Step 1: Enter Personal Information

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
Marital Status *

TAX EXEMPT: See above instructions for who can claim exemption from withholding, when to use the online estimator, and privacy.

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 of this link and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may choose C in the box below. 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.
Choice for step 2 *

If steps 3 – 4b are applicable, these steps should be completed on only ONE form W-4 when multiple employers exist. For most accurate withholding, complete these steps on W-4 form for highest paying job.

Step 3: Claim Dependents

Step 4 (optional): Other Adjustments

Step 5: W-4 Signature

I agree to apply my electronic signature to the Form W-4 (if you do not agree please contact the YMCA HR department) *
Form W-4 Signature *
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