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NAME
EMAIL
PAY INFORMATION
FREQUENCY OF PAY WEEKLYBIWEEKLYSEMI-MONTHLYMONTHLY
PAY TYPE SalaryHourly
ANNUAL SALARY (insert 0 if Hourly)
HOURLY AMOUNT (insert 0 if Salary)
HOW MANY REGULAR HOURS NORMALLY WORK PER WEEK (insert 0 if Salary)
DO YOU WORK OVERTIME? (Select NO if Salary Exempt) YesNo
HOW MANY OVERTIME HOURS PER WEEK (insert 0 if Salary Exempt)
TAXABLE WAGE INFO
401K AMOUNT PER CHECK (insert 0 if none) Flat RatePercentage
MEDICAL (insert 0 if none)
DENTAL (insert 0 if none)
VISION (insert 0 if none)
HSA (insert 0 if none)
FSA (insert 0 if none)
OTHER PRE-TAX DEDUCTIONS (insert 0 if none)
Is this your current job or a new job you have not started yet? CurrentNew
If current, did you have this job last year? YesNo
If yes, please enter your 2023 W-2 Information:
Box 1 Number: Box 2 Number:
Please upload most recent paycheck for better accuracy, so that I can view the numbers (optional)
Disclaimers: Calculations are estimations only and are calculated by the information that you have on this form. If you leave off anything that is pre-tax the numbers will be higher as pre tax deductions bring your taxable wages down which results in a lower federal tax. Please also note that this is not a tax consultation or tax advice. This is merely a calculation for you to see how much approximate federal taxes will be taken out of your paycheck each pay period and to rather or not you would want to adjust your W-4. I do not give tax advice to non tax clients.
Please check that you have read disclaimer