| W-4 Worksheet |
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| Print this worksheet to help complete Form W-4. Note that you and your spouse (if applicable) each need to complete your own form. | |||
| W-4 Line Number: | W-4 Line Description: | Self: | Spouse |
| 5. | Total number of allowances you are claiming: | ||
| 6. | Additional amount, if any, you want withheld from each paycheck: | ||
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