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Employee action request - California

STATE OF California STATE CONTROLLER S OFFICE Employee action request STD. 686 (REV 12/2020) **IMPORTANT** Before completing Section E, you must read the instructions on internal revenue Service (IRS) Form W-4 and the applicable state tax form. (For California , use Form DE-4) withholding CHANGE OR NEW EMPLOYEENOTE: Social Security Number and Last Name, First Name, and Middle Initial must be entered exactly as shown on Social Security claim that the wages I will be receiving from the State are either a 1) MINISTER OF A CHURCH in the exercise of his/her ministry, 2) NONRESIDENT ALIEN wages, or 3) DECEASED Employee WAGES. Indicate reason (See General Information on reverse)III. ADDITIONAL DEDUCTIONS Part I and Part II must be completed. Complete box(es) 11 and/or 12 if you wish additional Federal and/or State tax withheld from your wages.

Internal Revenue Service (IRS) Form W-4. 04. HIGHER WITHHOLDING (TWO JOB INDICATOR - STEP 2(C) ON THE IRS 2020 FORM W-4): Y- YES TO HIGHER WITHOLDING N - NO TO HIGHER WITHOLDING 05. CLAIM DEPENDENTS: Enter the annual amount to be claimed.This is the amount for the child tax credit

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