Form W-4 (2006) Purpose. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Because your tax situation may change, you may want to refigure your withholding each year. Exemption from withholding. If you are exempt, complete only lines 1, 2, 3, 4, and 7 and sign the form to validate it. Your exemption for 2006 expires February 16, 2007. See Pub. 505, Tax Withholding and Estimated Tax. Note. You cannot claim exemption from withhold- ing if (a) your income exceeds $850 and includes more than $300 of unearned income (for example, interest and dividends) and (b) another person can claim you as a dependent on their tax return. Basic instructions. If you are not exempt, complete the Personal Allowances Worksheet below. The worksheets on page 2 adjust your withholding allowances based on itemized deductions, certain credits, adjustments to income, or two- earner/two-job situations. Complete all worksheets that apply. However, you may claim fewer (or zero) allowances. Head of household. Generally, you may claim head of household filing status on your tax return only if you are unmarried and pay more than 50% of the costs of keeping up a home for yourself and your dependent(s) or other qualifying individuals. See line E below. Tax credits. You can take projected tax credits into account in figuring your allowable number of withholding allowances. Credits for child or depen- dent care expenses and the child tax credit may be claimed using the Personal Allowances Work- sheet below. See Pub. 919, How Do | Adjust My Tax Withholding, for information on converting your other credits into withholding allowances. Nonwage income. If you have a large amount of nonwage income, such as interest or dividends, con- sider making estimated tax payments using Form 1040-ES, Estimated Tax for Individuals. Otherwise, you may owe additional tax. Two earners/two jobs. lf you have a working spouse or more than one job, figure the total number of allowances you are entitled to claim on all jobs using worksheets from only one Form W-4. Your withholding usually will be most accurate when all allowances are claimed on the Form W-4 for the highest paying job and zero allowances are claimed on the others. Nonresident alien. If you are a nonresident alien, see the Instructions for Form 8233 before complet- ing this Form W-4. Check your withholding. After your Form W-4 takes effect, use Pub. 919 to see how the dollar amount you are having withheld compares to your projected total tax for 2006. See Pub. 919, especi- ally if your earnings exceed $130,000 (Single) or $180,000 (Married). Recent name change? If your name on line 1 differs from that shown on your social security card, call 1-800-772-1213 to initiate a name change and obtain a social security card showing your cor- rect name. Personal Allowances Worksheet (Keep for your records.) A_ Enter “1” for yourself if no one else can claim you as a dependent . A @ You are single and have only one job; or B Enter “1” if: @ You are married, have only one job, and your spouse does not work; or Yo B e Your wages from a second job or your spouse’s wages (or the total of both) are $1,000 or less. C Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or more than one job. (Entering “-0-” may help you avoid having too little tax withheld.) Cc D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return D E Enter “1” if you will file as head of household on your tax return (See conditions under Head of household sieve) E F Enter “1” if you have at least $1,500 of child or dependent care expenses for which you plan to claim a credit F (Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.) G_ Child Tax Credit (including additional child tax credit): e@ If your total income will be less than $55,000 ($82,000 if married), enter “2” for each eligible child. @ If your total income will be between $55,000 and $84,000 ($82,000 and $119,000 if married), enter “1” for each eligible child plus “1” additional if you have four or more eligible children. G H_ Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.) P H For accuracy, complete all worksheets that apply. e If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions and Adjustments Worksheet on page 2. @ If you have more than one job or are married and you and your spouse both work and the combined earnings from all jobs exceed $35,000 ($25,000 if married) see the Two-Earner/Two-Job Worksheet on page 2 to avoid having too little tax withheld. e If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below. Form W-4 Department of the Treasury Internal Revenue Service Cut here and give Form W-4 to your employer. Keep the top part for your records. Employee’s Withholding Allowance Certificate > Whether you are entitled to claim a certain number of allowances or exemption from withholding is subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS. OMB No. 1545-0074 2006 1 Type or print your first name and middle initial. Last name 2 Your social security number Home address (number and street or rural route) 3 Single Married Married, but withhold at higher Single rate. Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box. City or town, state, and ZIP code 4 If your last name differs from that shown on your social security card, check here. You must call 1-800-772-1213 for a new card. 5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2) 5 6 Additional amount, if any, you want withheld from each paycheck 61$ 7 | claim exemption from withholding for 2006, and | certify that | meet both of ihe following conditions ‘ik sscanintion: e Last year | had a right to a refund of all federal income tax withheld because | had no tax liability and @ This year | expect a refund of all federal income tax withheld because | expect to have no tax liability. If you meet both conditions, write “Exempt” here . > 17 Under penalties of perjury, | declare that | have examined this certificate and to ihe Best at my Waawledae and belief, it is true, correct, and complete. Employee’s signature (Form is not valid unless you sign it.) > Date > 8 Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.) 9 Office code (optional) 10 Employer identification number (EIN) For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 10220Q Form W-4 (2006) Form W-4 (2006) Deductions and Adjustments Worksheet Page 2 Note. Use this worksheet only if you plan to itemize deductions, claim certain credits, or claim adjustments to income on your 2006 tax return. 1. Enter an estimate of your 2006 itemized deductions. These include qualifying home mortgage interest, charitable contributions, state and local taxes, medical expenses in excess of 7.5% of your income, and miscellaneous deductions. (For 2006, you may have to reduce your itemized deductions if your income is over $150,500 ($75,250 if married filing separately). See Worksheet 3 in Pub. 919 for details.) 1 $ $10,300 if married filing jointly or qualifying widow(er) 2 ~~ +Enter: $ 7,550 if head of household 2 $ $ 5,150 if single or married filing separately 3 Subtract line 2 from line 1. If line 2 is greater than line 1, enter “-0-” 3 $ 4 — Enter an estimate of your 2006 adjustments to income, including alimony, deductible IRA cantebullens, and siudlent ish interes 4 $ 5 Add lines 3 and 4 and enter the total. (Include any amount for credits from Worksheet 7 in Pub. 919) 5 $ 6 Enter an estimate of your 2006 nonwage income (such as dividends or interest) 6 $ 7 Subtract line 6 from line 5. Enter the result, but not less than “-0-” 7 $ 8 Divide the amount on line 7 by $3,300 and enter the result here. pina any fraction 8 9 Enter the number from the Personal Allowances Worksheet, line H, page 1 9 10 Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earner/Two-Job Worksheet, digo enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1 10 Two-Earner/Two-Job Worksheet (See Two earners/two jobs on page 1.) Note. Use this worksheet only if the instructions under line H on page 1 direct you here. 1. Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet) 1 2 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here 2 3 If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter “-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet 3 Note. If line 1 is ess than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4-9 Bala . calculate the additional withholding amount necessary to avoid a year-end tax bill. 4 Enter the number from line 2 of this worksheet . . . . . . .. 4 5 Enter the number from line 1 of this worksheet . . . . . . .. 5 6 Subtract line 5 from line 4 6 7 Find the amount in Table 2 below that appites to the HIGHEST paying job ang ater it hers 7 §$ 8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed . s $ 9 Divide line 8 by the number of pay periods remaining in 2006. For example, divide by 26 if you are paid every two weeks and you complete this form in December 2005. Enter the result here and on Form W-4, line 6, page 1. This is the additional amount to be withheld from each paycheck . 9 $ Table 1: Two-Earner/Two-Job Worksheet Married Filing Jointly All Others If wages from HIGHEST | AND, wages from LOWEST | Enter on If wages from HIGHEST | AND, wages from LOWEST | Enter on If wages from LOWEST | Enter on paying job are— paying job are— line 2 above | paying job are— paying job are— line 2 above Jj paying job are— line 2 above $0 - $42,000 $0 - $4,500 0 $42,001 and over 32,001 - 38,000 6 $0 - $6,000 0 4,501 - 9,000 1 38,001 - 46,000 7 6,001 - 12,000 1 9,001 - 18,000 2 46,001 - 55,000 8 12,001 - 19,000 2 18,001 and over 3 55,001 - 60,000 9 19,001 - 26,000 3 60,001 - 65,000 10 26,001 - 35,000 4 $42,001 and over $0 - $4,500 0 65,001 - 75,000 11 35,001 - 50,000 5 4,501 - 9,000 1 75,001 - 95,000 42 50,001 - 65,000 6 9,001 - 18,000 2 95,001 - 105,000 13 65,001 - 80,000 £ 18,001 - 22,000 3 105,001 - 120,000 14 80,001 - 90,000 8 22,001 - 26,000 4 120,001 and over 15 90,001 - 120,000 cS] 26,001 - 32,000 5 120,001 and over 10 Table 2: Two-Earner/Two-Job Worksheet Married Filing Jointly All Others If wages from HIGHEST Enter on If wages from HIGHEST Enter on paying job are— line 7 above paying job are— line 7 above $0 - $60,000 $500 $0 - $30,000 $500 60,001 - 115,000 830 30,001 - 75,000 830 115,001 - 165,000 920 75,001 - 145,000 920 165,001 - 290,000 1,090 145,001 - 330,000 1,090 290,001 and over 1,160 330,001 and over 1,160 Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. The Internal Revenue Code requires this information under sections 3402(f)(2)(A) and 6109 and their regulations. Failure to provide a properly completed form will result in your being treated as a single person who claims no withholding allowances; providing fraudulent information may also subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation, to cities, states, and the District of Columbia for use in administering their tax laws, and using it in the National Directory of New Hires. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103. The average time and expenses required to complete and file this form will vary depending on individual circumstances. For estimated averages, see the instructions for your income tax return. If you have suggestions for making this form simpler, we would be happy to hear from you. See the instructions for your income tax return. ® Printed on recycled paper