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Number, employee(s) name, last known address, and amount of SDI not refunded. If you have not issued Form(s) W-2, the EDD will allow PIT wage and withholding credit adjustments. Please enter changes in Section V. If you have issued Form(s) W-2, the employee will receive a credit for the PIT overwithholdings when filing his/her California Income Tax Return (Form 540) with the Franchise Tax Board. Do not refund PIT overwithholdings to the employee. Do not change the California PIT withholding.

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