Form G-7 - Quarterly Return - For Monthly Payer - 2004
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G-7 QUARTERLY RETURN
Name and Address:
MONTHLY PAYER (rev. 6/04)
FOR
Check Box if you are paying EFT
GA Withholding ID
FEI Number
Period Ending
Due Date
Vendor Code
N/A
Tax withheld this period
Tax withheld this period
Tax withheld this period
Explanation of adjustments
Adjustment to tax
Adjustment to tax
Adjustment to tax
I declare under the penalty of perjury that this return has been examined
Tax Due (Line 1 + or - Line 2)
Tax Due (Line 1 + or - Line 2)
Tax Due (Line 1 + or - Line 2)
by me and to the best of my knowledge is a true and complete return.
Signature
Title
Tax Paid
Tax Paid
Tax Paid
Date Received
Quarterly Total
Telephone
Date
$
Amount Paid
INSTRUCTIONS FOR PREPARING MONTHLY WITHHOLDING FORM G-7
FOR MONTHLY PAYER
1. Form G-7 must be filed, even if no tax was withheld for a particular quarter. If a payment is enclosed, be sure to
indicate the amount in the Amount Paid block.
2. Enter total amount of taxes withheld for the quarter in the Quarterly Total block.
3. Monthly payers should complete the sections for first month, second month and third month. The Tax Withheld, Tax
Due and Tax Paid blocks must be filled in with the necessary tax information so that we can update your account
accurately.
Monthly payers should submit payment using a payment voucher (Form GA-V) on or before the 15th of the following
month. Any payment received after the 15th of the following month will be subject to interest and penalty. Monthly payers
must also submit a G-7 quarterly reconciliation return on or before the last day of the month following the quarter. Use
courtesy reply envelopes enclosed to mail each payment and to submit your G-7 quarterly return.
Contact the Withholding Tax Unit at (404) 417-3210 if you have questions about filing withholding tax or need instructions
on preparing withholding tax forms.
INSTRUCTIONS FOR COMPLETING MONTHLY WITHHOLDING FORM G-7
FOR MONTHLY PAYER
1. Complete the “Tax withheld this period” boxes for the first, second and third month.
2. Enter the adjustment amount in the “Adjustment to tax” box, if applicable.Explain the adjustment where indicated.
3. Enter the “Tax Due” and “Tax Paid” amounts in the appropriate boxes.
4. Enter the total amount of tax withheld for the quarter in the “Quartely Total” box. If a payment is enclosed, indicated the
amount in the “Amount Paid” box.
Georgia Department of Revenue
P.O. Box 105678
Atlanta, GA 30348-5678
Contact the Withholding Tax Unit at 404-417-3210 if you need additional information or assistance.
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