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Sections marked with * are required. The official IRS form fills in live on the right.

1 Step 1 — Personal Information

First Name & Middle Initial *

Last Name *

Address *

City, State, ZIP *

Social Security Number *

Filing Status *

2 Steps 2–4 — Adjustments (optional)

Step 2(c) — Two jobs total (check the box)

Step 3 — Qualifying children under 17 × $2,000

Step 3 — Other dependents × $500

Step 4(a) — Other income (not from jobs)

Step 4(b) — Deductions

Step 4(c) — Extra withholding per pay period

3 Employers Only (optional) click to expand ▾

Employer's Name and Address

First Date of Employment

Employer Identification Number (EIN)

4 Your Email & Checkout

Your email address *

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