Musgrove and Company
Welcome to the team. Fill out this secure form to create your account and submit your required new-hire tax paperwork. Takes about 5–8 minutes.
1
You
2
W-4
3
MI-W4
4
PIN
Legal Name (as it appears on your Social Security card)
Required
Required
Social Security Number
⚠ Why we need this

Your SSN is required by the IRS on Form W-4 and by Michigan on Form MI-W4. It is also required to process payroll (W-2 filing at year end). It is stored securely and never shared outside payroll processing.

Enter your full 9-digit SSN
Contact Information
Valid email required
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Required
Home Address
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Required
Emergency Contact
Required
Required
Role
📄 IRS Form W-4 — Employee's Withholding Certificate (2024)

This is the official IRS W-4. It tells your employer how much federal income tax to withhold from your paychecks. If you do not submit one, the IRS requires withholding at the Single rate with no other adjustments. You may update this form at any time.

For accurate withholding, use the IRS Tax Withholding Estimator at irs.gov/W4App before completing Steps 2–4.

Step 1 — Personal Information
Your name and SSN are carried from Step 1. Address: —
Filing status is required
Step 2 — Multiple Jobs or Spouse Also 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.
Step 2(c) — Check this box if it applies 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. For more accuracy, use the IRS estimator at irs.gov/W4App.
Step 3 — Claim Dependents
If your total income will be $200,000 or less ($400,000 if married filing jointly), complete Steps 3–4(b). Multiply the number of qualifying children under age 17 by $2,000. Multiply the number of other dependents by $500. Add the amounts and enter the total.
Qualifying children under age 17
E.g. 2 children = $4,000. Enter dollar amount, not number of children.
Other dependents
Step 4 — Other Adjustments (Optional)
4(a) — Other income (not from jobs)
Include interest, dividends, and retirement income. Do not include income from other jobs.
4(b) — 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 the IRS W-4 instructions and enter the result here.
4(c) — Extra withholding
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.

By checking the box below and submitting this form, I am providing my electronic signature in lieu of a handwritten signature on IRS Form W-4, as permitted under applicable law. My name, SSN, and the date submitted serve as my electronic signature and date.
I certify the above W-4 information is true and correct I understand that providing false or fraudulent information may subject me to penalties under federal tax law. I authorize Musgrove and Company to use this withholding certificate for payroll purposes.
📄 Michigan Form MI-W4 — Employee's Michigan Withholding Exemption Certificate

Required by the Michigan Department of Treasury (Form MI-W4, Rev. 12-22). Determines how much Michigan state income tax (currently 4.25%) is withheld from each paycheck. If not submitted, Michigan law requires withholding at the Single rate with zero exemptions.

Employee Information
Name and SSN are carried from Step 1. These fields appear on lines 1–2 of Form MI-W4.
Providing your MI DL/ID helps avoid processing delays. Leave blank if you do not have one.
Line 6 — Personal Exemptions
Enter the total number of personal and dependent exemptions you are claiming. Each exemption reduces the amount of Michigan income tax withheld.

Guidance: If you are single with no dependents, claim 1. If you are married or have dependents, you may claim additional exemptions. You may also use the Michigan withholding tables at michigan.gov/treasury to determine the correct number.
Line 7 — Additional Withholding (Optional)
Enter any additional Michigan income tax you want withheld beyond the standard calculation. Leave blank or 0 if none.
Line 8 — Exemption from Michigan Withholding (Rare)
I claim exemption from Michigan income tax withholding (line 8) Check ONLY if you meet ALL of the following conditions: (a) your Michigan income tax liability for last year was zero AND (b) you expect your Michigan income tax liability for this year to be zero, OR you are a non-resident of Michigan and all your income is from sources outside Michigan. Must re-file each calendar year to maintain exempt status.
Employee Signature
I declare under penalty of perjury that the information I have provided on this form is true, complete, and correct to the best of my knowledge.

By checking the box below, I provide my electronic signature on Form MI-W4 as permitted under Michigan law. My name, SSN, and submission date serve as my signature and date on line 9 of Form MI-W4.
I certify this MI-W4 information is true and correct I authorize Musgrove and Company to use this withholding certificate for Michigan payroll tax purposes. I understand that I must submit a new MI-W4 within 10 days if my exemption status changes.
Create Your 4-Digit PIN

Your PIN is used to log into the CIC app and clock in/out at the shared tablet. Keep it private — do not share it with anyone, including managers.

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You're submitted!
Your information and tax paperwork are in. A manager will activate your account — you'll be able to log into the CIC app once they do.
What happens next
1
Your manager reviews and approves your account (usually same day).
2
Open the CIC app and log in with your PIN.
3
On iOS: Safari → Share icon → "Add to Home Screen". On Android: Chrome will show an install banner.
Open CIC App →