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Employee's Withholding Allowance Certificate (DE 4)

Employee's Withholding Allowance Certificate . Complete this form so that your employer can withhold the correct California state income tax from your paycheck. Enter Personal Information First, Middle, Last Name Social Security Number Address Filing Status City, State and ZIP Code SINGLE or MARRIED (with two or more incomes). , MARRIED (one income). HEAD OF HOUSEHOLD. 1. 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.)

Employee's Signature Date Employer's Section: Employer's Name and Address , California Employer Payroll Tax Account Number PURPOSE: This certificate, DE 4, is for California Personal Income Tax (PIT) withholding purposes only. The DE 4 is used to compute the amount of taxes to be withheld from your wages, by your employer, to accurately

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