Update Tax Information

Please use the following form to update tax information. You will still need to download and sign either Federal W-4 or Georgia G-4 forms and provide them to you manager (those forms can be downloaded from the Manager Downloads section of the Team Portal on this Website.

NOTE: This form us used to make any updates to the tax information of existing employees. You will need to print a copy of the Federal W-4 or Georgia G-4 and provide a signed copy to your manager.

NOTE: Complete ONLY the information that needs to be changed. If your current address and tax information is correct, leave the field blank.
Name *
Name
ADDRESS UPDATES
Address
Address
FEDERAL W-4 TAX INFORMATION UPDATE
Federal W-4 Line 3 Marital Status
Federal W-4 Line 4 Name Change
If your last name differs from that shown on your social security card, check here. You must call 800-772-1213 for a replacement card.
Total number of allowances your claiming (from the worksheet on the W-4 pages).
Additional amount, if any, you want withheld from each paycheck.
I claim exemption from withholding for 2018, and I certify that I meet both of the following conditions for exemption. • Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and • This year I expect a refund of all federal income tax withheld because I expect to have no tax liability. If you meet both conditions, write “Exempt” here .
GEORGIA G-4 TAX INFORMATION UPDATE
Georgia G-4 Line 3 Marital Status
Check only the status you are wishing to claim. Make a note of the number of allowances you are claiming as you will enter it in section 7 below).
Must complete worksheet for calculating these allowances on Georgia form G-4 and provide a copy to your manager.
Enter any additional amount you would like withheld from each paycheck.
Enter Marital Status A, B, C, D, or E
Enter the total number of allowances you are claiming from lines 3 - 5
Georgia G-4 Line 8 Exempt
If you are claiming an exemption, you MUST complete a printed copy of this form and provide it to your manager.
Signature
Under penalties of perjury, I declare that I have examined the above and, to the best of my knowledge and belief, it is true, correct, and complete.
Enter your FULL name below:
Today's Date
Today's Date