Form G-7 - Quarterly Return - 2004

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G-7 QUARTERLY RETURN
MAIL TO:
MONTHLY PAYER (rev. 7/03)
Georgia Department of Revenue
FOR
P.O. Box 740387
2004
Atlanta, GA 30374-0387
Check Box if you are paying EFT
Telephone No. (404) 417-3210
Part1
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
Adjustment to tax
Adjustment to tax
Adjustment to tax
Tax Due (Line 1 + or - Line 2)
Tax Due (Line 1 + or - Line 2)
Tax Due (Line 1 + or - Line 2)
Tax Paid
Tax Paid
Tax Paid
Date Received
Quarterly Total
Amount Paid
G-7 QUARTERLY RETURN
MONTHLY PAYER (rev. 7/03)
FOR
2004
Explanation of adjustments shown on Part 1
Part 2
Name and Address
I delcare under the penalty of perjury that this return has been examined by me and to the best
of my knowledge is a true and complete return.
Signature
Title
Telephone
Date
Mail entire sheet
INSTRUCTIONS FOR PREPARING MONTHLY WITHHOLDING FORM G-7
FOR MONTHLY PAYER
(Part one and two of this form must be completed.)
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.
4. Complete the “Tax withheld this period” boxes for the first, second and third month.
5. Enter the adjustment amount in the “Adjustment to tax” box, if applicable.Explain the adjustment where indicated.
6. Enter the “Tax Due” and “Tax Paid” amounts in the appropriate boxes.
7. 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.
8. Sign and date the form. Mail payment and voucher to the address below.
9. DO NOT STAPLE or USE PAPER CLIPS. REMOVE ALL CHECKS STUBS
Georgia Department of Revenue
P.O. Box 740387
Atlanta, GA 30374-0387
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.
Please 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.

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