New Hire - W4 Form

Please click the arrows to scroll through the W-4 form, and then fill out the digital W-4 form below.

If you are unable to complete this form online, or have any questions that might interfere with its completion please contact (407) 342-2366

1. Name

Your first name and middle initial

First Name

Last Name

2. Social Security Number

Home Address

Number and street or rural route)

City or town, state, and ZIP code

3. Marriage Status

Note: If married filing separately, check "Married, but withhold at higher Single rate."

Single

Married

Married, but without at higher Single rate.

4. If your last name differs from that shown on your social security card, check here. You must call 800-772-1213 for a replacement card.

My last name differs from that shown on my social security card

My last name is the same as that shown on my social security card

5. Total number of allowances you're claiming (from the applicable worksheet on the following pages)

6. Additional amount, if any, you want withheld from each paycheck

7. I claim exemption form withholding for 2019, and I certify that I meet both of the following conditions for exemption. (1. Last year I had a right to refund of all federal income tax withheld because I have no tax liability, and 2. This year I expect a refun of all federal income tax withheld because I expect to have no tax liability.) If you meet both these condition, write [type] "Exempt" here

Check the box below to endorse this form and acknowledge all the information entered is true and accurate to your knowledge.

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