Employee’s Withholding Allowance Certificate IT （员工代扣津贴证书）.pdf

New York State Department of Taxation and Finance IT-2104 Employee’s Withholding Allowance Certificate (1/12) New York State • New York City • Yonkers First name and middle initial Last name Your social security number e p y t r Permanent home address (number and street or rural route) Apartment number Single or Head of household Married o t n Married, but withhold at higher single rate i r City, village, or post office State ZIP code P Note: If married but legally separated, mark an X in the Single or Head of household box. Are you a resident of New York City? Yes No Are you a resident of Yonkers? Yes No Complete the worksheet on page 3 before making any entries. 1 Total number of allowances you are claiming for New York State and Yonkers, if applicable ( from line 17) 1. 2 Total number of allowances for New York City ( from line 28) 2. Use lines 3, 4, and 5 below to have additional withholding per pay period under special agreement with your employer. 3 New York State amount 3. 4 New York City amount 4. 5 Y