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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. Ordering Forms. If you need to order forms, call Customer Services: Individuals: 804.367.8031. Businesses: 804.367.8037. To purchase Virginia Package X (copies of annual forms), complete and mail the Package X Order Form.

  4. Form W-4, Employee's Withholding Allowance Certificate (PDF). Form VA-4, Employee's Virginia Income Tax Withholding Exemption Certificate. The Overview of New Hire Forms (PDF) provides instructions on completing many of these forms.

  5. 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.

  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 file this form with your employer when your employment begins.

  7. FORM VA-4 EMPLOYEES VIRGINIA INCOME TAX WITHHOLDING EXEMPTION CERTIFICATE. COMPLETE THE APPLICABLE LINES BELOW. If subject to withholding, enter the number of exemptions claimed on: Subtotal of Personal Exemptions - line 4 of the.

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