Form It-Hc - Certification Of Georgia Housing Tax Credit
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3IT-HC
STATE OF GEORGIA
Departments of Revenue, Insurance and Community Affairs
Certification of Georgia Housing Tax Credit
Part l. Credit
A. Building Address
B. Building Owner and Address
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C. Building Owner TIN
D. Federal Building Identification Number
E. Maximum Allowable GHTC Amount
F. Date Building Placed in Service
_________________________________
______________________
Signature of Authorized Official
Date
Attach a copy of this Form to the Georgia State Income Tax Return or
Insurance Premium Tax Return where the credit is claimed
Part ll. Owner Information
A. Taxpayer Entity
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B. Taxpayer’s Entity TIN
C. Taxpayer’s Address
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TIN refers to Taxpayer identification number.
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