Georgia Form 600-T - Exempt Organization Unrelated Business Income Tax Return

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600-T
Georgia Form
(
Mailing Address
Rev. 12/06)
Exempt Organization
Georgia Department of Revenue
Unrelated Business Income Tax Return
Processing Center
P.O. Box 740397
Atlanta, Georgia 30374-0397
Change of Address
Exempt Organization Unrelated Business Income Tax Return
20
(Under Georgia Code Section 48-7-25)
For the taxable year beginning ______________________, 20_______ and ending ______________________ , 20_______
Name of Organization
Federal Employer ID No. (in case of employees’
trust described in section 401 (a) and exempt under
section 501 (a), insert the trust’s identification
Number and Street
number.)
City or Town, State and Zip Code
Date of current exemption letter and IRS code section
under which you are exempt.
Name and Address of Trust’s Fiduciary
SCHEDULE 1
1. Unrelated business taxable income from Federal Form 990-T (attach copy)
2. Additions ....................................................................................................
3. Total (add line 1 and line 2) .........................................................................
4. Subtractions ...............................................................................................
5. Georgia unrelated business taxable income (line 3 less line 4) ...................
COMPUTATION OF GEORGIA UNRELATED BUSINESS INCOME TAX
SCHEDULE 2
1. Line 5, above, multiplied by 6% ..................................................................
2. Less: Credits and Payments ......................................................................
3. Withholding Credits (G2-A and/or G-2RP) ...................................................
4. Balance of tax due OR overpayment ...........................................................
5. Interest due (see instructions) ....................................................................
6. Penalties due (see instructions) .................................................................
7. Balance of tax, interest and penalties due with return .................................
8. If line 4 is an overpayment, amount to be credited on 20
Estimated Tax
Refunded
A COPY OF THE FEDERAL 990-T AND SUPPORTING SCHEDULES (AND ANY EXTENSION) MUST BE ATTACHED TO THIS RETURN
DECLARATION: I/We declare, under penalty of perjury that I/we have examined this return (including accompanying
schedules and statements) and to the best of our knowledge and belief it is true, correct and complete. If prepared by a
person other than a taxpayer, his/her declaration is based on all information of which s/he has any knowledge.
Signature of Officer
Signature of Individual or Firm Preparing Return
Title
Date
Employee ID or Social Security Number

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