Form It-Ca - Georgia Job Tax Credit - 2008

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IT-CA 2008 GEORGIA JOB TAX CREDIT
(This form is to be used by taxpayers who create qualifying numbers of jobs after 1/1/2008.)
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IT-CA 2008
Part I.
CERTIFICATION AND INSTRUCTIONS
The Georgia Job Tax Credit Program provides tax credits under Article 2 of Chapter 7 of Ti tle 48 of the Official Code of Georgia
Annotated for certain businesses that create and retain sufficient new full-time jobs. Businesses that may benefit from the tax credit
include those engaged in the manufacturing, warehousing and distribution, processing, telecommunications, broadcasting,
research and
research development or tourism industries or the headquarters of any business engaged in such industries. Depending on where (what
county or census tract area) jobs are created, a minimum of an average of 2, 5, 10, 15, or 25 new full-time jobs must be created and
retained for one year before any credit may be received. Job creation thresholds must be met by individual county/census tract area.
The credit is $3,500 (for tier 1 counties and eligible census tract areas), $2,500 (fo r tier 2 counties), $1,250 (for tier 3 counties)or $750
(for tier 4 counties) annually for each new full-time job. The credit can be taken for five years beginning with year two and continuing
through year six after the creation of the jobs. Each year, a ll counties in the state are ranked and divided into four tiers: tier 1 includes
71 counties, tier 2 includes 35 counties, tier 3 includes 35 counties, and tier 4 includes 18 counties. Census tracts are ranked when
data becomes available, usually after each decennial census. Eligible census tracts are completely contained within Georgia’s
metropolitan counties and are similar statistically to the bottom 71 counties in the state (tier 1). IN ORDER TO COMPLETE THIS FORM,
a copy of the program regulations must be obtained from the Georgia Job Tax Credit Program Coordinator, Georgia Department of
Community Affairs, 60 Executive Park South, NE, Atlanta, GA 30329-2231. The current list of county and census tract designations
may also be obtained from the Job Tax Credit Program Coordinator. Please attach this form to the taxpayer’s Georgia Income Tax
Return. (Further information, including regulations and county designations, may be obtained from the Georgia Department of
Community Affairs' Web Page at
.)
A.
CERTIFICATION FOR GEORGIA JOB TAX CREDIT PROGRAM
1. Name of business claiming credit
Phone Number (
)
Street Address
City
State
Zip Code
2. County(s)/Census Tract Area(s) in which the new full-time jobs have been created
3. Street address(s) of site(s) where new full-time jobs have been created
4. List the products or services (NAICS/SIC Codes) provided by the business at the site(s) listed above
5. Fiscal year of the business named above
.
6. Tax year of the business, if different
7
If the County(s)/Census Tract Area(s) listed above was redesignated
prior to
any year when jobs were created, has the company filed a Notice of
Intent for Georgia Jobs Tax Credit?
[
] Yes
[
] No
Date Notice was accepted by the Commissioner of Community Affairs:
8. Is the company listed above entitled to benefits of the Job Tax Credit Program by transfer from another company? If so, explain.
(Note that separate Sections II, III, and IV must be filed if new jobs have been created in more than one eligible county/census tract area.)
I, the undersigned, certify that the above listed information is true and correct to the best of my knowledge and that the jobs created are part of
the
business' operation that provides the NAICS/SIC products or services listed above and that the business has abided by all Job Tax Credit Program
rules
and regulations. Note that this certification includes new program requirements established in law in 2001 concerning required avera
ge
wages and provision of health insurance.
________________________________________
_________________________________________
Contact Person/Agency
Signature of Company Officer
________________________________________
_________________________________________
Contact Phone Number
Title

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