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Virginia Free Printable Form VA-4P -  Virginia Withholding Exemption Certificate for Recipients of Pension and Annuity Payments for 2021 Virginia Withholding Exemption Certificate for Recipients of Pension and Annuity Payment

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Withholding Exemption Certificate for Recipients of Pension and Annuity Payment
Form VA-4P - Virginia Withholding Exemption Certificate for Recipients of Pension and Annuity Payments

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 administrator or other payer whether income tax is to be withheld, and on what basis. Am I required to file Form VA-4P? Yes. You MUST file Form VA-4P with your pension or annuity payer before your payments begin. If you do not file Form VA-4P, your payer is required to withhold Virginia income tax from your payments as if you had claimed zero exemptions. Can I elect “no withholding”?. You may use this form to elect “no withholding” if you have made a similar election for federal purposes, or if you meet any of the conditions listed in the instructions for Line 4 of Form VA-4P on the reverse side of this sheet. file your estimated payment on our website, www.tax.virginia.gov. You may also order Form 760ES by calling (804) 367-8037 or contacting your local commissioner of the revenue. What if I have other income? If you have income from other sources which is not subject to Virginia income tax withholding, you should consider making estimated tax payments on Form 760ES or requesting that an additional amount of tax be withheld from your pension or annuity payment. You can download Form 760ES or electronically How do I complete Form VA-4P? Be sure to read the instructions on the reverse side of this page carefully before completing Form VA-4P. If you need assistance, you may contact the Department of Taxation at (804) 367-8037. 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) If 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) If 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.................................................................... ____________________ 8. Total exemptions (add Lines 4 and 7) ..................................................................................................... ____________________ --------------------------------------- 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: 2601062  Rev. 04/19 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 ________________________________ FORM VA-4P LINE BY LINE INSTRUCTIONS PERSONAL EXEMPTION WORKSHEET In order to compute the proper amount of Virginia income tax withheld, your payer must know the number of personal exemptions you are entitled to claim. The Personal Exemption Worksheet is designed to allow you to review all of the possible exemptions so that you can choose the appropriate number to report to your payer. You may not claim more exemptions on Form VA-4P than you are entitled to claim on your income tax return, unless you have received written permission to do so from the Department of Taxation. Line 1. You may claim an exemption for yourself. Line 2. You may claim an exemption for your spouse if he or she is not already claimed on his or her own certificate. Line 3. Enter the number of dependents you are allowed to claim on your income tax return. NOTE: A spouse is not a dependent. Line 5. If you will be age 65 or over by January 1, you may claim one exemption on Line 5(a). If you claim an exemption for your spouse on Line 2, and your spouse will also be age 65 or over by January 1, you may claim an additional exemption on Line 5(b). Line 6. If you are legally blind, you may claim an exemption on Line 6(a). If you claimed an exemption for your spouse on Line 2, and your spouse is legally blind, you may claim an exemption on Line 6(b). Retain this worksheet for your records. FORM VA-4P Be sure to enter your name, address, and Social Security number in the spaces provided. Your payer must have this information to properly identify your withholding liability. Line 1. If you are subject to withholding, enter the number of exemptions from: (a) Subtotal of Personal Exemptions – Line 4 of the Personal Exemption Worksheet (b) Subtotal of Exemptions for Age and Blindness – Line 7 of the Personal Exemption Worksheet (c) Total Exemptions – Line 8 of the Personal Exemption Worksheet Line 2. If you wish to have an additional amount withheld from your payment, enter the amount on Line 2. Line 3. If you elected “no withholding” for federal purposes, but wish to have Virginia income tax withheld, enter the amount you want withheld from each payment on Line 3. Line 4. If you are not subject to Virginia withholding, check the box on Line 4. You are not subject to Virginia withholding if you meet any of the following conditions: (a) You elected “no withholding” for federal purposes; or (b) You are not a resident of Virginia; or (c) You incurred no income tax liability for last year and do not expect to incur a liability for this year; or (d) You expect your Virginia adjusted gross income to be less than the amount shown below for your filing status: Taxable Years Taxable Years Taxable Years Taxable Years 2005, 2006 2008 and 2010 and 2012 and and 2007 2009 2011 Beyond Single $7,000 $11,250 $11,650 $11,950 Married $14,000 $22,500 $23,300 $23,900 Married, filing a separate return $7,000 $11,250 $11,650 $11,950 Sign Form VA-4P, cut at the line indicated, and file the completed form with your payer.
Extracted from PDF file 2020-virginia-form-va-4p.pdf, last modified April 2019

More about the Virginia Form VA-4P Individual Income Tax Voucher TY 2020

We last updated the Withholding Exemption Certificate for Recipients of Pension and Annuity Payment in February 2021, so this is the latest version of Form VA-4P, fully updated for tax year 2020. You can download or print current or past-year PDFs of Form VA-4P directly from TaxFormFinder. You can print other Virginia tax forms here.


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Other Virginia Individual Income Tax Forms:

TaxFormFinder has an additional 135 Virginia income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 760ES VA Estimated Income Tax Payment Vouchers and Instructions for Individuals
Form 760 Resident Individual Income Tax Return
Form 760C Underpayment of Estimated tax by Individuals, Estates, and Trusts
Form 763 Instructions Nonresident Income Tax Instructions
Form VA-4 Employee's Withholding Exemption Certificate

Download all VA tax forms View all 136 Virginia Income Tax Forms


Form Sources:

Virginia usually releases forms for the current tax year between January and April. We last updated Virginia Form VA-4P from the Department of Taxation in February 2021.

Show Sources >

Form VA-4P is a Virginia Individual Income Tax form. Payment vouchers are provided to accompany checks mailed to pay off tax liabilities, and are used by the revenue department to record the purpose of the check and the SSN/EIN of the taxpayer who sent it. Many states recommend that taxpayers also write their social security number and the purpose of the payment on the check itself, in case the accompanying payment voucher is misplaced or destroyed.

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Virginia Form VA-4P

We have a total of nine past-year versions of Form VA-4P in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2020 Form VA-4P

Form VA-4P - Virginia Withholding Exemption Certificate for Recipients of Pension and Annuity Payments

2019 Form VA-4P

Form VA-4P - Virginia Withholding Exemption Certificate for Recipients of Pension and Annuity Payments

Withholding Exemption Certificate for Recipients of Pension and Annuity Payments 2013 Form VA-4P

VA-4P 11 27 07.indd

2012 Form VA-4P

VA-4P 11 27 07.indd

2011 Form VA-4P

VA4-P 11 27 07.indd


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