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Complete only the portion below the dotted line:
Enter your social security number.
Check one of the status box. The form will be considered incomplete and will be returned to you.
Enter the number of allowances you are claiming. If you claim 10 or more allowances, your W-4 will be reported to the IRS.
If you want an additional amount taken out of each paycheck, put down the desired amount in line #6.
If you are exempt, write "exempt" in line #7. You do not need to fill out boxes 3, 4, or 5 if you are exempt.