Related Member Intangible Expenses And Costs And Interest Expenses And Costs - Georgia Department Of Revenue Page 2

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5.
Enter type of tax paid in each state by the related member.
a
b
c
d
6.
Amount of the related member costs paid by the taxpayer and reported by the related member as income subject
to allocation and/or apportionment in each respective state.
a
b
c
d
7.
Apportionment ratio (to six decimals) in each respective state applicable to the amount in line 6. If the
related member cost reported to a respective state was allocated in full to that state, enter “1” for that state.
a
b
c
d
8.
Multiply the amounts in line 6 by the factors in the corresponding boxes of line 7 and enter the result in the
corresponding boxes below.
a
b
c
d
9.
Total amount eligible for this exception. Add lines 8a through 8d.
9.
Please see examples in Regulation 560-7-3-.05(5) for further guidance on the above calculations.
10.
Provide a brief description of the arm’s length status of the transactions between the taxpayer and the
related member. Please see subparagraph (5)(d)5. of Regulation 560-7-3-.05 for specific information
that should be included:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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