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CT CT-W4NA exemption certificate
 

CT CT-W4NA exemption certificate

 

CT CT-W4NA exemption certificate

 

Manual

  • Paper: Letter (8.5in x 11in)
  • Copies to print: 2
  • Do not 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.

Online

 

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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