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Click ‘Get Form’ to open the D-4 form in the editor.
Begin by entering the year and your social security number at the top of the form. Fill in your first name, middle initial, last name, and home address including city, state, and zip code.
Select your tax filing status by checking only one box: Single, Married filing jointly, Head of household, etc.
In Section 2, calculate and enter the total number of withholding allowances based on the worksheet provided. This will help determine how much tax is withheld from your paycheck.
If you wish to have an additional amount withheld from each paycheck, specify that amount in Section 3.
If you qualify for exemption from withholding, write 'EXEMPT' in the designated box after reading the qualifications carefully.
Complete any additional questions regarding domicile and student status as applicable before signing and dating the form.
Detach the top portion of the completed form and submit it to your employer while keeping the bottom portion for your records.
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