W4 & I9 Please complete both forms completely. Step 1 of 2 - W4 0% W4 DocumentStep 1: Enter Personal InformationName* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code U.S. Social Security Number*▶ 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 www.ssa.gov.Filing Status*Single or Married Filling SeparatelyMarried filing jointly (or Qualifying widow(er))Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the online estimator, and privacy.Step 2: Multiple Jobs or Spouse WorksComplete 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 and enter the result in Step 4(c) below for roughly accurate withholding; or(c) If there are only two jobs total, you may check this box. 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 withheldTIP: 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.Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)Step 3: Claim DependentsIf your income will be $200,000 or less ($400,000 or less if married filing jointly): Multiply the number of qualifying children under age 17 by $2,000 ▶Multiply the number of other dependents by $500 . . . . ▶Add the amounts above and enter the total here . . . . . . . . . . . . .Step 4 (optional): Other Adjustments(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income(b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here . . . . . . . . . . . . . . . . . . . . .(c) Extra withholding. Enter any additional tax you want withheld each pay period .Step 5: Sign HereUnder penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.▲ Employee’s signature (This form is not valid unless you sign it.)*▲ Date signed* Date Format: MM slash DD slash YYYY First day of employment* Date Format: MM slash DD slash YYYY Employers OnlyWestern Omelette LLC | 16 S. Walnut St. Colorado Springs, CO 80905 | (719) 636-2286 | Employers EIN# 32-0146146If you need to review documentation to complete these forms, please use the links in the document reference area where you clicked the link to enter this formYou can also copy and paste these links: https://westernomelette.org/w4-documentation | https://westernomelette.org/I9-documentation I9 DOCUMENTEmployment Eligibility Verification Department of Homeland Security U.S. Citizenship and Immigration Services ►START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form. ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.Section 1. Employee Information and Attestation(Employees must complete and sign Section 1 of Form I-9 no later than the first day of employment, but not before accepting a job offer.)Name* First Middle Last Other Last Names Used (if any)Address* Street Address City State / Province / Region ZIP / Postal Code Date of Birth* Date Format: MM slash DD slash YYYY U.S. Social Security Number*Employee's E-mail Address* Enter Email Confirm Email Employee's Telephone Number*I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form.I attest, under penalty of perjury, that I am (check one of the following boxes):*1. A citizen of the United States2. A noncitizen national of the United States (See instructions)3. A lawful permanent resident4. An alien authorized to workUntil (expiration date, if applicable, mm/dd/yyyy):* Date Format: MM slash DD slash YYYY Aliens authorized to work must provide only one of the following document numbers to complete Form I-9: An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.*1. Alien Registration Number/USCIS Number:2. Form I-94 Admission Number:3. Foreign Passport Number:Country of Issuance:*Signature of Employee*Today's Date* Date Format: MM slash DD slash YYYY Preparer and/or Translator Certification (check one):*I did not use a preparer or translator.A preparer(s) and/or translator(s) assisted the employee in completing Section 1.(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my knowledge the information is true and correct.Signature of Preparer or Translator*Today's Date* Date Format: MM slash DD slash YYYY Name* First Last Suffix Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code