Form It-Consol - Application For Permission To File Consolidated Georgia Income Tax Return Page 4

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CLEAR
10. For purposes of the disallowance of expenses required by Regulation 560-7-3-.13(3), is there any reason why the remainder
of the general and administrative expenses should not be apportioned (based on an equally weighted three factor ratio)
between those corporations included in the requested Georgia consolidated group and those affiliated entities not included
in the requested Georgia consolidated group? Yes
No
If so, provide an explanation which shows the reason
why.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
11. Are there any other expenses (not discussed above ) that were incurred by a corporation in the requested Georgia consolidated
group for or on behalf of an affiliated entity that is not in the requested Georgia consolidated group? Yes
No
If
so, for each expense provide the type of expense, the amount of the expense and the names and FEI numbers of the
entities involved in the following format.
Georgia Corporation
FEI
Affiliated Entity
FEI
Type of Expense
Amount
Incurring Expense
Number
(Non-Georgia Corporation)
Number
12. Do the corporations that are included in the requested Georgia consolidated group receive any reimbursements, for the
expenses referred to in questions 6 through 11, from the affiliated entities not in the requested Georgia consolidated group?
Yes
No
If so, provide the amount of the reimbursement, names and FEI numbers of entities in the following
format.
Georgia Corporation
FEI
Affiliated Entity
FEI
Reimbursement Amount
Receiving Reimbursement
Number
Number
Additional Questions: Please call 404-417-2401 if you have questions about this application.
Declaration: I/We declare under the penalties of perjury that I/we have examined this application (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, their declaration is based
on all information of which they have any knowledge.
____________________________________________________
_______________________________________________________
SIGNATURE OF OFFICER
DATE
SIGNATURE OF INDIVIDUAL PREPARING THE APPLICATION
____________________________________________________
_______________________________________________________
N
A
M
E
O
F
O
F
F
C I
E
R
N
A
M
E
O
F
INDIVIDUAL PREPARING THE APPLICATION
____________________________________________________
_______________________________________________________
TITLE
TELEPHONE #
IDENTIFICATION OR SOCIAL SECURITY NUMBER
TELEPHONE #
Page 4

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