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How to fill out the WV/IT-104 online
This guide provides comprehensive instructions for completing the WV/IT-104, a low-income earned income exclusion certificate. By following these steps, you can easily fill out the form online and submit it to your employer.
Follow the steps to complete the WV/IT-104 online.
- Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
 - Begin by clearly printing or typing your full name in the designated field at the top of the form.
 - Next, fill in your home address, including city, state, and zip code, ensuring all details are accurate.
 - You will then need to enter your Social Security number in the specified field.
 - In the certification statement, indicate that you believe your federal adjusted gross income for the current calendar year will be $10,000 or less (or $5,000 or less if married and filing separately).
 - Review the statement to ensure accuracy and understanding of the implications of this certification.
 - Sign and date the form, confirming that the information provided is true and correct.
 - After completing the form, save your changes, and download or print a copy for your records.
 - Finally, submit the completed WV/IT-104 to your employer, ensuring they retain the form for their records.
 
Complete your WV/IT-104 form online today to ensure your low-income earned income exclusion is processed efficiently.
WEST VIRGINIA CERTIFICATE OF NONRESIDENCE This form is to be completed by employees who reside in Kentucky, Maryland, Ohio, Pennsylvania, Virginia or by an employee who is a Military Spouse exempt from income tax on wages.
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