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  1. Use this form to notify your employer whether you are subject to Virginia income tax withholding and how many exemptions you are allowed to claim. You must file this form with your employer when your employment begins.

  2. Virginia Form VA-4, Personal Exemption Worksheet is a state tax form provided by the Virginia Department of Taxation that allows employees to elect how much tax is withheld from their paycheck. It includes two parts: Personal Exemption Worksheet, which you keep for your records.

  3. Download or print the 2023 Virginia Form VA-4 (Employee's Withholding Exemption Certificate) for FREE from the Virginia Department of Taxation.

  4. Use this form to notify your employer whether you are subject to Virginia income tax withholding and how many exemptions you are allowed to claim. You must fi le this form with your employer when your employment begins.

  5. FORM VA-4. COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION. PERSONAL EXEMPTION WORKSHEET. (See back for instructions) If you wish to claim yourself, write “1” .............................................................. _______________ If you are married and your spouse is not claimed.

  6. Use this form to notify your employer whether you are subject to Virginia income tax withholding and how many exemptions you are allowed to claim. You must fi le this form with your employer when your employment begins.

  7. FORM VA-4 INSTRUCTIONS Use this form to notify your employer whether you are subject to Virginia income tax withholding and how many exemptions you are allowed to claim. You must file this form with your employer when your employment begins. If you do not file this form, your employer must withhold Virginia income tax as if you had no exemptions.

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