Form W-4vt - Vermont Employee Withholding Allowance Certificate
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1Changes for 2002: Because employers no longer compute Vermont withholding as a percentage of federal with-
holding, W-4VT and instructions have been modified. In response to employers’ comments that the use of federal
W-4 information for some but not all employees was difficult to administer, W-4VT no longer provides a box
allowing employees to request the federal W-4 be used for Vermont tax. Box 3 on the form is now available for the
employer’s use.
Instructions for completing Form W-4VT
Who must complete Form W-4VT:
·
·
Completing Form W-4VT:
Parts 1 and 2
Part 3:
Part 4: a.
b.
c.
Part 5:
This form may be photocopied as needed.
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W-4VT
Vermont Employee’s Withholding Allowance Certificate
Part 1
Part 2
First Name
Initial
Last Name
Social Security Number
Part 3
(or other employer information required by employer)
a.
Part 4
c
c
c
c
c
b.
b.
c.
c. $
Part 5
Signature
Date
Rev. 12/01
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