Form It-Consol - Application For Permission To File Consolidated Page 2
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Section 3 - Designation of Member who is Authorized to Receive Notices or Consents
Regulation 560-7-3-.13 (2)(a) requires that the “application must designate one member of the affiliated group which is authorized
to receive the notice of approval or denial or the notices referred to in paragraph (3) on behalf of the entire group, and to execute
any consent referred to in subparagraph (f) of paragraph (3) on behalf of the entire group, and an address to which any such
notices or consents may be sent”. If the parent corporation is included in the requested Georgia consolidated group, the group
may designate a member other than the parent corporation listed on page 1. Failure to provide the information below will result
in the automatic designation of the parent corporation listed on page 1 as the member who is authorized to receive notices or
consents pursuant to Regulation 560-7-3-.13(2)(a). If the parent corporation is not included in the requested Georgia consolidated
group, a member must be designated below.
Federal Employer I.D. Number
Name (Corporate title) Please give former name if applicable.
Business Address (Number and Street)
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Section 4 - Questions
General Questions
1. For each corporation in the requested Georgia consolidated group which did not file a return in Georgia for the prior tax year,
please include for the current tax year, a pro forma page 1 and 5 of Federal Form 1120 with supporting statements (or
similarly prepared information) and a copy of the Georgia apportionment schedule. These should be prepared on a separate
company basis. If this information is not available at the time of filing the application, please submit the information using
estimates.
2. Is a loss being carried forward from a prior year? Yes
No
3. If the answer to question 2 is yes, please attach a net operating loss schedule and indicate whether the losses are subject
to the GSRLY limitations of Regulation 560-7-3-.13(8), and whether the losses are subject to the transition rules of Regulation
560-7-3-.13(9).
4. If you would like to be represented by a CPA, attorney, etc., have you attached a Georgia Power of Attorney Form
RD-1061? Yes
No
Entities Not Included in The Georgia Group
5. Do any of the corporations included in the requested Georgia consolidated group own entities (including but not limited to
affiliates, LLC’s and partnerships) or are owned by entities (including but not limited to affiliates, LLC’s and partnerships)
not included in the requested Georgia consolidated group? Yes
No
For entities which are owned, please do
not include publicly traded companies which are not related based on common ownership or management.
If so, please list the name and FEI number of each corporation included in the requested Georgia consolidated group that
owns entities or is owned by entities not in the Georgia consolidated group. Below each of these corporations, list the name
and FEI number for each entity that is not included in the requested Georgia consolidated group, and indicate which
corporation/entity owns which corporation/entity. If all of the information requested is included on Federal Form 851 Affiliations
Schedule, this form may be attached in lieu of completing the schedule below.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Attach additional schedules if necessary.
Page 2
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