22020 U.S. HWY 18 • APPLE VALLEY CA
(760) 961- 8696
Distillery & Stillhouse
Restaurant & Bar
Market at TE
Photos & Videos
TE Horse Division
DE4-California Tax Withholding Form
First, Middle, Last Name
Social Security Number
City, State, and ZIP Code
SINGLE or MARRIED (with two or more incomes)
MARRIED (one income)
HEAD OF HOUSEHOLD
Total Number of Allowances you’re claiming (Use Worksheet A for regular withholdingallowances. Use other worksheets on the following pages as applicable, Worksheet A+B).
Additional amount, if any, you want withheld each pay period (if employer agrees), (Worksheet B and C)
I claim exemption from withholding for 2020, and I certify I meet both of the conditions for exemption.
I certify under penalty of perjury that I am not subject to California withholding. I meet the conditions setforth under the Service Member Civil Relief Act, as amended by the Military Spouses Residency Relief Actand the Veterans Benefits and Transition Act of 2018.
I agree to add/update my tax information in our payroll system
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