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501X
Georgia Form
(
Rev. 9/12)
Georgia Department of Revenue
Amended Fiduciary Income Tax Return
Processing Center
P.O. Box 740316
Atlanta, Georgia 30374-0316
2012
Page 1
Fiscal Year
Change in Trust or Estate Name
Beginning
Federal Amended Return Filed
Change in Fiduciary
(please attach copy)
500 UET
Fiscal Year
Exception Attached
ersion)
Ending
Amended due to IRS changes
Change of Address
A. Federal Employer Id. No.
Name of Estate or Trust
Date of Creation of Trust
B.
Date of Decedent’s Death
N
a
m
e of Fiduciary
Title of Fiduciary
T
elephone No.
C.
Address of Fiduciary (Number and Street)
( Apt., Suite or Building Number)
City
State
Zip Code
Country
D.
If no return was filed last year, state reason
Schedule 1 - Computation of Tax
1.
1. Income of fiduciary (Adjusted total income from attached Form 1041)..............................
2.
2. Adjustments: (List of all items in Schedule 3, Page 3).......................................................
3.
3. Total (Net total of Line 1 and 2)....................................................................................
4.
4. Beneficiaries’ Share of Income (Total of Schedule 2)........................................................
5.
5. Balance (Line 3 less Line 4) .......................................................................... ....................
6.
6. Exemptions:
6a. Trust $1350
6b. Estate $2700 ................................................
7.
7. Net taxable income of fiduciary (Line 5 less Line 6)..........................................................
8.
8. Total tax.................................................................................................................. . ..........
9a.
9. Less Credits:
9a. Other State Credit..........................................................................
9b.
9b. Pass Through and Business Credits...........................................
9c.
9c. Total............................................................................................
10.
10. Tax less credit (Net total of Line 8 less Line 9, if 0 or less, enter 0)..........................
11a.
11. Less payments: 11a. Georgia Estimated Tax Paid..........................................................
11b. Georgia Tax Withheld.................................................................
11b.
11c. Amount paid with original return, plus any additional payments
11c.
made after it was filed.................................................................
11d. Total ............................................................................................
11d.