Georgia Form 501 - Fiduciary Income Tax Return - 2015 Page 2

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501
Page 2
Georgia Form
Fiduciary Income Tax Return
TAXPAYER’S FEIN
Schedule 1- Computation of Tax (continued)
12. Balance of tax due. If Line 10 exceeds Line 11c, enter Line 10 less Line 11c..............
12.
13. Overpayment. If Line 11c exceeds Line 10, enter Line 11c less Line 10.......................
13.
14. Amount from Line 13 to be credited to next year’s estimated tax....................................
14.
15. Interest............................................................................................................................
15.
16. Late payment penalty ...................................................................................................
16.
17. Late filing penalty .........................................................................................................
17.
18.
18.
Penalty for underpayment of estimated tax (UET) .........................................................
19.
19.
(If you owe) Add Lines 12, 15 thru 18. Make check payable to Georgia Department of Revenue.
20.
(If you are due a refund) Subtract the sum of Lines 14 thru 18 from Line 13. This is your refund
20.
Direct Deposit Options
20a
(For U.S. Accounts Only)
.
Direct Deposit
Routing
Type:
Checking
Number
See Instructions in the IT-511 booklet for further
Savings
Account
details. If you do not select Direct Deposit, a paper
Number
check will be issued.
DECLARATION: I/We declare under the penalties of perjury that I/we have examined this return (including accompanying schedules and statements)
and to the best of my/our knowledge and belief, it is true, correct, and complete. If prepared by a person other than the taxpayer, this declaration is
based on all information of which the preparer has knowledge. Georgia Public Revenue Code Section 48-2-31 stipulates that taxes shall be paid in
lawful money of the United States, free of any expense to the State of Georgia.
SIGNATURE OF FIDUCIARY
DATE
PHONE NUMBER
SIGNATURE OF PREPARER OTHER THAN FIDUCIARY
DATE
PREPARER’S IDENTIFICATION NUMBER
PHONE NUMBER
NAME OF PREPARER OTHER THAN FIDUCIARY
Department Use Only
I authorize Georgia Department of Revenue to electroni-
cally notify me at the below email address regarding any
updates to my account(s).
FIDUCIARY EMAIL ADDRESS
THE FIDUCIARY MUST ATTACH TO THIS RETURN A COPY OF ITS FEDERAL RETURN AND SUPPORTING SCHEDULES

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