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CT CT-W4NA exemption certificate
 

CT CT-W4NA exemption certificate

 

CT CT-W4NA exemption certificate

 
  • Paper: Letter (8.5in x 11in)
  • Copies to print: 2
  • Don't mail this form to the Department of Revenue Services.
  • Give the certificate to your employer.
  • Employees filing this form must also submit form CT-W4.
 

Employees must complete this form if the following are true:

  • Nonresident who performs services partly within and partly outside of Connecticut for the same employer.
  • The percentage of services you perform within Connecticut has changed from the percentage you indicated on the most recent CT-W4NA on file with your employer.
  • Residency status has changed from resident to nonresident.
 
  • To be used by nonresidents to file exemption from state withholding tax.
     





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