Form G-1003 - Income Statement Transmittal Page 2
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1
2Instructions for Preparing the G-1003
Employers reporting 250 or more income statements must submit them on magnetic media. Employers
with less than 250 statements may report on magnetic media or paper copy. To obtain a copy of our
specifications, visit our website call or 404-417-3210.
Income statements are due on or before the end of February of the following calendar year. If this date
is a weekend or holiday, the due date is the next business day. If a business closes during the taxable
year, income statements are due within 30 days after payment of final wages.
Submit non-wage statements (1099s) only if Georgia tax is withheld. Statements that do not indicate
Georgia tax withheld may be filed under the Combined Federal/State Filing Program.
Do not send payments with this form. Submit an amended Form G-7 if additional tax is due.
The “Number of Forms”, “Media Type”, “Form Type” “Georgia Taxable Wages” and “Georgia Tax
Withheld” blocks must be completed.
Submit Form G-1003 and magnetic media or paper copy income statements to:
Georgia Department of Revenue
Processing Center
P.O. Box 105685
Atlanta, GA 30348-5685
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
G-1003
(Rev. 11/07)
MAIL TO:
Income Statement Transmittal
2008
Georgia Department of Revenue
Amended Return
Processing Center
Domestic employer
P.O. Box 105685
with no GA Tax Withheld
Atlanta, GA 30348-5685
DO NOT SUBMIT PAYMENT WITH THIS FORM
GA Withholding ID
FEI Number
Tax Year
Number of Forms
Vendor Code
Dept Use Only
040
0000
EMPLOYER NAME AND ADDRESS
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G-2A
1099
W2-C
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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.
Date Received
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