Form G 7 - Quarterly Return For Quarterly Payer Page 2
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1
2Instructions for Completing the G-7 Quarterly for the Quarterly Payer
Form G-7 MUST be filed,
even if no tax was withheld for a particular quarter.
Enter the Tax Withheld, Tax Due, and Tax Paid in the appropriate blocks.
Enter the payment amount in the Amount Paid section.
If applicable, enter any adjustment amount in the Adjustment to Tax block. This block should be used when using
a credit from a prior period or paying additional tax due for a period. Explain adjustments in the indicated area of
the form.
Submit Form G-7 on or before the last day of the month following the quarter. Late returns will be assessed a
penalty equal to $25.00 plus 5% of the total tax withheld on the return each month the return is late, not to exceed
$25.00 plus 25% of the total tax withheld on the return.
Check “Non-Resident Credited” box if filing a return for tax withheld on non-resident distributions credited but not
paid. If the distribution was paid, submit G-7M return.
Mail this completed form with your payment to:
Georgia Department of Revenue
Processing Center
P.O. Box 105544
Atlanta, Georgia 30348-5544
Contact the Withholding Tax Unit at 1-877-GADOR11 (1-877-423-6711) if you need additional information or assistance.
PLEASE DO NOT mail this entire page. Please cut along dotted line and mail only voucher and payment.
PLEASE DO NOT STAPLE OR PAPER CLIP. PLEASE REMOVE ALL CHECK STUBS.
Cut on dotted line
Name and Address:
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QUARTERLY PAYER (Rev. /1 )
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Amended Return
Non-Resident Credited
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040
Explanation of adjustments
PLEASE DO NOT STAPLE OR PAPER CLIP. REMOVE ALL CHECK STUBS.
Tax withheld this period
Adjustment to tax
I declare under the penalty of perjury that this return has
been examined by me and to the best of my knowledge is a
Tax Due (Line 1 + or - Line 2)
true and complete return.
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GEORGIA DEPARTMENT OF REVENUE
PROCESSING CENTER
Tax Paid
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PO BOX 105544
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Amount Paid
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