Form It-Qee-Tp1 - Qualified Education Expense Credit Preapproval July 2009
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Georgia Form IT-QEE-TP1
(Last Rev. 7/09)
Please print your numbers like this in black or blue ink:
Qualified Education Expense Credit Preapproval Form
Georgia Department of Revenue
Version 8
This form is the first step in applying for the income tax credit for qualified education expenses. The
form is filed by the taxpayer and is used to request preapproval of an intended contribution
to a student scholarship organization.
Enter for Contributor:
SUBCHAPTER S CORPORATION FOR
C CORPORATION
INDIVIDUAL FILING SINGLE
INDIVIDUAL FILING A
INDIVIDUAL FILING MARRIED
GEORGIA PURPOSES, PARTNERSHIP,
OR HEAD OF HOUSEHOLD
MARRIED JOINT RETURN
SEPARATE RETURN
OR LIMITED LIABILITY COMPANY
FIRST NAME OR NAME OF ENTITY
MI
TAXPAYER IDENTIFICATION NUMBER
DEPARTMENT USE ONLY
LAST NAME IF INDIVIDUAL
SUFFIX
IF INDIVIDUAL FILING JOINT, FIRST NAME OF JOINT FILER
MI
IF INDIVIDUAL FILING JOINT, I.D # OF JOINT FILER
LAST NAME OF JOINT FILER
SUFFIX
ADDRESS (NUMBER AND STREET or P.O. BOX)
CITY
STATE
ZIP CODE
CALENDAR YEAR IN WHICH
TAX YEAR END OF CONTRIBUTOR
CONTRIBUTION WILL BE MADE
CONTACT PERSON (FOR CONTRIBUTIONS BY ENTITIES)
TELEPHONE NUMBER
Form IT-QEE-TP1 should be postmarked by November 1 to allow enough time for the amount to be preapproved and the
contribution to be made by the end of the calendar year.
The taxpayer must add back to Georgia taxable income the amount of any federal charitable contribution deduction taken
on a federal return for which a Georgia qualified education expense credit is allowed.
The tax credit shall not be allowed if the taxpayer designates the taxpayer’s qualified education expense for the direct benefit
of any dependent of the taxpayer.
The student scholarship organization must be on the Department of Education’s website before this form is filed.
A. CONTRIBUTION AMOUNT
,
.
,
00
1. The amount of the contribution the taxpayer intends to make.....
2. [For corporate contributors only] Enter 75% of the
.
,
,
00
corporation’s estimated income tax liability..................................
3. Name of student scholarship organization listed on the Department of Education’s website.
4. Taxpayer I.D.# of student scholarship organization.....................
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