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It also provides conditions for claiming exempt from withholding, including prior-year Georgia tax liability tests and eligibility under the Servicemembers Civil Relief Act. Employers may complete supplemental sections for certain allowance levels.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/state-of-georgia-employees-withholding-allowance-certificate-form-g-4-rev-060326-instructions-and-worksheet/304085/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/state-of-georgia-employees-withholding-allowance-certificate-form-g-4-rev-060326-instructions-and-worksheet/304085.png","ImageObject",442,249,{"name":42,"@type":43},"Stanley","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-03","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What information must be entered on Form G-4 (lines 1a–2b)?","Question",{"text":63,"@type":64},"Enter the employee’s full name, Social Security number, and home address including city, state, and ZIP code.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How are Georgia adjustment allowances calculated?",{"text":68,"@type":64},"Complete the worksheet used for calculating additional allowances (required for completing step 5). The worksheet uses federal estimated itemized deductions, Georgia standard deduction, and other calculations, then divides the result by $5,000 to determine the number of Georgia adjustments allowances.",{"name":70,"@type":61,"acceptedAnswer":71},"When can an employee claim exemption from Georgia withholding?",{"text":72,"@type":64},"An employee may claim exempt if they had no Georgia income tax liability last year, expect no liability this year, and meet the specific conditions described in the line 8 instructions. For military-related exemption, eligibility under the Servicemembers Civil Relief Act and matching states of residence must be satisfied.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},304085,1790159801,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":22},2336477405376,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Form G-4 (Rev. 06/03/26)  \nSTATE OF GEORGIA EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE  \n\n| 1a. YOUR FULL NAME | 1b. YOUR SOCIAL SECURITY NUMBER |\n| --- | --- |\n| 2a. HOME ADDRESS (Number, Street, or Rural Route) | 2b. CITY, STATE AND ZIP CODE |\n\nPLEASE READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING LINES 3 – 8  \n3. MARITAL STATUS  \nEnter letter below on Line 7. 4. DEPENDENT ALLOWANCES  \n[ ]  \nA. Single  \nB. Married Filing Separate or Married Filing Joint, both spouses working 5. GEORGIA ADJUSTMENTS ALLOWANCE [ ]  \nC. Married Filing Joint, one spouse working (See instructions for details. Worksheet below must  \nD. Head of Household be completed)  \n6. ADDITIONAL WITHHOLDING $   \nWORKSHEET FOR CALCULATING ADDITIONAL ALLOWANCES  \n(Must be completed for step 5)  \nA. Federal Estimated Itemized Deductions ( If Itemizing Deductions) ............................. $______________  \nB. Georgia Standard Deduction (enter one): $______________  \nSingle/Head of Household ................................$15 ,000  \nMarried Filing Joint ................................$30 ,000  \nMarried Filing Separate ................................$15 ,000  \nC. Subtract Line B from Line A (If zero or less, enter zero) ....................................................................$   \nD. Allowable Georgia Adjustments to Federal Adjusted Gross Income .. ........................................... ........$   \nE. Add the Amounts on Lines C and D ......... .......................................................................................  $   \nF. Estimate of Taxable Income not Subject to Withholding ................................................................ ...$   \nG. Subtract Line F from Line E (if zero or less, stop here) ...................................................................... .$   \nH. Divide the Amount on Line G by $5,000 . Enter total here and on Line 5 above ................................  (This is the number of Georgia Adjustments Allowances you can claim. If the remainder is over $2,500 round up)  \n7. LETTER USED (Marital Status A, B, C or D)   TOTAL ALLOWANCES (Total of Lines 4 and 5)  (Employer: The letter indicates the tax tables in Employer’s Tax Guide)  \n\n| 8. EXEMPT: (Do not complete Lines 4-7 if claiming exempt) Read the Line 8 instructions on page 2 before completing this section.\u003Cbr>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 \u003Cbr>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  |\n| --- |\n| 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.\u003Cbr>Employee’s Signature  Date   |\n\nEmployer: 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 105685 , Atlanta, GA 30348-5685  \n9. EMPLOYER’S NAME AND ADDRESS: EMPLOYER’S FEIN:   \nEMPLOYER’S WH\\#:   \nDo 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.  \nG-4 (Rev. 06/03/26)  \nINSTRUCTIONS FOR COMPLETING FORM G-4  \nEnter your full name, address and social security number in boxes 1a through 2b.  \nLine 3: Write the letter on Line 7 according to your marital status.  \nA. Single  \nB. Married Filing Separate or Married Filing Joint, both spouses working  \nC. Married Filing Joint, one spouse working  \nD. Head of Household ","cbCaiaSM8zLqI1NV","https://ap.wps.com/l/cbCaiaSM8zLqI1NV","pdf",629094,"English","# Line 1a–2b: Employee Information\n## Lines 3–7: Marital Status, Dependents, and Georgia Adjustments\n## Line 6: Additional Withholding Authorization\n## Line 8: Exemption From Withholding\n## Instructions for Completing Form G-4","[{\"question\":\"What information must be entered on Form G-4 (lines 1a–2b)?\",\"answer\":\"Enter the employee’s full name, Social Security number, and home address including city, state, and ZIP code.\"},{\"question\":\"How are Georgia adjustment allowances calculated?\",\"answer\":\"Complete the worksheet used for calculating additional allowances (required for completing step 5). The worksheet uses federal estimated itemized deductions, Georgia standard deduction, and other calculations, then divides the result by $5,000 to determine the number of Georgia adjustments allowances.\"},{\"question\":\"When can an employee claim exemption from Georgia withholding?\",\"answer\":\"An employee may claim exempt if they had no Georgia income tax liability last year, expect no liability this year, and meet the specific conditions described in the line 8 instructions. For military-related exemption, eligibility under the Servicemembers Civil Relief Act and matching states of residence must be satisfied.\"}]","State of Georgia Employee’s Withholding Allowance Certificate - Form G-4 (Rev. 06/03/26) - Instructions and Worksheet | PDF",1789809852]