Form Va-4p - Virginia Withholding Exemption Certificate For Recipients Of Pension And Annuity Payments - 2007

Download a blank fillable Form Va-4p - Virginia Withholding Exemption Certificate For Recipients Of Pension And Annuity Payments - 2007 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Va-4p - Virginia Withholding Exemption Certificate For Recipients Of Pension And Annuity Payments - 2007 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

FORM VA-4P INSTRUCTIONS
VIRGINIA DEPARTMENT OF TAXATION
WITHHOLDING EXEMPTION CERTIFICATE FOR RECIPIENTS OF
PENSION AND ANNUITY PAYMENTS
Use this form to notify your pension
this form to elect “no withholding” if you have
can download Form 760-ES or electronically
administrator or other payer whether
made a similar election for
file your estimated payment on our website,
income tax is to be withheld, and on what
federal purposes, or if you meet any of
You may also order
basis.
the conditions listed in the instructions for
Form 760-ES by calling (804) 440-2541 or
Line 4 of Form VA-4P on the reverse side
contacting your local commissioner of the
Am I required to file Form VA-4P? Yes. You
of this sheet.
revenue.
MUST file Form VA-4P with your pension or
annuity payer before your payments begin.
What if I have other income? If you have
How do I complete Form VA-4P?
If you do not file Form VA-4P, your payer
income from other sources which is not
Be sure to read the instructions on the
is required to withhold Virginia income tax
subject to Virginia income tax withholding,
reverse side of this page carefully before
from your payments as if you had claimed
you should consider making estimated tax
completing Form VA-4P. If you need
zero exemptions.
payments on form 760-ES, or requesting
assistance, you may contact the Department
that an additional amount of tax be withheld
of Taxation at (804) 367-8037.
Can I elect “no withholding”?. You may use
from your pension or annuity payment. You
PERSONAL EXEMPTION WORKSHEET
1.
Enter “1” for yourself...................................................................................................
2.
If you are married and your spouse is not claimed on his or her own certificate,
enter “1” ......................................................................................................................
3.
Enter the number of dependents you will claim on your income tax return
(do not include your spouse) ......................................................................................
4.
Subtotal of Personal Exemptions - add lines 1 - 3 ......................................................................................
___________________
5.
Exemptions for age
a)
It you will be 65 or older on January 1, enter “1” .................................................
b)
If you claimed an exemption on line 2 above and your spouse will
be 65 or older on January 1, enter “1”.................................................................
6.
Exemptions for blindness
a)
If you are legally blind enter “1” ...........................................................................
b)
It you claimed an exemption on line 2 above and your spouse is
legally blind, enter “1 “ .........................................................................................
7.
Subtotal of Age and Blindness Exemptions - add lines 5 & 6 .....................................................................
___________________
Total exemptions (add lines 4 and 7) ......................................................................................................
___________________
8.
--------------------------------------- CUT HERE AND SEND TO THE PAYER OF YOUR PENSION OR ANNUITY -------------------------------------
FORM VA-4P Virginia Withholding Exemption Certificate for
Recipients of Pension and Annuity Payments
Your Social Security Number
Name
Street Address
City
State
Zip Code
Complete the applicable lines below:
1.
If subject to withholding, enter the number of exemptions claimed on
(a) Subtotal of Personal Exemptions - line 4 of the Personal Exemption Worksheet ..................................
___________________
(b) Subtotal of Age and Blindness Exemptions - line 7 of the Personal Exemption Worksheet ..................
___________________
(c) Total Exemptions - line 8 of the Personal Exemption Worksheet ...........................................................
___________________
.
2.
Enter the amount of additional withholding requested (see instructions) ....................................................
______________
___
.
3.
Enter the amount of voluntary withholding requested (see instructions) .....................................................
______________
___
4.
I certify that I am not subject to Virginia withholding, either because I have elected “no withholding”
for federal purposes, or I meet the conditions for exemption set forth in the instructions for
Form VA-4P. ........................................................................................................................ (Check here.)
j
Signature _______________________________________________________________________
Date _______________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2