Form It-Reit - Captive Real Estate Investment Trust (Reit) - Georgia Department Of Revenue Page 2

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5.
Enter type of tax paid in each state by the captive REIT
a
b
c
d
6.
Amount of the captive REIT costs paid by the taxpayer and reported by the captive REIT as income subject to
allocation and/or apportionment in each respective state. This amount must be reduced by the dividends paid
deduction of the captive REIT and by expenses paid, accrued, or incurred by the captive REIT to persons that are
not related members.
a
b
c
d
7.
Apportionment ratio (to six decimals) in each respective state applicable to the amount in line 6. If the captive
REIT 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-.04 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
captive REIT. Please see Regulation 560-7-3-.04 for specific information that should be included:
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