Form St-C 214-13 - Request For Release Of Retainage

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ST-C 214-13 (Rev. 07/12)
Georgia Department of Revenue
Sales Tax Contracting Unit
1800 Century Blvd. NE
Atlanta, GA 30345
Ph: 1 (877) 423-6711
Fax: (404) 417-6610
E-mail:
TSD-sales-tax-contractors@dor.ga.gov
Website:
https://etax.dor.ga.gov
REQUEST FOR RELEASE OF RETAINAGE
__________
Date:
This form is ONLY to be submitted by the nonresident subcontractor:
This is to certify that retainage funds are being held in escrow on work performed by the named nonresident
Sub- Contractor under the requirements of Section § 48-8-63 of the Official Code of Georgia Annotated:
1. Subcontractor’s Name
2. Subcontractor’s Address
3. Subcontractor’s
Sales & Use Tax Number
(REQUIRED)
4. Period Work was in Progress
5. General Contractor’s Name
6. General Contractor’s Address
A Retainage Release will not be sent out until the liability has been paid in full.
_____________________________________
(Subcontractor’s Contact Person)
_____________________________________
(Subcontractor’s Phone)
_____________________________________
(Subcontractor’s Fax)
_____________________________________
(Subcontractor’s Email)

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