Form Gid-207-Pt Oct08 - Georgia Job Tax Credit - Insurance Department Page 2
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4OFFICE OF COMMISSIONER OF INSURANCE
COMMISSIONER OF INSURANCE •INDUSTRIAL LOAN COMMISSIONER•SAFETY FIRE COMMISSIONER•COMPTROLLER GENERAL
John W. Oxendine, Commissioner
2 Martin Luther King Jr., Dr., Suite 916, West Tower, Atlanta, GA 30334
Phone 404-656-7553
PREMIUM TAX
GEORGIA JOB TAX CREDIT
GID-207-PT OCT08
II. NUMBER OF FULL-TIME EMPLOYEES SUBJECT TO WITHHOLDING
County
Prior Year
Year
Year
Year
Year
Year
Year
Year
Year
Year
Year
Year
Month/Year
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2
3
4
5
6
7
8
9
10
11
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2
3
4
5
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7
8
9
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III. COMPUTATION OF AVERAGE INCREASE IN FULL-TIME EMPLOYEES
Line 1: Total
Line 2: Divided by:
Number of Months in
Line 3: Monthly
Average of Full-Time
Employees
Line 4: Less: Previous
Year Average
Line 5: Average
Increase (Decrease) in
Full-Time Employees
The Office of Insurance and Safety Fire Commissioner does not discriminate by race, color, national origin, sex, religion, age or disability in the employment or the provision of programs or services. Persons with disabilities
needing this document in another format can contact the ADA Coordinator, Office of the Commissioner of Insurance at No. 2 Martin Luther King Jr., Dr., Suite 620, Atlanta, GA 30334 - Phone 404-656-2056.
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