Bright Sky Group of Services

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. Your withholding is subject to review by the IRS.

 

STEP 1: ENTER PERSONAL INFORMATION

(a) First name: | Middle initial: | Last name:  

Address:  

(b) Social security number:  

Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.

(c)  


Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5.


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 of these jobs.

Do only one of the following.

(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 at www.irs.gov/pub/irs-pdf/fw4.pdf 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: CLAIM DEPENDENTS

If your 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 and enter the total here 3 $


STEP 4 (optional): OTHER ADJUSTMENTS

(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(a) $

(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.


EMPLOYERS ONLY

Employer’s name: National Star Services Inc.

Employer’s street address: 1001 Fairway Drive | City/Town: Bensenville | State: IL | Zip Code: 60106

First date of employment:  

Employer identification number (EIN):  

Leave this empty:

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Signature Certificate
Document name: Form W-4
lock iconUnique Document ID: 74e8523395ec83df11d6f334e344f7e210f0041b
Timestamp Audit
January 15, 2021 11:00 pm CDTForm W-4 Uploaded by National Star Services - megan@meganforddesign.com IP 98.213.216.126