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COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION
 

Summary: COMMONWEALTH OF VIRGINIA
DEPARTMENT OF TAXATION
PERSONAL EXEMPTION WORKSHEET
(See back for instructions)
1. If you wish to claim yourself, write "1".............................................................. _______________
2. If you are married and your spouse is not claimed
onhisorherowncertificate,write"1"............................................................... _______________
3. Write the number of dependents you will be allowed to claim
on your income tax return (do not include your spouse)................................... _______________
4. Subtotal Personal Exemptions (add lines 1 through 3)..................................... _______________
5. Exemptions for age
(a) If you will be 65 or older on January 1, write "1" .................................. _______________
(b) If you claimed an exemption on line 2 and your spouse
will be 65 or older on January 1, write "1" ............................................ _______________
6. Exemptions for blindness
(a) If you are legally blind, write "1" ........................................................... _______________
(b) If you claimed an exemption on line 2 and your
spouse is legally blind, write "1" ........................................................... _______________
7. Subtotal exemptions for age and blindness (add lines 5 through 6)................................................... ______________
8. Total of Exemptions - add line 4 and line 7 ......................................................................................... ______________

  

Source: Acton, Scott - Department of Electrical and Computer Engineering, University of Virginia
Bordenstein, Seth - Department of Biological Sciences, Vanderbilt University

 

Collections: Biology and Medicine; Computer Technologies and Information Sciences