Form G-Loooa - Continuation Sheet For Form G-1000 - Transmitter Report And Summary Of Magnetic Media - Georgia Department Of Revenue

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DEPARTMENT OF REVENUE
Form G-lOOOA
CONTINUATION SHEET FOR FORM G-1000
TRANSMITTER REPORT AND SUMMARY OF MAGNETIC MEDIA
1
NAME AND ADDRESS OF PERSON TO CONTACT ABOUT THIS MAGNETIC MEDIA FILE
(Include street, city and ZIP code)
Employer State
2. Telephone Number (area code)
W ithholding Number
3. TOTAL AMOUNT OF FORM W-2 FIELDS
State ID number
FEI number
Number of W-2 Forms
Wages, tips, other compensation
State income tax withheld
3. TOTAL AMOUNT OF FORM W-2 FIELDS
State ID number
FEI number
Number of W-2 Forms
Wages, tips, other compensation
State income tax withheld
3. TOTAL AMOUNT OF FORM W-2 FIELDS
State ID number
FEI number
Number of W-2 Forms
Wages, tips, other compensation
State income tax withheld
8

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