W-4 Example (Filled Out Sample)
Need a W-4 example? This guide shows a simple filled-out sample and explains what each section of Form W-4 means.
This example is for a single employee with one job and no dependents. Your situation may be different, so use this only as a general guide.
If you need step-by-step instructions, see How to Fill Out Form W-4. For a general overview, see Form W-4 Guide.
Quick answer
A W-4 example shows how an employee may complete the form by entering personal information, choosing a filing status, completing only the steps that apply, and signing the form.
W-4 example (filled out sample)
Below is a sample W-4 example showing how the form may look for a single employee with one job and no dependents.
W-4 example
W-4 example showing how to complete each step of the form. This is an annotated sample for educational purposes only and is not an official IRS form.
W-4 example explained
Step 1: Personal information
Step 1 includes your name, address, Social Security number, and filing status.
In this example, the employee selects a single filing status.
Step 2: Multiple jobs or spouse works
This step is used if you have more than one job or your spouse also works.
In this simple example, Step 2 is left blank because the employee has one job.
Step 3: Claim dependents
Step 3 is used to claim dependents if you qualify.
In this example, no dependents are claimed.
Step 4: Other adjustments
Step 4 is optional and can be used for other income, deductions, or extra withholding.
In this example, no additional adjustments are entered.
Step 5: Signature and date
The employee signs and dates the form. A W-4 is not complete unless it is signed.
When should you use a W-4 example?
A W-4 example can help you understand how the form works before completing your own.
It can be useful if you want to:
- see what a completed W-4 looks like
- understand each step of the form
- avoid common mistakes
- prepare before submitting the form to your employer
Can you copy this W-4 example?
No. You should not copy a sample exactly. Your W-4 should be completed based on your own filing status, jobs, dependents, deductions, and withholding needs.
If your situation is more complex, consider using the official IRS Tax Withholding Estimator.
Common W-4 mistakes to avoid
Common mistakes include:
- choosing the wrong filing status
- skipping Step 2 when you have multiple jobs
- claiming dependents incorrectly
- forgetting to sign and date the form
- not updating your W-4 after a major life change
Frequently asked questions
Is this W-4 example correct for everyone?
No. This is a simple example. Your correct W-4 depends on your personal tax situation.
What is the simplest way to fill out a W-4?
For a basic situation, you may only need to complete Step 1 and Step 5. Other steps should be completed if they apply.
Does the W-4 still use allowances?
No. The current Form W-4 no longer uses withholding allowances.
Where can I get the official W-4 form?
You can download the official form from the IRS website.
Official IRS resources
Related resources
Final thoughts
A W-4 example can make the form easier to understand, especially if you are completing it for the first time. Use the sample as a guide, but always fill out your own Form W-4 based on your personal tax situation.
Editor
25 years of experience managing tax, accounting, payroll, and employment-related information portals. Editor of Accounting Portal since 2011.
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