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New Jersey W4

EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE

Download W4 Instructions

New Jersey W4

Step 1 of 3

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Name*
First Middle Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code

Download W4 Instructions
Filing Status:
- Single
- Married/Civil Union Couple Joint
- Married/Civil Union Partner Separate
- Head of Household
- Qualifying Widow(er)/Surviving Civil Union Partner
If you have chosen to use the chart from instruction A, enter the appropriate letter here
Total number of allowances you are claiming (see instructions)
Additional amount you want deducted from each pay
I claim exemption from withholding of NJ Gross Income Tax and I certify that I have met the conditions in the instructions of the NJ-W4. If you have met the conditions, enter “EXEMPT” here

Under penalties of perjury, I certify that I have examined this certificate and to the best of my knowledge and belief, it is true, correct, and complete.*
- I certify the above statement
Social Security Number*
Employee Signature – Type Your Name*
Today's Date*
My IP Address is: 44.192.115.114
This form was submitted on: 09/21/2023