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.
Rexella Shelton. Rexella Van Impe was born on November 29, 1932 as Rexella Shelton. She is an actress and writer, known for Day Eight: Planet Earth Forever (2002), America's Future (2002) and The Mark of the Beast (1997). Co-Host of TV Series Jack Van Impe.