Federal W-4 (2026)

Employee's Withholding Certificate — filled onto the official IRS form.

Form W-4 (2026) — Employee's Withholding Certificate. Complete Step 1 and Step 5; Steps 2–4 only if they apply. Your entries are placed onto the official IRS form, which is archived with your signature. The employer section is completed automatically for Bella Mente, Inc.

Step 1 — Personal Information

First name and middle initial

Last name

Address

City, State, ZIP

Social Security number

Filing status (choose one):

Single or Married filing separately Married filing jointly or Qualifying surviving spouse Head of household

Step 2 — Multiple Jobs or Spouse Works (if applicable)

Check here if there are only two jobs total (do the same on the W-4 for the other job)

Step 3 — Claim Dependents (if applicable)

Qualifying children under 17 × $2,000 ($)

Other dependents × $500 ($)

Total (add the amounts above) ($)

Step 4 — Other Adjustments (optional)

4(a) Other income, not from jobs ($)

4(b) Deductions ($)

4(c) Extra withholding per pay period ($)

Exempt: I meet both 2026 exemption conditions (see form instructions)

Step 5 — Sign Here

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

Date

Employee signature

Employer Section (completed by Bella Mente)

Employer name and address

First date of employment

Employer EIN