Form 500 - Georgia Individual Income Tax Return - 2014 Page 2
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500
Georgia Form
Individual Income Tax Return
Georgia Department of Revenue
2014
YOUR SOCIAL SECURITY NUMBER
7a.
7a. Number of Dependents (DO NOT include yourself or your spouse).........................................................................................
7b. Add Lines 6c and 7a. Enter total................................................................................................................................................
7b.
If amount on line 8, 9, 10, 13 or 15 is negative, use the minus sign (-). Example -3,456.
.
00
8.
8.
Federal adjusted gross income (From Federal Form 1040,1040A or 1040 EZ).
(Do not use FEDERAL TAXABLE INCOME) If the amount on Line 8 is $40,000 or more, or your gross income is less than your W-2s
you must enclose a copy of your Federal Form 1040 Pages 1 and 2.
.
00
9.
9. Adjustments from Schedule 1 (See Tax Booklet on Page 11, Line 9)........
.
00
10.
10. Georgia adjusted gross income (Net total of Line 8 and Line 9)...............
.
00
11a.
11. Standard Deduction
......
(Do not use FEDERAL STANDARD DEDUCTION)
(See Tax Booklet on Page 12 Line 11)
b.
Self: 65 or over?
Blind?
Spouse: 65 or over?
Blind?
.
00
=.........
11b.
Total
x 1,300
.
00
c. Total Standard Deduction (Line 11a + Line 11b).................................
11c.
Use EITHER Line 11c OR Line 12c (Do not write on both lines)
12. Total Itemized Deductions used in computing Federal Taxable Income. If you use itemized deductions, you must enclose Federal Schedule A
.
00
a. Federal Itemized Deductions (Schedule A-Form 1040) .....................
12a.
.
00
b. Less adjustments: (See Tax Booket on Page 13, Line 12) ................
12b.
.
00
c. Georgia Total Itemized Deductions
.......................................................
12c.
.
00
13. Subtract either Line 11c or Line 12c from Line 10; enter balance.
.............
13.
.
multiply by $2,700 for filing status A or D
00
14a.
14a. Number on Line 6c.
multiply by $3,700 for filing status B or C
OR
.
00
14b. Number on Line 7a.
multiplied by $3,000.....................................
14b.
.
00
14c. Add Lines 14a. and 14b. Enter total......................................................
14c.
.
00
15. Georgia taxable income (Line 13 less Line 14c or Schedule 3, Line 14)...........
15.
.
00
16. Tax (Use Tax Table in the Tax Booklet on Pages 20-22)...........................
TAX TABLE
16.
17. Credits from Schedule 2, Page 5, Line 12 of Form 500
.
00
(Enter total but not more than the amount on Line 16)........................
17.
.
00
18. Balance (Line 16 less Line 17) if zero or less than zero, enter zero.......
18.
.
00
19.
Georgia Income Tax Withheld on Wages and 1099s .....................
19.
(Enter Tax Withheld Only and enclose W-2s and/or 1099s)
.
00
20. Other Georgia Income Tax Withheld................................................
20.
(Must enclose G2-A, G2-FL, G2-LP and/or G2-RP)
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