • If your total income will be less than $71,201 ($103,351 if married filing jointly), enter “4” for each eligible child. • If your total income will be from $71,201 to $179,050 ($103,351 to $345,850 if married filing jointly), enter “2” for each eligible child. • If your total income will be from $179,051 to $200,000 ($345,851 to $400,000 if married filing jointly), enter “1” for each eligible child. • If your total income will be higher than $200,000 ($400,000 if married filing jointly), enter “-0-” ▶E

Credit for other dependents. See Pub. 972, Child Tax Credit, for more information. • If your total income will be less than $71,201 ($103,351 if married filing jointly), enter “1” for each eligible dependent. • If your total income will be from $71,201 to $179,050 ($103,351 to $345,850 if married filing jointly), enter “1” for every two dependents (for example, “-0-” for one dependent, “1” if you have two or three dependents, and “2” if you have four dependents). • If your total income will be higher than $179,050 ($345,850 if married filing jointly), enter “-0-” . ▶ F

Single Line Tax Other credits. If you have other credits, see Worksheet 1-6 of Pub. 505 and enter the amount from that worksheet here. If you use Worksheet 1-6, enter “-0-” on lines E and F ▶ G

Add lines A through G and enter the total here ▶ H

For accuracy, complete all worksheets that apply. { • If you plan to itemize or claim adjustments to income and want to reduce your withholding, or if you have a large amount of nonwage income not subject to withholding and want to increase your withholding, see the Deductions, Adjustments, and Additional Income Worksheet below. • If you have more than one job at a time or are married filing jointly and you and your spouse both work, and the combined earnings from all jobs exceed $53,000 ($24,450 if married filing jointly), see the Two-Earners/Multiple Jobs Worksheet on page 4 to avoid having too little tax withheld. • If neither of the abo Note: Use this worksheet only if you plan to itemize deductions, claim certain adjustments to income, or have a large amount of nonwage income not subject to withholding

1 Enter an estimate of your 2019 itemized deductions. These 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. See Pub. 505 for details ▶1

2 Enter: { $24,400 if you’re married filing jointly or qualifying widow(er) $18,350 if you’re head of household $12,200 if you’re single or married filing separately } ▶ 2

Subtract line 2 from line 1. If zero or less, enter “-0-” ▶3

4 Enter an estimate of your 2019 adjustments to income, qualified business income deduction, and any additional standard deduction for age or blindness (see Pub. 505 for information about these items) . ▶ 4

Add lines 3 and 4 and enter the total ▶ 5

Enter an estimate of your 2019 nonwage income not subject to withholding (such as dividends or interest) . ▶ 6

Subtract line 6 from line 5. If zero, enter “-0-”. If less than zero, enter the amount in parentheses ▶7

Divide the amount on line 7 by $4,200 and enter the result here. If a negative amount, enter in parentheses. Drop any fraction ▶8

9 Enter the number from the Personal Allowances Worksheet, line H, above ▶9

10 Add lines 8 and 9 and enter the total here. If zero or less, enter “-0-”. If you plan to use the Two-Earners/ Multiple Jobs Worksheet, also enter this total on line 1 of that worksheet on page 4. Otherwise, stop here and enter this total on Form W-4, line 5, page 1 .

fw4–2019 (1)Download