Form G-7 - Schedule B - Quaterly Return For Semi-Weekly Payer

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MAIL TO:
G-7/SchB QUARTERLY RETURN
Georgia Department of Revenue
SEMI-WEEKLY PAYER (Rev. 10/09)
FOR
P.O. Box 105678
Atlanta, GA 30348-5678
Amended
Telephone No. (404) 417-3210
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NAME AND ADDRESS
Explanation of adjustments
I declare 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.
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Employer’s Record of Georgia Tax Liability (Schedule B)
You must complete this schedule if you are required to deposit on a semi-weekly schedule, or if your liability on any day is $100,000.00 or more.
A. Tax Liability Per Payday - First Month of Quarter
. 1
. 8
1
. 5
2
. 2
2
. 9
. 2
. 9
1
. 6
2
3
3
. 0
. 3
1
. 0
1
. 7
2
. 4
3
. 1
. 4
1
. 1
1
. 8
2
. 5
. 5
1
. 2
1
. 9
2
. 6
. 6
1
. 3
2
. 0
2
. 7
. 7
1
. 4
2
. 1
2
. 8
A Total tax liability for first month of quarter
A
B. Tax Liability Per Payday - Second Month of Quarter
. 1
. 8
1
. 5
2
. 2
2
. 9
. 2
. 9
1
. 6
2
3
3
. 0
. 3
1
. 0
1
. 7
2
. 4
3
. 1
. 4
1
. 1
1
. 8
2
. 5
. 5
1
. 2
1
. 9
2
. 6
. 6
1
. 3
2
. 0
2
. 7
. 7
1
. 4
2
. 1
2
. 8
B Total tax liability for second month of quarter
B
C. Tax Liability Per Payday - Third Month of Quarter
. 1
. 8
1
. 5
2
. 2
2
. 9
. 2
. 9
1
. 6
2
3
3
. 0
. 3
1
. 0
1
. 7
2
. 4
3
. 1
. 4
1
. 1
1
. 8
2
. 5
. 5
1
. 2
1
. 9
2
. 6
. 6
1
. 3
2
. 0
2
. 7
. 7
1
. 4
2
. 1
2
. 8
C Total tax liability for third month of quarter
C
D Quarterly Tax Liability (add lines A, B, and C)
D
Date received:

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