Form G-4

STATE OF GEORGIA EMPLOYEE'S WITHHOLDING ALLOWANCE CERTIFICATE


3. MARITAL STATUS - Enter letter below line 7.


4. DEPENDENT ALLOWANCES



5. GEORGIA ADJUSTEMENTS ALLOWANCE:

(See instructions for details. Worksheet below must be completed) -- [ 0 ]

6. ADDITIONAL WITHHOLDING


WORKSHEET FOR CALCULATING ADDITIONAL ALLOWANCES (Must be completed for step 5)


A. Federal Estimated Itemized Deductions (If Itemizing Deductions) -- $ BLANK

B. Georgia Standard Deductions (enter one): -- $ BLANK

Single/Head of Household -- $12,000

Married Filing Joint -- $24,000

Married Filing Separate -- $12,000

C. Subtract Line B from Line A (If zero or less, enter zero) -- $ BLANK

D. Allowable Georgia Adjustments to Federal Adjusted Gross Income -- $ BLANK

E. Add the amounts on Lines C and D -- $ BLANK

F. Estimate of Taxable Income not Subject to Withholding -- $ BLANK

G. Subtract Line F from Line E (if zero or less, stop here) -- $ BLANK

H. Divide the Amount on Line G by $3000. Enter total here and on Line 5 above -- $ BLANK

(This is the number of Georgia Adjustments Allowances you can claim. If the remainder is over $1500 round up)

7. LETTER USED

(Marital Status A, B, C or D)

Employer: The letter indicates the tax tables in Employer's Tax Guide)


TOTAL ALLOWANCES (Total of Lines 4-5)


8. EXEMPT

(Do not complete Lines 4-7 if claiming exempt)

Read the Line 8 Instructions on page 2 before completing this section.

a) I claim exemption from withholding because I incurred no Georgia income tax liability last year and I do not expect to have a Georgia income tax liability this year.

Check here

b) I certify that I am not subject to Georgia Withholding because I meet the conditions set forth under the Servicemembers Civil Relief Act as provided on page 2. My state of residence is ____________. My spouse's (servicemember) state of residence is ___________. The states of residence must be the same to be exempt

Check here


Earnings Section

How much do you earn per paycheck?


You must enter in value greater than zero (0) above to continue!



How often are you paid?


Do you have pre-tax deductions withheld from your paycheck?


How much total pre-tax deductions are withheld each pay period?




Estimated Georgia State Taxes per check are:



**The above number is an estimation and should only be used as a reference point. Questions regarding the amounts you are paid, deducted, or taxed should all be brought to your employer for further clarification. Workforce 2080 provides these estimations to assist employees and employers determine a rough estimation of what taxes, payments, or deductions *could* be. These estimations should not be construed as implict or explicit guarantees in any way. Many factors come into play, such as rounding of figures in Payroll Software, errors in the submission through this portal etc. Workforce 2080 assumes no risk with these estimations and provides these tools to help educate the general population. All users who use these products and estimators outside of their intended use assume risk when used outside of the scope of educational and general knowledge.

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Last Updated on 5/18/2024 @ 12:00 PM CDT