Form It-Consv - Conservation Tax Credit - Department Of Revenue - 2016

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STATE OF GEORGIA
Department of Revenue
Conservation Tax Credit
(
This form is to be used by a taxpayer who donated property
for conservation purposes on or after January 1, 2016.)
IT-CONSV 2016 (01/12/16)
Tax Year End _____________________
A. Business Information of Taxpayer Donating Property
Name
Federal Employer Identification Number/Social Security Number
Street Address
Type of Business:
S Corporation
Partnership/LLC
C Corporation
Individual
Fiduciary
City, State and Zip Code
Tax Year End
Contact Person
Telephone number/e-mail address of contact person
If Corporation please provide the state of incorporation
Date of contribution
B. Total Conservation Tax Credit Allowed
1)
Preapproved Conservation Tax Credit Amount*
$ _____________________
2)
Credit Carried Forward from Prior Years **
$ _____________________
3)
Total Credit Available in the Current Year
$ _____________________
(Add Line 1 plus Line 2)
4)
Georgia Income Tax Liability for Current Year
$ _____________________
5)
Remaining Tax Credit
$ _____________________
(Line 3 less Line 4 – Not less than zero)
.
1

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