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CLEAR
IT-DN (Rev. 6/14)
Disaster Notification
O.C.G.A. § 48-2-100, which is effective on July 1, 2014, provides that an out-of-state business whose
presence is solely that of conducting operations within this state for purposes of performing work or
services on infrastructure related to a declared state of disaster or emergency during the disaster or
emergency period shall not be considered to have established a level of presence that would require
that business to register, file, and remit certain state taxes or that would require that business to be
subject to any licensing or registration requirements in this state. The exemptions that relate to income
tax include registration for a withholding tax number, filing and payment of employer income tax
withholding, filing and payment of net worth tax, and filing and payment of state income tax, including
the filing required for a combined or consolidated group of which the out-of-state business may be a
part. For the apportionment of income pursuant to Chapter 7 of Title 48, the performance by an out-of-
state business of any work in accordance with this Code section shall not increase the amount of income
apportioned to this state. Please see O.C.G.A. § 48-2-100 for definitions and additional information.
O.C.G.A. § 48-2-100 does require that the following information be provided to the Department of
Revenue (DOR). This form must be provided within 60 days after the end of the declared disaster or
emergency period.
Please provide the following for the out-of-state business:
Name of Out-of-State Business: ________________________________
State of Domicile: ________________________________
Principal Business Address (number and street, City or Town, State, and Zip Code):
________________________________________________________________
Federal Employer Identification Number: _____________
Date of Entry into Georgia: ________________________
Contact Person Name: ____________________________
Contact Person Phone Number: ____________________
Contact Person email address: _____________________