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