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Get GA DoR G-7 2012

R 040 Date Explanation of Adjustments PROCESSING CENTER GEORGIA DEPARTMENT OF REVENUE PO BOX 105482 ATLANTA GA 30348-5482 Tax withheld for Month 2 Tax withheld for Month 3 Adjustment to tax Adjustment to tax Adjustment to tax Tax Due (Line 1 + or - Line 2) Tax Due (Line 1 + or - Line 2) Tax Paid Title Tax withheld for Month 1 Tax Due (Line 1 + or - Line 2) Signature Tax Paid Tax Paid Pe riod End ing D ue D at e Quarterly Total PLEASE DO NOT STAPLE OR PAPER CLIP. REMOVE ALL.

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