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Get GA DOL-4A 2014-2024

Employee's Name (If blank, please enter.) 3. Total Individual Reportable Gross Wages For Quarter Ending Full Last Name, Full First Name June 30 September 30 December 31 $ March 31 $ June 30 September 30 December 31 $ March 31 $ June 30 September 30 December 31 $ March 31 $ Social Security Number $ $ Full Last Name, Full First Name March 31 $ Social Security Number $ $ Full Last Name, Full First Name December 31 $ Social Security Number June 30 September 30 $ Full L.

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