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Georgia Free Printable  for 2024 Georgia Employee Withholding

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Employee Withholding
Form G-4

PRINT CLEAR Form G-4 (Rev. 12/27/23) STATE OF GEORGIA EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE 1a. YOUR FULL NAME 1b. YOUR SOCIAL SECURITY NUMBER 2a. HOME ADDRESS (Number, Street, or Rural Route) 2b. CITY, STATE AND ZIP CODE PLEASE READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING LINES 3 – 8 3. MARITAL STATUS Enter letter below on Line 7. 4. DEPENDENT ALLOWANCES [ ] A. Single B. Married Filing Separate or Married Filing Joint, both spouses working C. Married Filing Joint, one spouse working D. Head of Household 5. GEORGIA ADJUSTMENTS ALLOWANCE [ ] (See instructions for details. Worksheet below must be completed) 6. ADDITIONAL WITHHOLDING $____________ WORKSHEET FOR CALCULATING ADDITIONAL ALLOWANCES (Must be completed for step 5) A. Federal Estimated Itemized Deductions (If Itemizing Deductions)............................. $______________ B. Georgia Standard Deduction (enter one): $______________ Single/Head of Household ................................$12,000 ................................$24,000 Married Filing Joint ................................$12,000 Married Filing Separate C. Subtract Line B from Line A (If zero or less, enter zero) ....................................................................$______________ D. Allowable Georgia Adjustments to Federal Adjusted Gross Income .....................................................$______________ E. Add the Amounts on Lines C and D ...................................................................................................$______________ F. Estimate of Taxable Income not Subject to Withholding ...................................................................$______________ G. Subtract Line F from Line E (if zero or less, stop here).......................................................................$______________ H. Divide the Amount on Line G by $3,000. Enter total here and on Line 5 above ...................................______________ (This is the number of Georgia Adjustments Allowances you can claim. If the remainder is over $1,500 round up) 7. LETTER USED (Marital Status A, B, C or D) ___________ TOTAL ALLOWANCES (Total of Lines 4 - 5) ___________ (Employer: The letter indicates the tax tables in Employer’s Tax Guide) 8. EXEMPT: (Do not complete Lines 4 - 7 if claiming exempt) Read the Line 8 instructions on page 2 before completing this section. a) I claim exemption from withholding because I incurred no Georgia income tax liability last year and I do not expect to have a Georgia income tax liability this year. Check here b) I certify that I am not subject to Georgia withholding because I meet the conditions set forth under the Servicemembers Civil Relief Act as provided on page 2. My state of residence is ________________. My spouse’s (servicemember) state of residence is ________________ . The states of residence must be the same to be exempt. Check here I certify under penalty of perjury that I am entitled to the number of withholding allowances or the exemption from withholding status claimed on this Form G-4. Also, I authorize my employer to deduct per pay period the additional amount listed above. Employee’s Signature________________________________________________________ Date _________________ Employer: Complete Line 9 and mail entire form only if the employee claims over 14 allowances or exempt from withholding. If necessary, mail form to: Georgia Department of Revenue, Taxpayer Services Division, P.O. Box 105499, Atlanta, GA 30359 9. EMPLOYER’S NAME AND ADDRESS: EMPLOYER’S FEIN:____________________________ EMPLOYER’S WH#:____________________________ Do not accept forms claiming additional allowances unless the worksheet has been completed. Do not accept forms claiming exempt if numbers are written on Lines 4 - 7. PRINT CLEAR G-4 (Rev. 12/27/23) INSTRUCTIONS FOR COMPLETING FORM G-4 Enter your full name, address and social security number in boxes 1a through 2b. Line 3: Write the letter on Line 7 according to your marital status. A. B. C. D. Single Married Filing Separate or Married Filing Joint, both spouses working Married Filing Joint, one spouse working Head of Household Line 4: Enter the number of dependent allowances you are entitled to claim. The term "dependent" shall have the same meaning as in the Internal Revenue Code of 1986; provided, however, that any unborn child with a detectable human heartbeat, as such terms are defined in Code Section 1-2-1, shall qualify as a dependent minor. Line 5: Complete the worksheet on Form G-4 if you claim Georgia adjustments Allowances. Enter the number from Line H here. Failure to complete and submit the worksheet will result in automatic denial on your claim. Line 6: Enter a specific dollar amount that you authorize your employer to withhold in addition to the tax withheld based on your marital status and number of allowances. Line 7: Enter the letter of your marital status from Line 3. Enter total of the numbers on Lines 4-5. Line 8: a) Check the first box if you qualify to claim exempt from withholding. You can claim exempt if you filed a Georgia income tax return last year and the amount of Line 4 of Form 500EZ or Line 16 of Form 500 was zero, and you expect to file a Georgia tax return this year and will not have a tax liability. You cannot claim exempt if you did not file a Georgia income tax return for the previous tax year. Receiving a refund in the previous tax year does not qualify you to claim exempt. EXAMPLES: Your employer withheld $500 of Georgia income tax from your wages. The amount on Line 4 of Form 500EZ (or Line 16 of Form 500) was $100. Your tax liability is the amount on Line 4 (or Line 16); therefore, you do not qualify to claim exempt. Your employer withheld $500 of Georgia income tax from your wages. The amount on Line 4 of Form 500EZ (or Line 16 of Form 500) was $0 (zero). Your tax liability is the amount on Line 4 (or Line 16) and you filed a prior year income tax return; therefore you qualify to claim exempt. b) Check the second box if you are not subject to Georgia withholding and meet the conditions set forth under the Servicemembers Civil Relief Act. Under the Act, a spouse of a servicemember may be exempt from Georgia income tax on income from services performed in Georgia if: 1. The servicemember is present in Georgia in compliance with military orders; 2. The spouse is in Georgia solely to be with the servicemember; 3. The servicemember maintains domicile in another state; and 4. The domicile of the spouse is the same as the domicile of the servicemember or the spouse of the servicemember has elected to use the same residence for purposes of taxation as the servicemember. Additional information for employers regarding the Military Spouses Residency Relief Act: 1. On the W-2 the employer should not report any of the wages as Georgia wages. 2. If the spouse of a servicemember is entitled to the protection of the Military Spouses Residency Relief Act in another state and files a withholding exemption form in such other state, the spouse is required to submit a Georgia Form G-4 so that withholding will occur as is required by Georgia Law when a Georgia domiciliary works in another state and withholding is not required by such other state. If the spouse does not fill out the form, the employer shall withhold Georgia income tax as if the spouse is single with zero allowances. Worksheet for calculating additional allowances. Enter the information as requested by each line. For Line D, enter items such as Retirement Income Exclusion, U.S. Obligations, and other allowable deductions per Georgia Law, see the IT-511 booklet for more information. Do not complete Lines 4-7 if claiming exempt. O.C.G.A. § 48-7-102 requires you to complete and submit Form G-4 to your employer in order to have tax withheld from your wages. By correctly completing this form, you can adjust the amount of tax withheld to meet your tax liability. Failure to submit a properly completed Form G-4 will result in your employer withholding tax as though you are single with zero allowances. Employers are required to mail any Form G-4 claiming more than 14 allowances or exempt from withholding to the Georgia Department of Revenue. Employers should honor the properly completed form as submitted unless otherwise notified by the Department. Such forms remain in effect until changed or until February 15 of the following year. Employers who know that a G-4 is erroneous should not honor the form and should withhold as if the employee is single claiming zero allowances until a corrected form has been received.
Extracted from PDF file 2023-georgia-form-g-4.pdf, last modified January 2013

More about the Georgia Form G-4 Individual Income Tax TY 2023

Submit Form G-4 to your employer to withhold tax from your wages

We last updated the Employee Withholding in January 2024, so this is the latest version of Form G-4, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form G-4 directly from TaxFormFinder. You can print other Georgia tax forms here.

Related Georgia Individual Income Tax Forms:

TaxFormFinder has an additional 30 Georgia income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Georgia Form G-4.

Form Code Form Name
Form G-4P Withholding Certificate for Pension or Annuity Payments

Download all GA tax forms View all 31 Georgia Income Tax Forms


Form Sources:

Georgia usually releases forms for the current tax year between January and April. We last updated Georgia Form G-4 from the Department of Revenue in January 2024.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Georgia Form G-4

We have a total of two past-year versions of Form G-4 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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