Georgia Form 501 - Fiduciary Income Tax Return Page 3
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501
Page 3
Georgia Form
Fiduciary Income Tax Return
TAXPAYER’S FEIN
____ ____ ____ ____ ____ ____ ____ ____ ____
Schedule 2 - Beneficiaries’ Share of Income
Name
ID Number
Share of Income
A
Address
City
State
ZIP
Name
ID Number
Share of Income
B
Address
City
State
ZIP
ID Number
Share of Income
Name
C
Address
City
State
ZIP
Enter total (Including additional Beneficiaries’ Share of Income from attached schedule).
Schedule 3 - Adjustments to Income
ADDITIONS
1.
1. Municipal bond interest - Other states...............................................................................
2.
2. Income tax deduction other than Georgia.........................................................................
3.
3. Expense allocable to exempt income (Other than US obligations)...................................
4a.
4a. Other
.................................................
4b.
4b. Other
.................................................
TOTAL
ADDITIONS.............................................................................................................................................
SUBTRACTIONS
1.
1. Interest - U.S. Government Bonds
.........
(Must be reduced by direct and indirect interest expense)
2.
2. Income Tax Refund other than Georgia............................................................................
3a.
3a. Other
...............................................
3b.
3b. Other
...............................................
TOTAL
SUBTRACTIONS....................................................................................................................................
Total additions less total subtractions.
(Enter also on Line 2, Schedule 1)............
NET ADJUSTMENT:
Schedule 4 - Pass Through and Business Credits - If more than 3 enclose schedule
Company Name
Credit Code Type
Ownership Percentage
FEIN
Credit Claimed
Company Name
Credit Code Type
Ownership Percentage
Credit Claimed
FEIN
Company Name
Credit Code Type
Ownership Percentage
FEIN
Credit Claimed
Enter total (Including additional Pass-Through and Business Credits from attached schedule).
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