Form 500 - Individual Income Tax Return - 2002 Page 4

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GEORGIA FORM 500
INDIVIDUAL INCOME TAX RETURN
Your Social Security Number
2002
Page 4
SCHEDULE 3 COMPUTATION OF GEORGIA TAXABLE INCOME FOR PART-YEAR RESIDENTS AND NONRESIDENTS
Income earned in another state as a Georgia resident is taxable but other state(s) tax credit may apply. See Page 7, Line 17 and Page 10.
DO NOT USE LINES 9 THROUGH 14 OF PAGES 1 AND 2, FORM 500
Federal Income
Income Not Taxable
Georgia Income
after Georgia Adjustments
to Georgia
COLUMN A
COLUMN B
COLUMN C
,
,
,
,
,
,
1. Wages, Salaries, Tips, etc. ...............
,
,
,
,
,
,
2. Interest and Dividends .....................
,
,
,
,
,
,
3. Business Income or (Loss) .............
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,
,
,
,
,
4. Other Income or (Loss) ....................
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,
,
,
,
,
5. Total Income: Total Lines 1 through 4
Adjustments to Income:
,
,
,
,
,
,
6. Total adj. from Federal Form 1040...
7. Total adj. from Form 500, Schedule 1,
,
,
,
,
,
,
Page 3
(See instructions Line 9, Page 6)
8. Adjusted Gross Income: Line 5 plus
,
,
,
,
,
,
or minus Lines 6 and 7 ....................
9. RATIO: Divide Line 8, Column C by
% Not to exceed 100%
Line 8, Column A. Enter percentage .................................................
10. Itemized or Standard Deduction
,
,
(See instructions for Line 10, Page 9) ..............................................
11. Personal Exemption from Form 500,
,
,
Page 1, Line 7, multiplied by $2,700 .................................................
12. Total Deductions and Exemptions:
,
,
Add Lines 10 and 11 .........................................................................
13. Multiply Line 12 by Ratio on Line 9
,
,
and enter result .....................................................................................................................................
14. Georgia Taxable Income: Subtract Line
13 from Line 8, Column C
,
,
Enter here and on Line 15, Page 2 of Form 500 .................................................................................
List the state(s) in which the income in Column B was earned and/or to which it was reported.

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