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W4 & I9

Please complete both forms completely.

Step 1 of 2 - W4

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  • W4 Document

  • Step 1: Enter Personal Information

  • ▶ 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.
  • 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 Works

    Complete 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.
    TIP: 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 Dependents

    If your income will be $200,000 or less ($400,000 or less if married filing jointly):
  • Step 4 (optional): Other Adjustments

  • Step 5: Sign Here

    Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Employers Only

    Western Omelette LLC | 16 S. Walnut St. Colorado Springs, CO 80905 | (719) 636-2286 | Employers EIN# 32-0146146
  • If 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 form

    You can also copy and paste these links: https://westernomelette.org/w4-documentation | https://westernomelette.org/I9-documentation
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  • I9 DOCUMENT

    Employment 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.)
  • Date Format: MM slash DD slash YYYY
  • 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.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • (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.
  • Date Format: MM slash DD slash YYYY
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