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L4 form 2022-2026

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  1. Click ‘Get Form’ to open the L-4 form in the editor.
  2. In Block A, determine your personal exemptions. Enter '0' if you claim neither yourself nor your spouse, '1' if you claim yourself only, or '2' if you claim both yourself and your spouse.
  3. In Block B, enter the number of dependents you will claim on your tax return. If none, simply enter '0'.
  4. Fill in your personal information: first name, last name, Social Security Number, home address, city, state, and ZIP code.
  5. Indicate the total number of exemptions and dependents claimed from Blocks A and B respectively.
  6. If desired, specify any additional amount you want withheld each pay period in the designated field.
  7. Sign and date the form to certify that the information provided is accurate before submitting it to your employer.

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