Form It 511 - Individual Income Tax 500 And 500ez Forms And General Instructions - 2012 Page 20

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EXAMPLE FOR COMPLETING SCHEDULE 3
500
Basis for Example: A husband and wife are both part-year residents of Georgia who file a joint return.
Georgia Form
Their Federal adjusted gross income is $52,000 consisting of $48,000 in salary and $4,000 of interest.
Individual Income Tax Return
They have one child and adjustments to income totaling $2,500. They became Georgia residents on
Georgia Department of Revenue
April 1. Their Schedule 3 would be completed as follows:
2011
YOUR SOCIAL SECURITY NUMBER
9
9
9
8
8
8
7
7
7
6
6
6
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
9
9
8
8
7
7
6
6
5
5
4
4
3
3
2
2
1
1
Version 1
DO NOT USE LINES 9 THRU 14 OF PAGE 2, FORM 500
SCHEDULE 3 COMPUTATION OF GEORGIA TAXABLE INCOME FOR ONLY PART-YEAR
RESIDENTS AND NONRESIDENTS.
Income earned in another state as a Georgia resident is taxable but other state(s)
tax credit may apply. See Tax Booklet, Page 13, Line 17 and Page 15
FEDERAL INCOME AFTER GEORGIA ADJUSTMENT
INCOME NOT TAXABLE TO GEORGIA
GEORGIA INCOME
(COLUMN C)
(COLUMN A)
(COLUMN B)
1. WAGES, SALARIES, TIPS, etc
1. WAGES, SALARIES, TIPS, etc
1. WAGES, SALARIES, TIPS, etc
4 8 0 0 0
4 8 0 0 0
3
3
6
6
5
5
4
4
7
7
4 8 0 0 0
4 8 0 0 0
4 8 0 0 0
1
1
1
1
4 5
4 5
3
3
3
3
3
6
6
6
5
5
5
4
4
4
7
7
7
1
1
1
1
1
1
4 5
4 5
4 5
3
3
3
,
,
.
00
,
,
.
00
,
,
.
00
4,
2.
INTERESTS AND DIVIDENDS
2.
INTERESTS AND DIVIDENDS
2.
INTERESTS AND DIVIDENDS
4 0 0 0
4 0 0 0
4 0 0 0
4 0 0 0
4 0 0 0
9 5
9 5
4
4
3
3
0
0
4 6
4 6
9 5
9 5
9 5
4
4
4
3
3
3
0
0
0
4 6
4 6
4 6
,
,
.
00
,
,
.
00
,
,
.
00
3.
BUSINESS INCOME OR (LOSS)
3. BUSINESS INCOME OR (LOSS)
3. BUSINESS INCOME OR (LOSS)
,
,
.
00
,
,
.
00
,
,
.
00
4.
OTHER INCOME OR (LOSS)
4. OTHER INCOME OR (LOSS)
4. OTHER INCOME OR (LOSS)
,
,
.
00
,
,
.
00
,
,
.
00
5. TOTAL INCOME: TOTAL LINES 1 THRU 4
5. TOTAL INCOME: TOTAL LINES 1 THRU 4
5. TOTAL INCOME: TOTAL LINES 1 THRU 4
1
1
2 4
2 4
0 7
0 7
3 9
3 9
5 9 3
5 9 3
5 2 0 0 0
5 2 0 0 0
1
1
1
2 4
2 4
2 4
0 7
0 7
0 7
3 9
3 9
3 9
5 9 3
5 9 3
5 9 3
5 2 0 0 0
5 2 0 0 0
5 2 0 0 0
00
00
00
,
,
.
,
,
.
,
,
.
6. TOTAL ADJUSTMENTS FROM FORM 1040
6. TOTAL ADJUSTMENTS FROM FORM 1040
6. TOTAL ADJUSTMENTS FROM FORM 1040
- 2 0 0 0
- 2 0 0 0
- - - - -
2 0 0 0
2 0 0 0
- 2 0 0 0
- 2 0 0 0
- 2 0 0 0
2 0 0 0
2 0 0 0
2 0 0 0
,
,
.
00
,
,
.
00
,
,
.
00
7. TOTAL ADJUSTMENTS FROM FORM 500,
7. TOTAL ADJUSTMENTS FROM FORM 500,
7. TOTAL ADJUSTMENTS FROM FORM 500,
SCHEDULE 1, PAGE 4
SCHEDULE 1, PAGE 4
SCHEDULE 1, PAGE 4
- 5 0 0
- 5 0 0
- 5 0 0
- 5 0 0
- 5 0 0
-
-
-
-
-
5 0 0
5 0 0
5 0 0
5 0 0
5 0 0
,
,
.
00
,
,
.
00
,
,
.
00
8. ADJUSTED GROSS INCOME:
8. ADJUSTED GROSS INCOME:
8. ADJUSTED GROSS INCOME:
LINE 5 PLUS OR MINUS LINES 6 AND 7
LINE 5 PLUS OR MINUS LINES 6 AND 7
LINE 5 PLUS OR MINUS LINES 6 AND 7
4 9 5 0 0
4 9 5 0 0
1
1
1
1
1
0
0
0
0
0
4 0
4 0
4 0
4 0
4 0
7
7
7
7
7
3 9
3 9
3 9
3 9
3 9
0 9 3
0 9 3
0 9 3
0 9 3
0 9 3
4 9 5 0 0
4 9 5 0 0
4 9 5 0 0
00
00
00
,
,
.
,
,
.
,
,
.
7 8 9
7 8 9
7 8 9
7 8 9
7 8 9
8 8 8 8 8
.
% Not to exceed 100%
9.
RATIO: Divide Line 8, Column C by
Line 8, Column A. Enter percentage.............
9.
3 0 0 0
3 0 0 0
3 0 0 0
3 0 0 0
3 0 0 0
,
,
.
00
10. Itemized
or Standard Deduction X (See Tax Booklet, Page 17, Line 10)...
10.
11. Personal Exemption from Form 500, Page 2 (See Tax Booklet, Pg. 17, Line 11a-c)
5 4 0 0
5 4 0 0
5 4 0 0
5 4 0 0
5 4 0 0
2 2 2 2 2
,
,
.
00
11a. Number on Line 6c.
multiplied by $2,700...................................................
11a.
3
3
3
3
3
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1 1 1
00
,
,
.
11b. Number on Line 7a.
multiplied by $3,000..................................................
11b.
8
8
8
4 0 0
4 0 0
4 0 0
8
8
4 0 0
4 0 0
00
,
,
.
11c. Add Lines 11a. and 11b. Enter total.......................................................................
11c.
1
1
1
1
1
1
4 0 0
4 0 0
4 0 0
1
1
1
1
4 0 0
4 0 0
,
,
.
00
Add Lines 10 and 11c.............................
12. Total Deductions and Exemptions:
12.
9
9
0 0 4
0 0 4
9
9
9
0 0 4
0 0 4
0 0 4
,
,
.
00
13. Multiply Line 12 by Ratio on Line 9 and enter result............................................
13.
14. Georgia Taxable Income: Subtract Line 13 from Line 8, Column C
3
3
0 0 8 9
0 0 8 9
3
3
3
0 0 8 9
0 0 8 9
0 0 8 9
00
,
,
.
Enter here and on Line 15, Page 2 of Form 500..................................................
14.
List the state(s) in which the income in Column B was earned and/or to which it was reported.
S o u t h
C a r o l i n a
1.
3.
2.
A l a b a m a
4.
Page 18

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