Georgia Form 500 - Individual Income Tax Return - 2006 Page 2
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500
Georgia Form
Individual Income Tax Return
Georgia Department of Revenue
2006
Your Social Security Number
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13. Subtract either Line 11c or Line 12c from Line 10; enter balance ............................
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14a. Number on Line 6c___multiplied by $2,700
14a.
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14b. Number on Line 7a___multiplied by $3,000
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14c. Add Lines 14a. and 14b. Enter total .........................................................................
14c.
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15. Georgia taxable income (Line 13 less Line 14c or Schedule 3, Line 14) ................
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16. Tax (Use Tax Table in the Tax Booklet on Pages 17-19) ...........................................
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17. Credits from Schedule 2, Page 3, Line 7
17.
(Enter total but not more than the amount on Line 16) ..
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18. Balance (Line 16 less Line 17) if zero or less than zero, enter zero .........................
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19. Georgia Income Tax Withheld (
19.
Enter Tax Withheld Only and enclose W-2s, 1099s, etc.) ......
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20. Estimated Tax for 2006 and Form IT-560 ..............................................................
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21. Low Income Credit (
) 21a.
21b.
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21c.
See Tax Booklet on Page 11
22. Department Use Only
DO NOT WRITE IN THIS BOX
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23. Total prepayment credits (Add Lines 19, 20 and 21c) ..............................................
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24. If Line 18 exceeds Line 23 enter BALANCE DUE STATE .........................................
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25. If Line 23 exceeds Line 18 enter OVERPAYMENT amount ......................................
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26. Amount to be credited to 2007 ESTIMATED TAX ................................................
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27. Georgia Wildlife Conservation Fund (No gift of less than $1.00) ..........................
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28. Georgia Children and Elderly Fund (No gift of less than $1.00) ............................
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29. Georgia Cancer Research Fund (No gift of less than $1.00) .................................
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30. Georgia Greenspace Trust Fund (No gift of less than $1.00) ................................
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31. Georgia National Guard Foundation (No gift of less than $1.00) ..........................
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32. Dog & Cat Sterilization Fund (No gift of less than $1.00) ....................................
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33. Form 500 UET (Estimated tax penalty) ....................................................................
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34. (If you owe) Add Lines 24, 27 thru 33 THIS IS THE AMOUNT YOU OWE ..........
34.
Sign below and mail 525-TV with return and payment to: Georgia Department of Revenue, Processing Center, PO Box 740399,
Atlanta, Georgia, 30374-0399. (GREEN STRIPE ENVELOPE)
DO NOT STAPLE YOUR CHECK, W-2’S OR TAX RETURN. ENCLOSE ALL ITEMS IN THE RETURN ENVELOPE.
Include your Georgia Form 500, Schedule 1
35. (If you are due a refund) Subtract the sum of Lines 26 thru Line 33 from Line 25
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THIS IS YOUR REFUND ..........................................................................................
35.
, Atlanta, Georgia,
Sign below and mail return to: Georgia Department of Revenue, Processing Center, PO Box 740380
30374-0380.
(BLUE STRIPE ENVELOPE)
DO NOT STAPLE YOUR W-2’S NOR TAX RETURN. ENCLOSE ALL ITEMS IN THE RETURN
ENVELOPE.
Georgia Public Revenue Code Section 48-2-31 stipulates that taxes shall be paid in lawful money of the United States, free of any expense to the State of
Georgia. Under penalty of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which the preparer has
knowledge.
Check the box
to authorize the
Georgia
Department of
Taxpayer’s Signature
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(Check box if deceased)
Revenue to
discuss the
contents of this
Spouse’s Signature (
)
Date
tax return with
Check box if deceased
the named
preparer.
Name of Preparer if other than taxpayer
Preparer’s FEIN
Preparer’s SSN/PTIN
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Page 2
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