Additional withholding amounts​​ To ask your employer to withhold an additional amount each pay period, complete lines 3, 4, and 5 on Form IT-2104, as applicable. Your W-2 Wage and Tax Statement itemizes your total annual wages and the amount of taxes withheld from your paycheck.As an employer, you must record sums that are withheld from employee wages in a ledger account to clearly indicate the amount of state tax withheld. Fill out the contact form or call us at 212.312. Complete this form so that your employer can withhold the correct California state income tax from your pay. Personal Information. This form is for reporting suspected immigration benefit fraud and abuse to USCIS. Complete this form so that your employer can withhold the correct California state income tax from your pay. Personal Information. Purpose: Complete form L-4 so that your employer can withhold the correct amount of state income tax from your salary.