1.6 KiB
1.6 KiB
type, category, person, date, provider, source
| type | category | person | date | provider | source |
|---|---|---|---|---|---|
| tax-form | employment | Xuewei Jiang | 2020-05-29 | University of Southern California | jiang_w4_usc_2020.pdf |
Form W-4 -- Employee's Withholding Certificate (2020) -- Signed Copy
Form W-4 (2020) Department of the Treasury, Internal Revenue Service OMB No. 1545-0074
Step 1: Enter Personal Information
| Field | Value |
|---|---|
| (a) First name and middle initial | Xuewei |
| Last name | Jiang |
| (b) Social security number | 092-99-3215 |
| Address | 1000 Escalon Ave. Apt. K2087 |
| City or town, state, and ZIP code | Sunnyvale, CA 94085 |
(c) Filing Status:
- Single or Married filing separately
- Married filing jointly (or Qualifying widow(er))
- Head of household
Step 2: Multiple Jobs or Spouse Works
(Not filled in)
Step 3: Claim Dependents
| Field | Value |
|---|---|
| Qualifying children under age 17 x $2,000 | (blank) |
| Other dependents x $500 | (blank) |
| Total (line 3) | $ |
Note: Box shows "3" with "$" but amount field appears blank/unclear.
Step 4 (optional): Other Adjustments
| Field | Value |
|---|---|
| 4(a) Other income | $ (blank) |
| 4(b) Deductions | $ (blank) |
| 4(c) Extra withholding | $ (blank) |
Step 5: Sign Here
| Field | Value |
|---|---|
| Employee's signature | (signed -- cursive signature) |
| Date | 05/29/2020 |
Employers Only
| Field | Value |
|---|---|
| Employer's name and address | (blank) |
| First date of employment | (blank) |
| Employer identification number (EIN) | (blank) |
Cat. No. 10220Q Form W-4 (2020)