For Daniel's new employer to withhold the correct amount of taxes from his paycheck,
Daniel filled out a W-4 form on his first day at work, January 8, 2018.
Review his work, and select the mistake he made.
From W-4
Department of the Treasury
Internal Revenue Service
Seperate here and give Form W-4 to your employer. Keep the worksheet(s) for your records.
Employee's Withholding Allowance Certificate
Whether your're 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
Last name
1 Your first name and middle initial
Daniel J
2 Your Social security number
678-03-9542
3
Single Married Married, but withhold at higher Single rate
Note: If married fling separately, check "Married, but without at higher Single rate."
Garcia
Home address (number and street or rural route)
4677 Jerome Ave
City of town, state, and ZIP code
Fort Lauderdale, FL 33304
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 from withholding for 2018, and I certify that I meet both of the following conditions for exemption.
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.
1
Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and
This year I expect a refund of all federal income tax withheld because I expect to have no tax liability
If you meet both conditions, write "Exempt here.....
Date 1-8-18
Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.
Employee's signature
(This form is not valid unless you sign ) Daniel J Garcia
8 Employer's name and address (Employer: Complete boxes 8 and 10 if sending to IRS and complete
boxes 8, 9, and 10 if sending to State Directory of New Hires.)
For Privacy Act and Paperwork Reduction Act Notice, see page 4.
OMB No. 1545-0074
2018
9 First date of
employment
5
6 S
Cat No. 102200
10 Employer identification
number (EIN)
Form W-4 (2018)
