Form It-Qj - Application For Georgia Quality Jobs Tax Credit
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8IT-QJ
(REV 2/10)
FOR DEPARTMENT USE ONLY
Project Number __________________
GEORGIA DEPARTMENT OF REVENUE
APPLICATION FOR GEORGIA
QUALITY JOBS TAX CREDIT
Date Received____________________
Phone: (404) 417-2422 Fax: (404) 417-4303
Date Reviewed by ITD___________
This form must be attached to your return
Date Approved___________________
to claim the quality jobs tax credit.
Date Denied_____________________
Please read Revenue Regulation 560-7-8-.51 before completing this form.
Tax Year End______________
Name of Applicant / Taxpayer (Legal Name)
Address of Applicant / Taxpayer
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Contact Person
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A. TYPE OF BUSINESS (CHECK ONLY ONE BOX.)
Sole Proprietor (SSN) ______________
Partnership/LLC
C Corporation
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1) If Business is a Corporation, please list the state of incorporation: ______________________
2) Federal Employer ID Number: ____________________
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