Form 500
2000 Schedule
Page 4
Social security number :
SCHEDULE 3 COMPUTATION OF GEORGIA TAXABLE INCOME FOR PART-YEAR RESIDENTS AND NONRESIDENTS
Income earned in another state as a Georgia resident is taxable. See other state credit, Page 8, Line 17, and Page 11.
DO NOT USE LINES 9 THROUGH 14 OF PAGES 1 AND 2, FORM 500
Federal Income
Georgia Income
Income Not Taxable
after Georgia Adjustments
to Georgia
COLUMN C
COLUMN A
COLUMN B
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1. Wages, Salaries, Tips, etc......................
2. Interest and Dividends............................
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3. Business Income or (Loss)....................
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4. Other Income or (Loss)..........................
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5. Total Income: Total Lines 1 through 4......
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Adjustments to Income:
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6. Total from Federal Form 1040.................
7. Total from Form 500, Schedule 1, Page 3
(See instructions Line 9, Page 7)..........
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8. Adjusted Gross Income:
Line 5 plus or minus Lines 6 and 7........
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9. RATIO: Divide Line 8, Column C by Line 8, Column A.
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Enter percentage.......................................................................................
Not to exceed 100%
10. Itemized or Standard Deduction
(See instructions for Line 10, Page 12).....................................................
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11. Personal Exemption from Form 500, Page 1, Line 6, multiplied by $2700....
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12. Total Deductions and Exemptions: Add Lines 10 and 11.............................
13. Multiply Line 12 by Ratio on Line 9 and enter result....................................
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14. Georgia Taxable Income: Subtract Line 13 from Line 8, Column C
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Enter here and on Line 15, Page 2 of Form 500...............................
Georgia Public Revenue Code Section 48-2-31 stipulates that taxes shall be paid in lawful money of the United States, free of any
expense to the State of Georgia.