This form contains 47 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Employer Section
Employer Name and Address Text
Enter the full legal name and mailing address of the employer.
CA Employer Payroll Tax Account Number Text
Enter the California Employer Payroll Tax Account Number.
Estimated Deductions
Estimated Itemized Deductions Number
Please enter your estimated itemized deductions for California taxes for this tax year as listed in the schedules in the FTB Form 540. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Applicable Standard Deduction Number
Please enter the standard deduction amount applicable to your filing status, either $9,074 or $4,537. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Difference (Line 1 minus Line 2) Number
Please enter the result of subtracting the value from Line 2 from the value in Line 1. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Estimated Adjustments to Income Number
Please enter an estimate of your adjustments to income, such as alimony payments or IRA deposits. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Sum (Line 3 plus Line 4) Number
Please enter the sum of the values from Line 3 and Line 4. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Estimated Nonwage Income Number
Please enter an estimate of your nonwage income, including dividends, interest income, and alimony receipts. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Difference (Line 5 minus Line 6) Number
If the value in Line 5 is greater than the value in Line 6, please enter the result of subtracting Line 6 from Line 5. Fill only if 'Sum (Line 3 plus Line 4)', 'Estimated Nonwage Income' line 5 (11) is greater than line 6 (12).
Depends on: Sum (Line 3 plus Line 4), Estimated Nonwage Income
Additional Withholding Allowances Number
Please divide the amount in Line 7 by $1,000, and enter the result rounded to the nearest whole number. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Nonwage Income (Conditional) Number
If the value in Line 6 is greater than the value in Line 5, please enter the amount from Line 6 (nonwage income). Fill only if 'Sum (Line 3 plus Line 4)', 'Estimated Nonwage Income' line 6 (12) is greater than line 5 (11).
Depends on: Estimated Nonwage Income, Sum (Line 3 plus Line 4)
Deductions (Conditional) Number
Please enter the amount from Line 5 (deductions). Fill only if 'Sum (Line 3 plus Line 4)', 'Estimated Nonwage Income' line 6 (12) is greater than line 5 (11).
Depends on: Estimated Nonwage Income, Sum (Line 3 plus Line 4)
Difference (Line 9 minus Line 10) Number
Please enter the result of subtracting the value from Line 10 from the value in Line 9. Fill only if 'Sum (Line 3 plus Line 4)', 'Estimated Nonwage Income' line 6 (12) is greater than line 5 (11).
Depends on: Estimated Nonwage Income, Sum (Line 3 plus Line 4)
Exemption Information
Withholding Exemption Claim Text
Indicate if you are claiming an exemption from withholding by writing 'Exempt' here.
Service Member Withholding Exemption Checkbox
Check this box if you are not subject to California withholding and meet the conditions set forth under the Service Member Civil Relief Act, as amended by the Military Spouses Residency Relief Act.
Filing Status
Single or Married (two or more incomes) Checkbox
Check this box if you are filing as single or married with two or more incomes.
Married (one income) Checkbox
Check this box if you are filing as married with only one income.
Head of Household Checkbox
Check this box if you qualify to file as Head of Household.
General
Use button to clear all entries Button
Personal Information
Full Name Text
Enter your first name, middle name, and last name.
Social Security Number Text
Enter your nine-digit Social Security Number.
Street Address Text
Enter your street address, including apartment or unit number if applicable.
City, State, and ZIP Code Text
Enter your city, state abbreviation, and five-digit ZIP code.
Regular Withholding Allowances
Allowance for Yourself Text
Enter 1 if you are claiming an allowance for yourself. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Allowance for Spouse Text
Enter 1 if you are claiming an allowance for your spouse and they are not claiming it separately. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Allowance for Blindness (Self) Text
Enter 1 if you are claiming an allowance for your own blindness. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Allowance for Blindness (Spouse) Text
Enter 1 if you are claiming an allowance for your spouse's blindness and they are not claiming it separately. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Allowances for Dependents Text
Enter the number of allowances you are claiming for your dependents, not including yourself or your spouse. Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Total Regular Withholding Allowances Text
Enter the total sum of allowances from lines (A) through (E). Fill only if 'I claim exemption from withholding for 2020' is 'No'.
Depends on: Withholding Exemption Claim
Signature Date
Signature Date Date
Please provide the date when the employee signed the form.
Withholding Allowances
Total Withholding Allowances Text
Enter the total number of withholding allowances you are claiming.
Additional Withholding Amount Number
Enter any additional amount you want withheld from each pay period.
Worksheet C - Additional Tax Withholding and Estimated Tax
Total Wages Estimate Number
Enter your estimated total wages for the tax year 2020. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Nonwage Income Estimate Number
Enter your estimated nonwage income as calculated on line 6 of Worksheet B. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Sum of Wages and Nonwage Income Number
Enter the sum of the amounts from line 1 and line 2. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Itemized or Standard Deduction Number
Enter your itemized deductions or standard deduction, whichever is larger, as determined from line 1 or 2 of Worksheet B. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Adjustments to Income Number
Enter any adjustments to income as calculated on line 4 of Worksheet B. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Sum of Deductions and Adjustments Number
Enter the sum of the amounts from line 4 and line 5. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Income After Deductions Number
Enter the result of subtracting the amount from line 6 from the amount on line 3. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Tax Liability Number
Enter your tax liability calculated for the amount on line 7 using the 2020 tax rate schedules. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Personal Exemptions Number
Enter the total amount for personal exemptions as calculated from line F of Worksheet A multiplied by $134.20. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Taxable Income After Exemptions Number
Enter the result of subtracting the amount from line 9 from the amount on line 8. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Total Tax Credits Number
Enter the total amount of any applicable tax credits as referenced in FTB Form 540. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Total Tax Liability After Credits Number
Enter the result of subtracting the amount from line 11 from the amount on line 10, which represents your total tax liability. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Total Tax Withheld and Estimated Number
Enter the total amount of tax withheld and estimated to be withheld during 2020, including amounts already withheld and future estimated withholdings. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Additional Tax Withholding Needed Number
Enter the result of subtracting the amount from line 13 from the amount on line 12. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions
Per Pay Period Additional Withholding Number
Enter the result of dividing the amount from line 14 by the number of pay periods remaining in the year, which should then be entered on line 2 of the DE 4. Fill only if 'Will you itemize your deductions?' is 'Yes'.
Depends on: Estimated Itemized Deductions