form g-4 (rev. 12/09) state of georgia employeeâs 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 â 8 3. marital status
I found the love of my life, and she said yes. pic.twitter.com/6Ni25ygRtB â Kurt Busch (@KurtBusch) August 27, 2015. I found the love of my life, and she said yes. pic.twitter.com/6Ni25ygRtB. Van Metre, 24, is a renowned polo player. The two began dating in November, according to motorsport.com, and became public in February when Van Metre was at Daytona Speedweeks.
Ashley Wagner is an American figure skater. She is the 2012 Four Continents champion, the 2012 Skate America champion, the 2012 U.S. champion and a two-time (2008 and 2010) U.S. bronze medalist. She is a two-time (2007 and 2009) World Junior bronze medalist. She placed fourth at the 2012 World Championships.