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EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE

DE 4 Rev. 50 (1-21) EMPLOYEE S WITHHOLDING ALLOWANCE CERTIFICATEC omplete this form so that your employer can withhold the correct california state income tax from your Personal InformationFirst, Middle, Last NameSocial Security NumberAddressCity, State, and ZIP CodeFiling Status SINGLE or MARRIED (with two or more incomes) MARRIED (one income) HEAD OF HOUSEHOLD1. Use Worksheet A for Regular WITHHOLDING allowances. Use other worksheets on the following pages as applicable. 1a. Number of Regular WITHHOLDING Allowances (Worksheet A) _____1b. Number of allowances from the Estimated Deductions (Worksheet B, if applicable.) _____1c. Total Number of Allowances you are claiming 2. Additional amount, if any, you want withheld each pay period (if employer agrees), (Worksheet C) ORExemption from Withholding3. I claim exemption from WITHHOLDING for 2021, and I certify I meet both of the conditions for exemption. (Check box here) OR4. I certify under penalty of perjury that I am not subject to california WITHHOLDING .

Publications.htm). To assist you in calculating your tax liability, please visit the Franchise Tax Board (FTB) (ftb.ca.gov). If you need information on your last . California Resident Income Tax Return (FTB Form 540), visit the. FTB (ftb.ca.gov). NOTIFICATION: The burden of proof rests with the employee to show the correct California income tax ...

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