Form 500x - Amended Individual Income Tax Return - 2014 Page 3
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500X
Georgia Form
Amended Individual Income Tax Return
Georgia Department of Revenue
YOUR SOCIAL SECURITY NUMBER
7a.
7a. Number of Dependents (DO NOT include yourself or your spouse).........................................................................................
7b. Add Lines 6c and 7a. Enter total................................................................................................................................................
7b.
If amount on line 8, 9, 10, 13 or 15 is negative, use the minus sign (-). Example -3,456.
,
,
.
00
8.
8. Federal adjusted gross income (From Federal Form 1040,1040A or 1040 EZ).
(Do not use FEDERAL TAXABLE INCOME)
,
,
.
00
9.
9. Adjustments from Schedule 1 (See IT-511 Tax Booklet)........................
,
,
.
00
10.
10. Georgia adjusted gross income (Net total of Line 8 and Line 9)................
,
.
00
11. Standard Deduction
......
11a.
(Do not use FEDERAL STANDARD DEDUCTION)
(See 511 Tax Booklet)
b.
Self: 65 or over?
Blind?
Spouse: 65 or over?
Blind?
,
.
00
=..........
11b.
Total
x 1,300
.
,
00
c. Total Standard Deduction (Line 11a + Line 11b)..................................
11c.
Use EITHER Line 11c OR Line 12c (Do not write on both lines)
12. Total Itemized Deductions used in computing Federal Taxable Income.
,
,
.
00
a. Federal Itemized Deductions (Schedule A-Form 1040) .....................
12a.
,
,
.
00
b. Less adjustments: (See IT-511 Tax Booklet)..................................
12b.
,
,
.
00
c. Georgia Total Itemized Deductions
.......................................................
12c.
,
,
.
00
13. Subtract either Line 11c or Line 12c from Line 10; enter balance.
.............
13.
.
,
multiply by $2,700 for filing status A or D
00
14a. Number on Line 6c.
14a.
OR multiply by $3,700 for filing status B or C
.
,
00
14b. Number on Line 7a.
multiplied by $3,000.....................................
14b.
,
.
00
14c. Add Lines 14a. and 14b. Enter total........................................................
14c.
,
,
.
00
15. Georgia taxable income (Line 13 less Line 14c or Schedule. 3, Line 14)............
15.
,
,
.
00
16. Tax (Use Tax Table in the IT-511 Tax Booklet).......................................
16.
,
,
.
00
17. Credits from Schedule 2 of Form 500X .....................................................
17.
,
,
.
00
18. Balance (Line 16 less Line 17) if zero or less than zero, enter zero.......
18.
1
9. Georgia Income Tax Withheld on Wages and 1099s
,
,
.
00
(Enter Tax Withheld Only and enclose W-2s
and/or 1099s)......................
19.
,
,
.
00
20. Other Georgia Income Tax Withheld ....................................................
20.
(Must enclose G2-A, G2-FL, G2-LP and/or G2-RP)
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