Print
Clear
501X
Mailing Addres : s
Georgia Form
(
Rev. 08/24/16)
Georgia Department of Revenue
Amended Fiduciary Income Tax Return
Processing Center
PO Box 740316
2016
Atlanta, Georgia 30374-0316
Page 1
Change in Trust or Estate Name
Trust is a Qualified Funeral Trust
Fiscal Year
Beginning
Federal Amended Return Filed
(please attach copy)
Change in Fiduciary
Estate is a Bankruptcy Estate
Fiscal Year
ersion)
Ending
Amended due to IRS Audit
Change of Address
500 UET Exception Attached
A. Federal Employer ID No.
Name of Estate or Trust
Date of Creation of Trust
Name of Fiduciary
Title of Fiduciary
T
elephone No.
B.
Date of Decedent’s Death
(Apt., Suite or Building Number)
C.
Address of Fiduciary (Number and Street)
City
State
Zip Code
Country
D.
If no return was filed last year, state reason
Schedule 1 - Computation of Tax
1. Income of fiduciary (Adjusted total income from attached Form 1041)..............................
1.
2. Adjustments: (List of all items in Schedule 3, Page 3).......................................................
2.
3. Total (Net total of Lines 1 and 2)....................................................................................
3.
4. Beneficiaries’ Share of Income (Total of Schedule 2)........................................................
4.
5. Balance (Line 3 less Line 4)
. .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . . .
. . .
. . .
. . .
. . .
. . .
. . .
5.
6. Exemptions:
6a. Trust $1350
6b. Estate $2700 ................................................
6.
7. Net taxable income of fiduciary (Line 5 less Line 6)..........................................................
7.
8. Total tax .................................................................................................................. . ..........
8.
9. Less Credits used 9a. Other states tax credit used..........................................................
9a.
9b.
9b. Schedule 4 credits used...............................................................
9c. Total Credits used (cannot exceed Line 8)....................................
9c.
10. Tax less credit (Net total of Line 8 less Line 9, if 0 or less, enter 0)...........................
10.
11. Less payments: 11a. Georgia Estimated Tax Paid .....................................................
11a.
11b.
11b. Georgia Tax Withheld ( G2-A,G2-LP and/or G2-RP) ...................
11c. Amount paid with original return, plus any additional
11c.
payments made after it was filed ............................................
11d. Total ............................................................................................
11d.