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.
Camille Winbush. Camille Simoine Winbush (born February 9, 1990) is an American television actress, comedian and recording artist. Her work in television has earned her three Image Awards and a Young Artist Award. She is best known for her role as Vanessa Thomkins on The Bernie Mac Show. 1 Early life.