New Employee Intake Form | Vanguard Business Services

Employee Information

All fields are required.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Birth Date*

First Day of Work*

Social Security Number*

Please enter your social security number as a 9-digit number. Please INCLUDE the dashes.

Who Do You Work For?*

Please provide the company name of your employer

Contact Phone Number

Have You and Your Employer Agreed On Direct Deposit?*

Direct Deposit Information

Do You Have A Bank Account?*

Yes
No

What Is The Name Of Your Bank?*

Please Enter Your Bank Account Number Here*

Routing Number*

This is a 9 digit number with no spaces or dashes.

Account Type*

Checking
Savings

Ok great! Depending on the agreement with your employer, a paycheck or paycard will be issued. Please continue to the next section to complete this form.

State W4

Please choose from the states below to fill out your state withholding form.

Choose Your State*

Missouri

Please find the Missouri W4 Form here: Missouri W4 Form

State Filing Status*

Single Or Married Filing Separately
Married filing Jointly
Head of Household (only check if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual

State Deductions

If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 of https://www.irs.gov/pub/irs-pdf/fw4.pdf and enter the result here:

State Extra Withholding

Enter any additional tax you want withheld from each pay period here:

Kansas

Please find the Kansas W4 Form here: Kansas W4 Form

State Filing Status*

Single Or Married Filing Separately
Married filing Jointly
Head of Household (only check if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual

State Deductions

If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 of https://www.irs.gov/pub/irs-pdf/fw4.pdf and enter the result here:

State Extra Withholding

Enter any additional tax you want withheld from each pay period here:

Email Address*

Please provide us an email address to which we may send your state W4.

Step 1: Federal W-4 Information

Please complete the following information. To fill out a PDF version of this form, go here: W4 Form on IRS.Gov I understand that if I do not have any State Withholding Changes, this information will be used for my State W-4.

Name*

First Last

Filing Status*

Single Or Married Filing Separately
Married filing Jointly
Head of Household (only check if you're unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual

Step 2: Multiple Jobs or Spouse Works

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs. Do only one of the following. (a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or (c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld ......................... ▶ TIP: To be accurate, submit a 2020 Form W-4 for all other jobs. If you (or your spouse) have self-employment income, including as an independent contractor, use the estimator.

Step 3: Claim Dependents

If your income will be $200,000 or less ($400,000 or less if married filing jointly):

Number of Children*

Multiply the number of qualifying children under age 17 by $2000

Number of Other Dependents*

Multiply the number of other dependents by $500

Total

$0.00

Step 4: Optional. Other Adjustments

Only fill out this section if you want tax withheld from other income you expect this year that won't have withholding. This may include retirement, dividends, interest, etc.

Other Income (not from jobs)

Deductions

If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 of https://www.irs.gov/pub/irs-pdf/fw4.pdf and enter the result here:

Extra Withholding

Enter any additional tax you want withheld from each pay period here:

Consent*

I agree that the information submitted is factual and true under penalty of perjury.