VT – Horizons Portal

Download W4 Instructions
Filing Status
- Single
- Married/Civil Union Filing Jointly
- Married/Civil Union Filing Separately
- Married, but withhold at higher single rate

Vermont Allowances Worksheet
1. Enter “1” for yourself if no one can claim you as a dependent
2. Enter “1” if you are filing jointly and your spouse does not work.
3. Enter the number of dependents you plan to claim on your tax return. If you file jointly, then only one of you should claim the dependents on your W-4VT.
4. Enter “1” if you plan to file as “head of household”.
5. Total number of Vermont allowances. (Add Lines 1 through 4 and enter total here.).
6. Enter an additional amount, if any, you want withheld from each check
Exempt: If you had a right to a refund of all your Vermont income tax withheld last year because you had no tax liability and you also expect to have no liability this year, write “Exempt” here..

Under penalties of perjury, I certify that I have examined this certificate and to the best of my knowledge and belief, it is true, correct, and complete.*
- I certify the above statement
Social Security Number*
Employee Signature – Type Your Name*
Today's Date*
My IP Address is: 44.192.115.114
This form was submitted on: 09/21/2023

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