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.
According to our records, Shane Van Dyke is possibly single. Shane Van Dyke has been in a relationship with Sky Valencia (2004). Shane Van Dyke is a 37 year old American Actor. Born Shane Thomas Van Dyke on 28th August, 1979 in Los Angeles, California, USA, he is famous for Diagnosis: Murder. His zodiac sign is Virgo.