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Page 3
Georgia Form
Fiduciary Income Tax Return
TAXPAYER’S FEIN
Schedule 2 - Beneficiaries’ Share of Income
(For each Beneficiary complete Name, Address, City, State, ZIP, ID Number and 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
Name
ID Number
Share of Income
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. Income tax deduction other than Georgia.........................................................................
2.
3.
3. Expense allocable to exempt income (Other than US obligations)...................................
4.
4. Net operating loss carryover deducted on the Federal return ..........................................
5a.
5a. Other
.................................................
5b. Other
.................................................
5b.
TOTAL
ADDITIONS.............................................................................................................................................
SUBTRACTIONS
1.
1. Interest - U.S. Government Obligations
.
(Must be reduced by direct and indirect interest expense)
2. Income Tax Refund other than Georgia............................................................................
2.
3. Georgia net operating loss carryover from previous years (See the instructions)..............
3.
4a.
4a. Other
...............................................
4b.
4b. Other
...............................................
TOTAL
SUBTRACTIONS....................................................................................................................................
Total additions less total subtractions.
(Enter also on Line 2, Schedule 1)............
NET ADJUSTMENT: