Please review and answer the following questions regarding completion of Form W-4.
Please enter email provided on original application.
Note. If married, but legally separated, or spouse is a nonresident alien, select "Single".
If your last name differs from that shown on your social security card, check here. You must call 1-800-772-1213 for a replacement card.
Total number of allowances you are claiming (use line H on Form W-4 or applicable worksheet from Form W-4)
Additional Amount, if any, you want withheld from each paycheck.
I claim exemption from withholding for 2013, and I certify that I meet both of the following conditions for exemption. 1. Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and 2. This year I expect a refund of all federal income tax withheld because I expect to have no tax liability. If you meet both conditions write "Exempt" here.
I have reviewed the W-4 attached and I have answered all questions for the Employee's Withholding Allowance Certificate
Georgia Employee's Withholding Allowance Certificate: Please review and answer the following questions regarding completion of the Form GA-4.
(If you do not wish to claim an allowance, check "0" beside your marital status.
(worksheet on Certificate must be completed and sent to CFAIA office)
Additional amount, if any, you want withheld from each pay period (Enter whole dollars)
Marital Status A, B, C, D, or E
Total of Lines 3-5
Do not complete lines 3-7 if claiming exempt. Read the Line 8 Instructions on Page 2 of the Certificate before completing this section.
If Exempt status is checked because you meet the requirement of the Military Spouses Residency Relief Act, please Enter Your State of Residence
I certify under penalty of perjury that I am entitled to the number of withholding allowances or the exemption from withholding status claimed. I authorize my employer to deduct per pay period the additional amount listed above.
Would you like for us to directly deposit your paycheck into your bank account?
Please enter Your Bank Name
If yes, please enter the Routing Number for your bank account.
If yes, please enter the Account Number for your bank account.
If yes, please choose type of account.
In connection with my ongoing employment or my application for employment, should I have or secure a position with the Cradle of Forestry in America Interpretive Association, I understand that a motor vehicle record, which contains public record information, may be requested. I further understand that such report(s) will contain personal information and public record information concerning my driving record from federal, state and other agencies that maintain such records, as well as independent services that provide driving record information.
I hereby authorize procurement of my motor vehicle report. If hired, this authorization shall remain on file and shall serve as ongoing authorization for you to procure such reports at any time during my employment. Cradle of Forestry in America’s commercial auto insurer and agent will also use this information in conjunction with loss and control safety review efforts.