Form 500 - Individual Income Tax Return (2007) - Georgia Department Of Revenue

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Please print your numbers like this in black or blue ink:
500
Georgia Form
(Rev. 10/07)
Please check box if you DO NOT
Individual Income Tax Return
want a booklet next year
Georgia Department of Revenue
2007
(Approved web version)
DEL
EXT
FISCAL YEAR BEGINNING
FISCAL YEAR ENDING
YOUR SOCIAL SECURITY NUMBER
YOUR FIRST NAME
MI
1.
LAST NAME
SUFFIX
SPOUSE’S FIRST NAME
MI
SPOUSE’S SOCIAL SECURITY NUMBER
LAST NAME
SUFFIX
DEPARTMENT USE ONLY
CHECK IF ADDRESS HAS CHANGED
ADDRESS (NUMBER AND STREET or P.O. BOX)
(Use 2nd address line for Apt, Suite or Building Number)
2.
CITY
(PLEASE INSERT SPACE IF CITY HAS MULTIPLE NAMES)
STATE
ZIP CODE
3.
(COUNTRY IF FOREIGN)
Residency Status
4. Enter your Residency Status with the appropriate number......................................................................................................
4.
1.
Full-Year Resident 2. Part-Year Resident from
to
3. Nonresident
Part-Year Residents and Nonresidents must omit Lines 9 thru 14 and use Schedule 3 of Form 500, page 7
Filing Status
5. Enter Filing Status with appropriate letter (See Tax Booklet Page7).................................................................................................
5.
A. Single
B. Married filing joint
C. Married filing separate (Spouse’s social security number must be entered above)
D. Head of Household or Qualifying Widow(er)
6. Number of exemptions (Check appropriate box(es) and enter total in 6c.)
6a. Yourself
6b. Spouse
6c.
Dependents (If you have more than 3 dependents, attach a list of additional dependents)
7.
First Name, MI.
Last Name
Social Security Number
Relationship to You
First Name, MI.
Last Name
Social Security Number
Relationship to You
First Name, MI.
Last Name
Social Security Number
Relationship to You
Page 1

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