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Page 4
Georgia Form
Amended Fiduciary Income Tax Return
TAXPAYER’S FEIN
CREDIT USAGE AND CARRYOVER
(ROUND TO NEAREST DOLLAR)
SCHEDULE 4
1. Complete a separate schedule for each Credit Code.
2. Total the amounts on Line 13 of each schedule and enter the total on the credit line of the return.
3. If there is a credit eligible for carryover to 2016, please complete a schedule even if the credit is not used in 2016.
4. See the instructions for a list of credit codes.
5. See the relevant forms, statutes, and regulations to determine how the credit is allocated to the owners, to determine when carryovers expire, and to
see if the credit is limited to a certain percentage tax.
6. If the credit for a particular credit code originated with more than one person or company, enter separate information on Lines 3 through 9 below.
7. The credit certificate number is issued by the Department of Revenue for credits that are preapproved. If applicable, please enter the Department of
Revenue credit certificate number where indicated.
8. Before the Line 14 carryover is applied to next year, the amount must be reduced by any amounts elected to be applied to withholding in 2016 and
by any carryovers that have expired.
For the credit generated this year, list the Company Name, ID number, Credit Certificate number, if applicable, and % of credit (purchased
credits should also be included). If the credit originated with this taxpayer, enter this taxpayer’s name and ID# below and 100% for the
percentage.
1. Credit Code
SELECT
2. Credit remaining from previous years (do not include amounts elected to be applied to
withholding)
3. Company Name
ID Number
Credit Certificate #
% of Credit
Credit Generated in 2016
4. Company Name
ID Number
Credit Generated in 2016
Credit Certificate #
% of Credit
5. Company Name
ID Number
Credit Certificate #
% of Credit
Credit Generated in 2016
6. Company Name
ID Number
Credit Certificate #
% of Credit
Credit Generated in 2016
7. Company Name
ID Number
Credit Certificate #
Credit Generated in 2016
% of Credit
8. Company Name
ID Number
Credit Certificate #
% of Credit
Credit Generated in 2016
9. Company Name
ID Number
Credit Certificate #
% of Credit
Credit Generated in 2016
10. Total available credit for 2016 (sum of Lines 2 through 9)
10.
11. Enter the amount of the credit sold (Conservation and Film Tax Credits)
11.
12. List the credit allocated to the beneficiaries (See Schedule 5)
12.
13. Credit Used in 2016
13.
14. Potential carryover to 2017 (Line 10 less Lines 11,12, and 13)
14.
Schedule 4