Form VA-4 Instructions

Checklist

Form VA-4 - Employee's Virginia Income Tax Withholding Exemption Certificate (pdf)

If you are a Virginia resident:

• Enter your social security number, name and address.
• Indicate the number of withholding exemptions you are claiming. If you are unsure about the number of exemptions to claim, use the Personal Exemption worksheet on the top of the Form VA-4 to determine the correct deduction.
• Sign and date the form.
• If you work at Census Headquarters in the State of Maryland, you must complete and sign the Certification of Non-residence (#4) on the Maryland state tax form (Form MW 507) to waive Maryland state taxes. Instructions for claiming non-residence are found on page 2 under "Line 4".