Form 600s-Ca - Consent Agreement Of Nonresident Shareholders Of S Corporations
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STATE OF GEORGIA
FORM 600S-CA
CALENDAR YEAR ____________
(Rev. 9/12)
DEPARTMENT OF REVENUE
OR OTHER TAXABLE YEAR
TAXPAYER SERVICES DIVISION
BEGINNING: _________________
ENDING: ____________________
CONSENT AGREEMENT OF NONRESIDENT SHAREHOLDERS OF S CORPORATIONS
Under Sections 48-7-21 and 48-7-27 of the Georgia Income Tax Act and Regulations thereunder, all nonresident
shareholders must execute an agreement wherein said shareholders agree to pay Georgia income tax on their
proportionate part of the corporation’s Georgia taxable income or the S Corporation election will be terminated by the
Commissioner. To ensure Georgia’s recognition of your S Corporation election, attach a properly completed Form
600S-CA for each nonresident shareholder to Form 600S when filed as specified below, even when a composite
return has been filed.
For tax year’s beginning on or after January 1, 2008, nonresident shareholders of ‘S’ corporations will only need to file a
single consent agreement in the year in which the Subchapter ‘S’ corporation is first required to file a Georgia income tax
return. For a Subchapter ‘S’ corporation in existence prior to January 1, 2008, the consent agreement must be filed for
each shareholder in the first Georgia tax return filed for a year beginning on or after January 1, 2008. A consent
agreement will also need to be filed in any subsequent year for any additional nonresident who first becomes a
shareholder of the Subchapter ‘S’ corporation in that year.
This form may also be used to conditionally relieve the ‘S’ corporation of the responsibility to withhold nonresident taxes
pursuant to section 48-7-129.
IF ANY ONE OR MORE NONRESIDENT SHAREHOLDERS FAILS OR REFUSES TO FILE THE CONSENT
AGREEMENT HEREIN, DO NOT USE FORM 600S. FILE ON FORM 600.
CORPORATE NAME
FEIN
BUSINESS ADDRESS
CITY
STATE
COUNTRY
ZIP CODE
NONRESIDENT SHAREHOLDER
NAME
SOCIAL SECURITY NUMBER
ADDRESS
CITY
STATE
COUNTRY
ZIP CODE
NUMBER OF SHARES OWNED
EMAIL ADDRESS
TELEPHONE NUMBER
As a nonresident shareholder in the above-captioned corporation, I hereby agree to be subject to personal jurisdiction in
this state for all income tax purposes and agree to:
1. File a Georgia Individual Tax Return, Form 500, and report my pro rata share of income and pay any tax due on
the return for each tax year; or
2. Be included in a composite tax return, Form IT-CR, filed by the above corporation for each tax year.
TAXPAYER’S SIGNATURE: ___________________________________
DATE: _______________________
Create as many copies as needed.
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