Fillable 13 Hr Wv It 104 0 (Hagerstown Community College)

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13 Hr Wv It 104 0 (Hagerstown Community College)

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File type: PDF

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WEST
VIRGINIA
EMPLOYEE’S
WITHHOLDING
EXEMPTION
CERTIFICATE
FORM
WVIIT-104
Complete
this
form
and
present
it
to
your
employer
to
avoid
any
delay
in
adjusting
the
amount
of
state
income
tax
to
be
withheld
from
your
wages.
If
you
do
not
complete
this
form,
the
amount
of
tax
that
is
now
being
withheld
from
your
pay
may
not
be
sufficient
to
cover
the
total
amount
of
tax
due
the
state
when
filing
your
personal
income
tax
return
after
the
close
of
the
year.
You
may
be
subject
to
a
penalty
on
tax
owed
the
state.
Individuals
are
permitted
a
maximum
of
one
exemption
for
themselves,
plus
an
additional
exemption
for
their
spouse
and
any
dependent
other
than
their
spouse
that
they
expect
to
claim
on
their
tax
return.
If
you
are
married
and
both
you
and
your
spouse
work
and
you
file
a
joint
income
tax
return,
or
if
you
are
working
two
or
more
jobs,
the
revised
withholding
tables
should
result
in
a
more
accurate
amount
of
tax
being
withheld.
If
you
are
Single,
Head
of
Household,
or
Married
and
your
spouse
does
not
work,
and
you
are
receiving
wages
from
only
one
job,
and
you
wish
to
have
your
tax
withheld
at
a
lower
rate,
you
must
check
the
box
on
line
5.
When
requesting
withholding
from
pension
and
annuity
payments
you
must
present
this
completed
form
to
the
payor.
Enter
the
amount
you
want
withheld
on
line
6.
If
you
determine
the
amount
of
tax
being
withheld
is
insufficient,
you
may
reduce
the
number
of
exemptions
you
are
claiming
or
request
additional
taxes
be
withheld
from
each
payroll
period.
Enter
the
additional
amount
you
want
to
have
withheld
on
line
6.
Cuthere
WVItI.104
WEST
VIRGINIA
EMPLOYEEE’S
WITHHOLDING
EXEMPTION
CERTIFICATE
Rev.
12109
Name
_________________
_______
Soda!
Secudy
Number
_______________________
Address
City____________
-________________
State________________
Zip
Code
1.
If
SINGLE.
and
you
claim
an
exemption,
enter”l,
if
you
do
not,
enter0
2.
If
MARRIED,
one
exemption
each
for
husband
and
wife
if
not
claimed
on
another
certificate,
(a)
If
you
claim
both
of
these
exemptions,
enter
(b)
If
you
claim
one
of
these
exemptions,
enter
1’
(c)
If
you
claim
neither
of
these
exemptions,
enter
3.
If
you
claim
exemptions
for
one
or
more
dependents,
enter
the
number
of
such
exemptions
4.
Add
the
number
of
exemptions
which
you
have
claimed
above
and
enter
the
total
I
I
5.
if
you
are
Single.
Head
of
Household,
or Married
and
your
spouse
does
not
work,
and
you
are
receiving
wages
from
only
one
job,
and
you
wish
to
have
your
tax
withheld
at
a
lower
rate,
check
here
6.
Additicnal
withholding
per
pay
penod
under
agreement
with
employer,
enter
amount
here
S
_________
CERTIFY,
under
penalties
provided
by
law,
that
the
number
of
exemptions
claimed
in
this
certificate
is
not
in
excess
of
those
to
which
I
am
entitled.
Date
____________
_________
Signature
______________________________________________
NONRESOENTSSEE
REVERSE
SIDE
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13 Hr Wv It 104 0 (Hagerstown Community College)

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Completed 18 July 2020

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