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.
India Eisley. India Eisley is an American teen actress best known for playing Ashley Juergens in the ABC Family teen drama The Secret Life of the American Teenager. India was born in Los Angeles, California, on October 29, 1993 to musician David Glen Eisley and actress Olivia Hussey. DETAILS.