Form Ga-V - Withholding Payment Voucher - Georgia Department Of Revenue Page 2
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1
2Instructions for Completing the GA V
Taxes are withheld when wages are paid, not when the payroll period ends.
Form GA V must be used to submit monthly payments on or before the 15th of the following month. ANY payment
received after the 15th of the following month will be subject to late charges. Do not send penalty or interest with a
payment. If the 15th is a weekend or holiday, the due date is the next business day.
5,000
Taxpayers who withhold more than $10,000 per month must submit payments by ELECTRONIC FUNDS TRANSFER
(EFT). When initiating the payment, use the date of the last day of the month you are paying as the period
ending date. Do not use the quarter end date. Doing so will cause erroneous payment postings to your account.
Form GA V is NOT required if no tax is withheld for a particular month or if payment was made via EFT.
Do not make changes to the preprinted forms. Make all changes to preprinted information on the enclosed Form
G 5B.
Enter the payment amount on the appropriate GA V form and mail using the labels enclosed.
DO NOT mail this entire page. Cut along dotted line and mail only coupon and payment
DO NOT STAPLE OR PAPER CLIP. PLEASE REMOVE ALL CHECK STUBS
Cut on dotted line
GA-V
MAIL TO:
(Rev.12/07)
(Rev. 6/05)
Withholding Payment Voucher
Georgia Department of Revenue
Telephone No. (404) 417-3210
Processing Center
P.O. Box 740387
Atlanta, GA 30374-0387
USE ONLY FOR TAX YEAR INDICATED
GA Withholding ID
FEI Number
Tax Period
Due Date
Vendor Code
040
I delcare under the penalty of perjury that this return has been examined by me and to the best
NAME AND ADDRESS
of my knowledge is a true and complete return.
Signature
Title
Telephone
Date
DO NOT STAPLE OR PAPER CLIP. REMOVE ALL CHECK STUBS
Date Received
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