Form DE 4, Employee's Withholding Allowance Certificate Completed Form Examples and Samples
Explore practical examples and samples of the California Form DE 4, Employee's Withholding Allowance Certificate. Learn how to accurately fill out your tax withholding forms with our easy-to-follow guides and templates.
Form DE 4 Employee's Withholding Allowance Certificate Example
How this form was filled:
This example demonstrates how an AI intelligently parses an onboarding email to populate a California Form DE 4. The AI identifies specific tax-related details—such as filing status, exemption claims, and payroll account numbers—from unstructured prose to automatically complete the required withholding certificate.
Source document used: Employee Onboarding Email
Subject: Onboarding Details - Marcus Thorne Hi HR Team, I am so excited to be starting at Velocity Tech Solutions on March 15, 2026. Please find my information for the onboarding packet below. My full name is Marcus J. Thorne, and I reside at 4421 Pinecrest Drive, Apt 4B, San Francisco, CA 94112. My Social Security Number is 000-55-9988. Regarding my tax withholding status, I am filing as Single. I have one allowance for myself and I am not claiming any dependents at this time. I have calculated my estimated itemized deductions to be $12,000 against a standard deduction of $9,074, which I know needs to be factored in for my withholding. I do not have significant nonwage income, so I would like to keep it simple and just claim the standard allowances for now. My employer, Velocity Tech Solutions, is located at 1200 Innovation Way, San Francisco, CA 94105. For your payroll records, our CA Employer Payroll Tax Account Number is 123-4567-8. I’ve attached my direct deposit information separately. Please let me know if you need any additional forms signed before my start date next Monday. I'm looking forward to the team meeting! Best regards, Marcus J. Thorne
Information used to fill out the document:
- Employee Identity: Marcus J. Thorne, SSN: 000-55-9988
- Residential Address: 4421 Pinecrest Drive, Apt 4B, San Francisco, CA 94112
- Filing Status: Single
- Withholding Allowances: 1 (Allowance for Self)
- Employer Details: Velocity Tech Solutions, CA Payroll Tax Account 123-4567-8
- Tax Calculations: Itemized Deductions: $12,000; Standard: $9,074
What this filled form sample shows:
- Automatic extraction of PII (Name, SSN, Address) from prose
- Contextual mapping of tax filing status to specific form checkboxes
- Intelligent identification of payroll tax identifiers versus standard mailing addresses
- Normalization of date formats for official form compliance
Form specifications and details:
| Form Name: | Form DE 4 |
| Agency: | California Employment Development Department |
| Use Case: | Employee tax withholding setup |
| Target Tax Year: | 2026 |
| Categories: | employee forms, employee withholding forms, withholding forms |
| Created: | May 25, 2026 09:51 PM |