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Georgia Form
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Georgia Department of Revenue
Fiduciary Income Tax Return
Processing Center
P.O. Box 740316
Atlanta, Georgia 30374-0316
Page 1
FOR FILING YEAR
OR OTHER TAX YEAR
Change in Trust or Estate Name
Change in Fiduciary
____/____/
____/____/
500 UET Exception Attached
BEGINNING
ENDING
Change of Address
A. Federal Employer Id. No.
Name of Estate or Trust
Date of Creation of Trust
B.
Date of Decendent’s Death
N
a
m
e of Fiduciary
Title of Fiduciary
T
elephone No.
Address of Fiduciary (Number and Street)
( Apt., Suite or Building Number)
C.
City
State
Zip Code
Country
D.
If no return was filed last year, state reason
Schedule 1 - Computation of Tax
1.
1. Income of fiduciary (Adjusted total income from attached Form 1041)..............................
2.
2. Adjustments: (List of all items in Schedule 3, Page 3).......................................................
3.
3. Total (Net total of Line 1 and 2)....................................................................................
4.
4. Beneficiaries’ Share of Income (Total of Schedule 2)........................................................
5.
5. Balance (Line 3 less Line 4) .......................................................................... ....................
6.
6. Exemptions:
6a. Trust $1350
6b. Estate $2700 ................................................
7.
7. Net taxable income of fiduciary (Line 5 less Line 6)..........................................................
8.
8. Total tax.................................................................................................................. . ..........
9a.
9. Less Credits:
9a. Other State Credit..........................................................................
9b.
9b. Pass Through and Business Credits...........................................
9c.
9c. Total............................................................................................
10.
10. Tax less credit (Net total of Line 8 less Line 9, if 0 or less, enter 0)..........................
11a.
11. Less payments: 11a. Georgia Estimated Tax Paid..........................................................
11b.
11b. Georgia Tax Withheld.................................................................
11c.
11c. Total...........................................................................................