Georgia Withholding on Sales or Assignment of Lottery Payments

Withholding on Sales or Assignment of Lottery Payments
Withholding on Lottery Payment Form
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Form G2-LP (Rev. 08/29/18)

Withholding on Sales or Assignment of Lottery Payments
Check here if the purchase is an installment sale
1. Seller's/Assignor's Name

Amended Return

2. Seller's/Assignor's Social Security or FEI Number

3. Seller's/Assignor's Address

City

State

4. Buyer's/Assignee's Name

ZIP Code

5. Buyer's/Assignee's Social Security or FEI Number

6. Buyer's/Assignee's Address

9. Date of purchase or
installment payment date

________________

10. Winning amount

________________

11. Purchase price or
________________
installment payment amount
12. Amount withheld

________________

Remit to:

City

State

ZIP Code

Georgia Department of Revenue
Processing Center
PO Box 105678
Atlanta, GA 30348-5678

7. Contact person

8. Telephone Number

--------------------------------------------------------------------------------------------------------------------------------------------------------------Instructions

Line 1

If more than one seller/assignor, submit a separate form for each.

Line 2

Social Security Number if an individual; FEI number if a corporation or other organization.

Line 3

If mailing address is a Post Office Box, also list street address.

Line 4

If more than one buyer/assignee, submit a separate form for each.

Line 5

Social Security Number if an individual; FEI number if a corporation or other organization.

Line 6

If mailing address is a Post Office Box, also list street address.

Line 7

Contact name for buyer/assignee.

Line 8

Telephone number for contact person.

Line 9

Date the purchase/closing took place. If the purchase is made on an installment basis, enter the date
of the installment payment.

Line 10

Original amount the assignor won.

Line 11

Purchase price of the lottery winnings. If the purchase is made on an installment basis, enter the
amount of the installment payment.

Line 12

Amount withheld - 6% (5.75% for purchases on or after 1-1-19) of the total purchase price. If the purchase
is made on an installment basis, enter 6% (5.75% for installment payments made on or after 1-1-19) of
the installment payment amount.
Remit tax by mailing this form with payment for the amount on Line 12 within 10 days of the purchase date or
installment payment date. Both buyer/assignee and seller/assignor should retain copy of the form. Seller/
assignor must attach a copy of this form to their Georgia individual income tax return.
NOTE: See Policy Statement IT-2010-1-27 at dor.georgia.gov for more information or contact the Withholding
Review Unit at 1-877-423-6711.