Form De-4, 2014, Employee'S Withholding Allowance Certificate
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4This form can be used to manually compute your
withholding allowances, or you can electronically
compute them at
EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE
Type or Print Your Full Name
Your Social Security Number
Home Address (Number and Street or Rural Route)
Filing Status Withholding Allowances
SINGLE or MARRIED (with two or more incomes)
City, State, and ZIP Code
MARRIED (one income)
HEAD OF HOUSEHOLD
1. Number of allowances for Regular Withholding Allowances, Worksheet A
Number of allowances from the Estimated Deductions, Worksheet B
Total Number of Allowances (A + B) when using the California
Withholding Schedules for 2014
OR
2. Additional amount of state income tax to be withheld each pay period (if employer agrees), Worksheet C
OR
3. I certify under penalty of perjury that I am not subject to California withholding. I meet the conditions set forth under
the Service Member Civil Relief Act, as amended by the Military Spouses Residency Relief Act.
(Check box here)
Under the penalties of perjury, I certify that the number of withholding allowances claimed on this certifi cate does not exceed the
number to which I am entitled or, if claiming exemption from withholding, that I am entitled to claim the exempt status.
Signature
Date
Employer’s Name and Address
California Employer Account Number
GCCCD
80096183
cut here
Give the top portion of this page to your employer and keep the remainder for your records.
YOUR CALIFORNIA PERSONAL INCOME TAX MAY BE UNDERWITHHELD IF YOU DO NOT FILE THIS DE 4 FORM.
IF YOU RELY ON THE FEDERAL FORM W-4 FOR YOUR CALIFORNIA WITHHOLDING ALLOWANCES, YOUR CALIFORNIA STATE
PERSONAL INCOME TAX MAY BE UNDERWITHHELD AND YOU MAY OWE MONEY AT THE END OF THE YEAR.
PURPOSE: This certifi cate, DE 4, is for California Personal Income
certifi cate for your state income tax withholding, you may
Tax (PIT) withholding purposes only. The DE 4 is used to compute
be signifi cantly underwithheld. This is particularly true if your
the amount of taxes to be withheld from your wages, by your
household income is derived from more than one source.
employer, to accurately refl ect your state tax withholding obligation.
CHECK YOUR WITHHOLDING: After your Form W-4
and/or DE 4 takes effect, compare the state income tax withheld
You should complete this form if either:
with your estimated total annual tax. For state withholding, use
(1) You claim a different marital status, number of regular allowances,
the worksheets on this form, and for federal withholding use
or different additional dollar amount to be withheld for California PIT
the Internal Revenue Service (IRS) Publication 919 or federal
withholding than you claim for federal income tax withholding or,
withholding calculations.
(2) You claim additional allowances for estimated deductions.
EXEMPTION FROM WITHHOLDING: If you wish to claim
exempt, complete the federal Form W-4. You may claim exempt
THIS FORM WILL NOT CHANGE YOUR FEDERAL
from withholding California income tax if you did not owe
WITHHOLDING ALLOWANCES.
any federal income tax last year and you do not expect to owe
The federal Form W-4 is applicable for California withholding
any federal income tax this year. The exemption automatically
purposes if you wish to claim the same marital status, number
expires on February 15 of the next year. If you continue to
of regular allowances, and/or the same additional dollar amount
qualify for the exempt fi ling status, a new Form W-4 designating
to be withheld for state and federal purposes. However, federal
EXEMPT must be submitted before February 15. If you are not
tax brackets and withholding methods do not refl ect state PIT
having federal income tax withheld this year but expect to have a
withholding tables. If you rely on the number of withholding
tax liability next year, the law requires you to give your employer
allowances you claim on your Form W-4 withholding allowance
a new Form W-4 by December 1.
DE 4 Rev. 42 (1-14) (INTERNET)
Page 1 of 4
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