1 2024 IT-511 Instructions Booklet 2024 Georgi a Individual Income Tax Forms and Instructions2024 Georgia Individual Income Tax Forms and Instructions Form 500 Individual Income Tax Return Form 500EZ Short Individual Income Tax Return Form IND-CR Individual Credit Form Filing Tips Instructions and Help for Taxpayers Tax Credits List of Credits and Codes dor.georgia.govPhone: 1-877-423-6711 Follow us on social media:

2 2024 IT-511 Instructions Booklet From The Commissioner Did you know that by registering an account with the Department of Revenue’s Georgia Tax Center (GTC), you can sign up to receive notifications when any activity takes place on your account? These notifications help you closely monitor your tax status and help combat fraudulent activity. Visit to register. For assistance, you may visit our self-service instructional videos: . https://dor.georgia.gov/taxes/georgia-tax-center-help/how-videos https://gtc.dor.ga.gov Did you also know that taxpayers who file their returns electronically and have their refunds directly depos- ited into their bank accounts receive their refunds much more quickly than those who file a paper return? If you have been considering electronic filing, some of the benefits include: • Faster and more accurate processing • Receiving your refund more quickly by either mail or direct deposit • The ability to file from your home PC or have your taxes prepared by a professional electronic return originator • Elimination of mailing paper returns The Department of Revenue encourages taxpayers to take time to review and adjust their Georgia income tax withholding if they received a substantial refund last year. By reducing withholding amounts, taxpayers have immediate use of their earnings and will not have to wait until the following year to get their money. Please use the Form G-4 (or G-4P if you are receiving a pension) to determine your withholding allowances. These forms can be found on the Department’s website at . https://dor.georgia.gov If you file electronically and need to make a payment, you may pay by electronic check using the Georgia Tax Center. Visit or visit our self-service instructional videos: gtc.dor.ga.gov https://dor.georgia.gov/taxes/georgia-tax-center-help/how-videos. For additional information, contact the Taxpayer Customer Contact Center at 1-877-423-6711. The Department of Revenue, as outlined in the Taxpayer Bill of Rights, will provide “fair, courteous and timely service” to the taxpayers of Georgia. We have implemented several initiatives to ensure we uphold that stan- dard. Our mission is to administer the tax laws of the state of Georgia fairly and efficiently in order to promote public confidence and compliance while providing excellent customer service. Visit to view a copy of the Taxpayer Bill of Rights. https://dor.georgia.gov/taxpayer-bill-rights Frank M. O’Connell Revenue Commissioner

3 2024 IT-511 Instructions Booklet Georgia Department of Revenue Inside this Booklet Checkoff Georgia/Donations........................................39 Estimating GA Income Taxes.......................................35 Filing Requirements............................................................12 Form 500 Instructions.......................................................15 Form 500.................................................................................41 Free Electronic Filing...........................................................3 Georgia Tax Center.............................................................4 Mailing Addresses................................................................7 Net Operating Loss Instructions..................................28 Other State’s Tax Credit Worksheet..........................34 Requesting an Extension..................................................10 Retirement Income Exclusion......................................24 Return Filing Tips................................................................8 Tax Credits.............................................................................36 Taxpayer’s Assistance.......................................................5 Online Assistance Find us Online by going to : dor.georgia.gov • Download Tax Forms • Find Answers to Frequently Asked Questions • Access Where’s My Refund • View the Taxpayer Bill of Rights • Find Georgia Regulations Get help with: • Refunds • Web Access Customer Contact Center: 1-877-423-6711 https://dor.georgia.gov/taxes/taxes-individuals Where’s My Refund? Check the status of your refund online at or by calling 1-877-423-6711. https://gtc.dor.ga.gov Please allow 12 weeks to receive refunds. The Department is taking additional fraud prevention measures to ensure tax refunds are issued to the correct individuals. You will receive your refund via paper check if you are a first-time Georgia filer or if you have not filed your taxes in five or more years. This applies for both electronic and paper return filers. Note: A claim for refund must be made within three (3) years from the later of the date the tax was paid or the due date of the return, including extensions. Free Electronic Filing The Department of Revenue has partnered with certain software companies to offer free and/or low cost online filing services to Georgia taxpayers under the Free File Alliance Program. Under this agreement, qualified taxpayers can prepare and file their Georgia individual income tax returns for free or a low cost using approved software. Each software company has income limitations and other restrictions for their free services. Please review each company’s offer before selecting a product. For more information, visit our website at gov/free-file-alliance. dor.georgia. If you do not qualify for free electronic services, you may file electronically using software produced by an approved software provider listed on our website . https://dor.georgia.gov/approved-software-providers

4 2024 IT-511 Instructions Booklet What is the Georgia Tax Center? The Georgia Tax Center (GTC) is the Department of Revenue’s secure self-service customer facing portal for making online Individual or Business Tax payments and for corresponding with the Department of Revenue. Who can Sign Up for GTC? Any individual who has filed an Individual Income Tax Return or would like to submit a Georgia estimated tax payment is eligible to use GTC. GTC Features You will be able to do the following without a GTC login: • Check refund status • Make quick payments (estimated tax payments or assessment payments) • Protest proposed assessments • Request penalty waivers • Submit additional documentation A login is required to do the following: • Receive notification when a return is filed with your Social Security Number (SSN) or Individual Tax Identification Number (ITIN), or a refund has been issued • Submit a Payment Plan Request • Request an Offer in Compromise (OIC) • Submit a Power of Attorney (POA) • View your 1099-G electronically • View account balance • Manage your tax credits • Make payments as a direct debit from a US bank and/or using credit or debit cards • Perform general account maintenance - address change, preapproval of credits, view credits, etc. How Do I Sign Up? To use GTC, visit our website at . First-time users must register before accessing tax accounts. gtc.dor.ga.gov To register, you will need: • Social Security Number (SSN) or Individual Tax Identification Number (ITIN) • Federal Adjusted Gross Income (Federal AGI) from the most recently filed Georgia return • A valid e-mail address Note: Third-party filers can sign up for GTC to access their client’s information with the proper docu- mentation and authorization. For more information see: https://dor.georgia.gov/taxes/information-tax-professionals/third-party-filers Please visit our website to sign up for access to GTC, find helpful links, instructions, and how to videos: https://dor.georgia.gov/georgia-tax-center-help/how-videos

5 Taxpayer’s Assistance and Resources Find us on the web by going to dor.georgia.gov • Download Tax Forms • Find Answers to Frequently Asked Questions • Access Where’s My Refund • View the Taxpayer Bill of Rights • Find Georgia Regulations Customer Contact Center: 1-877-423-6711 https://dor.georgia.gov/taxes/taxes-individuals Get help with: • Refunds • Billing • GTC Web Access Helpful Resources and Services • Volunteer Income Tax Assistance (VITA) see or call 1-800-906-9887 dor.georgia.gov/need-help-your-taxes • Free File Alliance see dor.georgia.gov/free-file-alliance • AARP - Senior citizens call 1-888-AARPNOW (1-888-227-7669) from February 1 to April 15 • Georgia Relay - Deaf and hard of hearing taxpayers (TDD) visit georgiarelay.org • Department of Labor visit www.dol.georgia.gov • Internal Revenue Service (IRS) visit www.irs.gov Federal Tax Changes/Conformity, Legislation, and other Policy Information Visit for more information on: dor.georgia.gov/taxes/tax-rules-and-policies • Federal Tax Changes/Conformity with Federal Changes • Regulations • Rules and Policies For legislative information see: dor.georgia.gov/legislation-summaries Georgia did not adopt the revised net operating loss provisions in the 2020 CARES Act and the modification to the Code Section 461(l) limitation in the 2020 CARES Act and the American Rescue Plan Act of 2021. • For losses incurred in taxable years beginning on or after January 1, 2018, there is an 80% limitation on the usage of net operating losses (the 80% limitation is based on Georgia taxable net income). • The I.R.C. Section 461(l) adjustment (limitation on losses for noncorporate taxpayers) is required in the same manner as was required before the CARES Act. • For more information on Georgia’s treatment of the Cares Act, see rules-and-policies/income-tax-federal-tax-changes. https://dor.georgia.gov/taxes/tax- 2024 IT-511 Instructions Booklet

6 2024 IT-511 Instructions Booklet 2-D Barcode The two-dimensional (2D) barcode that appears on your return is the encoded information you entered on your return. This barcode reduces errors and saves time in processing the return. The 2D barcode is only visible after your return has been printed.

Volunteer Income Tax Assistance (VITA) The VITA program was established by the IRS to assist qualified individuals with free electronic tax preparation services. Assistance is geared towards individuals with low to moderate income (less than $67,000 per year). The preparers are IRS-certified and can prepare basic income tax returns. There are several VITA locations in the metro area and throughout Georgia. For more information, visit our website at . dor.georgia.gov/need-help-your-taxes Payment Agreement You must meet the following criteria for a payment agreement: • Returns for all years must be filed • Agreements are up to 60 months • Payments should be made through automatic debit from your bank account Note: There is a set up cost associated with initiating a payment agreement. Payment requests may be submitted online via the Georgia Tax Center (GTC) at . Please contact the Payment Agreement Section at 404- 417-2122 or via e-mail to to determine eligibility. For more information on Payment Agreements, visit our website at georgia.gov/installment-agreements-faq. https://dor. payment.plan@dor.ga.gov gtc.dor.ga.gov Payment Options GTC accepts individual income and estimated tax payments. For information about GTC payment op- tions, visit our website at or visit our self-service instructional videos at georgia-tax-center-help. dor.georgia.gov/ gtc.dor.ga.gov The Georgia Department of Revenue accepts Visa, American Express, MasterCard, Discover, PayPal, or electronic check as payment for current year individual income tax due on original Forms 500, 500EZ, and 500ES, as well as for liabilities presented to taxpayers via Georgia Department of Revenue assessment notices. Payments can be made on GTC. There is a convenience fee for this service that is paid directly to the credit card processing company. For more information on payments, visit our website at tax-payment or contact the Taxpayer Services Customer Contact Center at 1-877-423-6711. https://dor.georgia.gov/taxes/how-do-i-make-

7 2024 IT-511 Instructions Booklet Mailing Address Tax Returns Form 500 without payment: Form 500 with payment: PROCESSING CENTER GEORGIA DEPARTMENT OF REVENUE PO BOX 740392 ATLANTA, GA 30374-0392

PROCESSING CENTER GEORGIA DEPARTMENT OF REVENUE PO BOX 740399 ATLANTA, GA 30374-0399 Form 500X Amended: PROCESSING CENTER GEORGIA DEPARTMENT OF REVENUE PO BOX 740318 ATLANTA, GA 30374-0318 Payments without Return Form 500-ES Individual Estimate Tax Voucher PROCESSING CENTER GEORGIA DEPARTMENT OF REVENUE PO BOX 740319 ATLANTA, GA 30374-0319 Form 525-TV Payment Voucher Note: If you filed electronically and are making a payment by check PROCESSING CENTER GEORGIA DEPARTMENT OF REVENUE PO BOX 740323 ATLANTA, GA 30374-0323 Form IT-560 Extension Payment Voucher PROCESSING CENTER GEORGIA DEPARTMENT OF REVENUE PO BOX 105198 ATLANTA, GA 30348-5198 NOTE: Sending your return by certified mail delays the processing of your return and refund.

8 2024 IT-511 Instructions Booklet Filing Checklist Checkmark Have you considered filing your return electronically? It is safe and convenient to file electronically. For more information, visit dor.georgia.gov/why-should-i-file-electronically Checkmark Checked that the Social Security Number(s) and/or Individual Tax Identification Number (ITIN) on the return are accurate and complete Checkmark Added all the dependents’ information, if applicable Checkmark Reviewed each line for accuracy and verified calculations • Amounts are rounded to the nearest dollar Checkmark Correctly calculated the tax amount using the applicable rate Checkmark Completed the Income Statement Detail section where Georgia income tax was withheld on Forms W-2s, 1099s, G2-RPs, G2-LPs, G2-As, and/or G2-FLs. Attached/included the forms with my returns. Checkmark Signed and dated the return Checkmark Both spouses signed the joint return, even if only one spouse earned the income • Note: Anyone paid to prepare the return must also sign the return Checkmark Completed Form 500 Pages 1-5 and included all applicable schedules and IND-CRs • Note: Schedule 2 credits must be filed electronically Checkmark Completed and submitted Form 500 Pages 1-5 or completed Form 500EZ Pages 1-3 and any applicable schedules and IND-CRs Checkmark Mailed the return to the correct address Dos and Don’ts for Filing Returns Do Checkmark Do complete and submit Form 500 Pages 1-5 or Form 500EZ Pages 1-3 Checkmark Do include your W-2(s), 1099(s), G2-RP(s) and other supporting income statements Checkmark Do complete the Income Statement Details section for Georgia tax withheld Checkmark Do send your return, check/money order, along with the 525-TV voucher to the address on the return Checkmark Do use GTC or the Form IT-560 to make an extension payment Checkmark Do make your check or money order payable to the Georgia Department of Revenue Don’t X Mark Do not include cents on your return. Round to the nearest dollar X Mark Do not staple your W-2(s), 1099(s) and other forms to your return X Mark Do not use the Form 500 to correct a previously filed return - Use Form 500X Note: Sending your return by certified mail delays the processing of your return and refund. Return Filing Tips

9 2024 IT-511 Instructions Booklet separate returns to $2,500. The maximum credit for individuals who are members of an LLC, a shareholder of an S corporation, or partner in a partnership is the lesser of $25,000 or the amount donated. The aggregate amount of credits allowed is now $15 million and the credit sunsets on December 31, 2029. Rural Zone Credit (Credit Code 142) The Rural Zone Credit has been extended to December 31, 2032. The Historic Rehabilitation Credit for Historic Homes and for Other Certified Structures (Credit Codes 152 and 153) These credits have been extended to December 31, 2029. New Definition of Rural County: For purposes of the Rural Physician Credit (IND-CR 207) and the Rural Health Care Professional Credit (Credit Code 154), a “rural county” is defined as a county with a population of less than 50,000 according to the United States decennial census of 2020 or any future such census; provided, however, that for counties which contain a military base or installation, the military personnel and their dependents living in such county shall be excluded from the total population of such county. New Tax Credit: Rural Healthcare Professional Credit (Credit Code 154): A rural health care professional can claim a credit in the amount of $5,000 for each 12-month period of employment as a rural health care professional. The tax credit may be claimed each year for up to five years, provided that the rural health care professional continues to qualify as a rural health care professional. The credit cannot exceed the taxpayer’s income tax liability and cannot be carried forward or back. A “rural health care professional” includes both rural physicians and rural dentists. No rural health care professional who, on May 15, 2024, is currently practicing in a rural county is eligible to receive the credit. No credit shall be allowed for a rural health care professional who has previously practiced in a rural county, unless after May 15, 2024, that rural health care professional returns to practice in a rural county after having practiced in a county other than a rural county for at least three years. See Tax Credit Summaries for qualifications and more information: https://dor. georgia.gov/tax-credit-summaries.

Note: This credit is to be claimed on Schedule 2 of the Form 500. What's New 2024 Income Tax Changes: Effective January 1, 2024, the income tax rate is 5.39%. Additionally, personal exemptions have been repealed except for the $4,000 dependent exemption. Finally, Georgia stand- ard deductions have increased to $24,000 for Married filing jointly returns and $12,000 for Single, Head of household, and Married filing separately returns. The Department encourages taxpayers to review their estimated tax payments and wage withholdings for 2024. Georgia Resident Itemizer Tax Credit: Full-year and part-year residents who itemize their deductions shall be entitled to a credit up to the amount of $300 per taxpayer. The credit cannot be greater than the tax liability and cannot be carried forward to future returns. This credit is claimed on Form 500, Line 19.

Retirement Income Exclusion Change: Taxpayers can now exclude up to $5,000 of earned income when they claim the retirement income exclusion.

Exclusion of PTSD Benefits Received by First Responders: To the extent insurance benefit payments for occupational PTSD received by a first responder are included in the Federal AGI, it is exempt from Georgia taxation. However, insurance coverage for first responders’ occupational PTSD does not begin until January 1, 2025. Qualified Payments to Classified Subcontractors: Effective January 1, 2024, a corporation that is a party to state contracts may subtract from Federal taxable income 10% of qualified payments to classified subcontractors. A classified subcontractor is defined as a small business certified as a minority business enterprise, women-owned business, or veteran- owned business. Previously, the subtraction was available only for qualified payments to minority businesses. See page 22 for more information.

Tax Credit Changes Qualified Education Donation Credit (Credit Code 140): The maximum qualified education donation credit amounts for an individual or head of household is increased to $2,500, for a married couple filing a joint return to $5,000 and for married couples filing

10 General Information When to File. Calendar year taxpayers are required to file on or before April 15, 2025. Fiscal year taxpayers must file on or before the 15th day of the fourth month after the close of their taxable year. Extension to File. The Georgia return must be filed along with a copy of Federal Form 4868 or the IRS confirmation letter on or before the extended Federal due date. If you do not need a Federal extension, you may use Georgia Form IT-303 to request an extension to file your Georgia return. An extension to file does not extend the date for paying the tax. Taxes must be paid by the statutory due date to avoid late payment penalties and interest. The amount paid should be entered on Form 500, Line 26. Amended Returns. File Form 500X to correct information reported on Form 500. Do not use Form 500 to correct a previously filed return or use Form 500X as an original return. When is Electronic Filing Required? Electronic filing is required for the following: • Taxpayers that remit payments by electronic funds transfer, whether on a mandatory or voluntary basis, must file all associated returns electronically. • A return preparer who prepares an income tax return, must electronically file the return when the Federal counterpart of such return is required to be filed electronically pursuant to the Internal Revenue Code of 1986 or Internal Revenue Service regulations. • A return is required to be electronically filed if the return generates, allocates, claims, utilizes, or includes in any manner a series 100 tax credit (see page 36). Penalty and Interest. Tax not paid by the statutory due date of the return is subject to interest and 0.5 percent late payment penalty per month, or fraction thereof. Also, a monthly late filing penalty is imposed

at a rate of 5 percent of the tax not paid by the original due date. Interest accrues until the tax due has been paid in full. The combined total of late filing and late payment penalty cannot exceed 25 percent of the tax not paid by the original due date. An extension of time for filing the return does not extend the date for making the payment. Additional penalties may apply as follows: • Frivolous Return Penalty - $1,000. (A frivolous return is one that contains incorrect or insufficient information necessary to accurately compute the appropriate tax liability with the intent to delay or impede Georgia tax law or is based on a frivolous position.) • Negligent Underpayment Penalty - 5 percent of the underpaid amount. • Fraudulent Underpayment Penalty - 50 percent of the underpaid amount. • Failure to File Estimated Tax Penalty - 9 percent per year for the period of underpayment. Use Form 500 UET to calculate the penalty. Interest that accrues beginning July 1, 2016 accrues at an annual rate equal to the Federal Reserve prime rate plus 3 percent. The interest rate will be reviewed and may be adjusted in January of each subsequent calendar year. See dor.georgia.gov/annual-notice-interest-rate- adjustment for the annual interest rate. For more information on Penalties and Interest, see: dor.georgia.gov/penalty-and-interest-rates. https:// https:// Assessments. If your return is reviewed and it is determined that you owe additional taxes, generally, you will be issued a Proposed Assessment. Once a Proposed Assessment is issued, you have 30 days to submit a protest on the Georgia Tax Center (GTC) website. After 30 days, the Department will issue an Official Assessment and Demand for Payment. You then have 30 days to file an appeal with either the Georgia Tax Tribunal or in the appropriate Superior Court. For more information and rights as a taxpayer, see the Taxpayer Bill of Rights on the Department’s website at https://dor.georgia.gov. Supporting Documents. The Department will request information to support the amounts listed on your Georgia income tax return and related schedules 2024 IT-511 Instructions Booklet

11 when necessary. However, in addition to withholding statements (W-2s, 1099s, G2-RPs, etc.) where taxes were withheld you must include the following documentation with your Georgia return when it is filed for the following situations:

• The amount on Form 500, Line 8 is $40,000 or more, or less than the total income on your W-2(s) - submit a copy of Pages 1, 2, and Schedule 1 of your Federal return (the Federal Schedule 1 must be included if a copy was submitted with your Federal return). • You itemize deductions - submit a copy of Federal Form 1040 Schedule A. • You claim the Georgia child and dependent care expense credit - submit the appropriate Federal child care credit schedule. • You claim a credit for taxes paid to another state(s)- submit a copy of your return filed with the other state(s). Address Changes. You must notify the Department of your address change. Notification of an address change can be made through GTC inside a logon, or by calling 1-877-423-6711 or writing the new address on your tax return and checking the address change box. Name Changes. The Department currently requires a copy of one of the following documents plus a copy of a photo ID reflecting name change. Legal document reflecting name change: • Superior Court order/Decree/Certificate • Marriage Certificate/Divorce decree • Social Security Card Valid photo ID issued reflecting name change: • US State or US Territory issued ID card (front and back) • US Passport These documents should be submitted with your tax return. Injured Spouse Relief. If the IRS has taken your share of a refund to pay for a liability owed by your spouse, you are an injured spouse. Offsets may have been for Child Support, Student Loan, Unemployment Insurance Payments, etc. Documentation that is needed for an Injured Spouse claim: • Federal Form 8379 “Injured Spouse Allocation” • Original or amended Federal return • All W-2’s and W-2G’s for both spouses and any Forms 1099 showing state income tax withholding Send the information to dor.ga.gov revenue.taxpayerservice@ Innocent Spouse Relief. Individuals who were granted innocent spouse relief by the Internal Revenue Service may be eligible for relief from liability for Georgia tax, interest and penalty. Georgia law O.C.G.A. §48-7-86(g) allows relief from a Georgia liability when: • The liability was caused by the unreported or incorrectly reported income of a person on a joint return. • The person requesting relief has proof that he or she did not know, and did not have reason to know, the income was omitted or reported incorrectly. • Under the circumstances, it is inequitable to hold the person responsible for tax on the unreported or incorrectly reported income. • The person was granted relief from a Federal tax balance under Section 6015 of the Internal Revenue Code. Documentation that is needed for the Innocent Spouse claim: • IRS final determination letter-email to Compliance.ResearchUnit@dor.ga.gov Individual Retirement Accounts. The provisions concerning taxability and conversion from a traditional IRA to a Roth IRA are the same for Georgia and the Internal Revenue Service. Withholding on Lump-sum Distributions. The payee of any non-periodic payment may elect to have withholding made on the non-periodic distributions from a pension, annuity, or similar fund. The election 2024 IT-511 Instructions Booklet

12 2024 IT-511 Instructions Booklet shall remain in effect until revoked by the payee. See Form G-4P for more information. Income from Partnerships and S Corporations. Nonresident partners must pay Georgia income tax on their portion of the partnership’s Georgia income. Nonresident shareholders must pay Georgia income tax on their portion of the S Corporation's Georgia income; resident shareholders and partners must report their total S Corporation or partnership income (but may be eligible for the credit for taxes paid to other states or a subtraction when the income is taxed at the entity level in Georgia or another state).

Federal Audits. Whenever a Federal audit or other Federal adjustment results in a change in net income for any year, you are required to furnish, within 180 days, a Form 500X with supporting schedules and a copy of Form 1040 to the Georgia Department of Revenue reflecting all changes. Additionally, if the changes result in a refund, the refund must be claimed within one year from the date the changes are submitted. If you do not submit a return reflecting all changes and the State Revenue Commissioner receives this information in a report from the United States Government, the Commissioner will issue an assess- ment for tax due within five years from the date the report is received from the United States Government.

A taxpayer who fails to notify the Commissioner within 180 days forfeits any Georgia refund as a result of an IRS audit if the normal statute of limitations has expired. However, 90 percent of any overpayment can be applied to a balance due for another year that is a result of the same IRS audit.

Withholding Withholding is required on the member’s share of the taxable income sourced to this state, whether distributed or not, from Partnerships, Limited Liability Companies, and S Corporations. Withholding should be reported on Form G2-A and entered on Form 500, Line 25. Include a copy of Form G2-A with your return. Withholding is also required on the sale or transfer of real property and associated tangible personal property by nonresidents of Georgia. Tax withheld is reported on Form G2-RP and should be entered on Form 500, Line 25. Include a copy of Form G2-RP with your return. FILING REQUIREMENTS Full-year Residents Full-year residents are taxed on all income, except tax-exempt income, regardless of the source or where derived. You are required to file a Georgia income tax return if: • You are required to file a Federal income tax; • You have income subject to Georgia income tax that is not subject to Federal income tax; • Your income exceeds the standard deduction as indicated below: Married filing jointly $24,000 Single $12,000 Married filing separately $12,000 Head of household $12,000 Qualifying surviving spouse $12,000 These requirements apply as long as your legal residence is Georgia, even if you are absent from or live outside the state temporarily. A credit for taxes paid to another state is allowed. See the worksheet on page 34 for more information. Part-year and Nonresidents 1. Part-year residents and nonresidents who work in Georgia or receive income from Georgia sources are required to file Georgia Form 500 and com- plete Form 500 Schedule 3 to calculate Geor- gia taxable income. Note: Form 500 Sched- ule 3 should only be attached if it is applicable. 2. Married part-year residents with income earned in Georgia whose spouse is a nonresident can file a separate return claiming their own allowable exemptions, and deductions, or file a joint return. 3. If one spouse is a resident and one is a part- year resident or nonresident, enter 3 in the res- idency status box and complete Form 500, Schedule 3 to calculate Georgia taxable income.

13 Part-year Residents 1. If you are a legal resident of Georgia for only a portion of the tax year and are required to file a Federal income tax return, you are required to file a Georgia income tax return. 2. Part-year residents who claim a credit for taxes paid to another state for income earned while a resident must include a copy of the individual income tax return filed with that state(s) with their Georgia return. Otherwise, the credit will not be allowed. Nonresidents 1. Nonresidents who work in Georgia or receive income from Georgia sources and are required to file a Federal return are required to file a Georgia income tax return. 2. Legal residents of other states are not required to file a Georgia tax return if their only activity for financial gain or profit in Georgia consists of performing services for an employer as an employee where the wages for such services do not exceed the lesser of five percent of the income received from performing services in all places during the taxable year or $5,000. 3. A nonresident who receives deferred compensa- tion or income from the exercise of stock options that were earned in Georgia in a prior year is re- quired to pay tax on the income, but only if the prior year’s income exceeds the lesser of: 5 per- cent of the income received by the person in all places during the current taxable year; or $5,000. However, the income is not taxed if Federal law prohibits the state from taxing it. Federal law pro- hibits state taxation of some types of retirement income including pensions as well as income re- ceived from nonqualified deferred compensation plans if the income is paid out over the life expec- tancy of the person or at least 10 years. See Regu- lation 560-7-4-.05 for more information. Taxpayers Required to File Form 1040NR Individuals who are required to file Federal Form 1040NR must file Georgia Form 500. Similar to Federal income tax rules, most of these Georgia taxpayers are only allowed to deduct the applicable Georgia expenses reflected on Form 1040NR. Most taxpayers are not allowed to take the standard deduction and are allowed only limited itemized deductions as shown on Form 1040NR, Schedule A. Military Personnel Residents Military personnel who are legal residents of Georgia are subject to Georgia income tax on all income regardless of the source or where earned, unless specifically exempt by Georgia law. Military personnel who serve outside of the continental U.S. may file their Georgia income tax return within six months after they come back to the continental U.S. No penalties or interest will accrue during this period. Members of the National Guard or Air National Guard who are on active duty for a period of more than 90 consecutive days are allowed a tax credit against their individual income tax. The credit cannot exceed the amount expended for qualified life insurance premiums or the taxpayer’s income tax liability and should be claimed on Form IND-CR 203. Nonresidents Military personnel who are not legal residents of Georgia are only required to file a Georgia income tax return if the person earns income during their off duty hours from sources in Georgia, if the person has income from property located in Georgia, the person receives business income from Georgia sources. If required, nonresident military personnel should file Georgia Form 500 and use Schedule 3 to calculate Georgia taxable income. (See pages 26-27 for in- structions on completing Schedule 3.) 2024 IT-511 Instructions Booklet

14 2024 IT-511 Instructions Booklet Spouses of Military Personnel A spouse of a military person shall neither lose nor acquire their legal residence solely to be with the military person serving in compliance with military orders but this provision only applies if the legal residence of the spouse is the same as the military person or the spouse of a military person has elected to use the same residence for purposes of taxation as the military person. Income for services performed by the spouse of a military person shall not be considered Georgia income if the military person is not a legal resident of Georgia but this only applies if the spouse is in Georgia solely to be with the military person serving in compliance with military orders and the legal residence of the spouse is the same as the military person or the spouse of a military person has elected to use the same residence for purposes of taxation as the military person. The affected taxpayer should exclude the income on Schedule 3, Column C, Line 7 of the Form 500. No amounts should be entered on Schedule 3, Column A, Line 7 of Georgia Form 500. Combat Zone Pay Military income earned by a member of the National Guard or any reserve component of the armed ser- vices while stationed in a combat zone or stationed in defense of the borders of the United States pur- suant to military orders is not subject to Georgia income tax. The exclusion from income is only with respect to military income earned during the period covered by such military orders. A copy of the Fed- eral return must be enclosed with the Georgia return to claim this exclusion. The exclusion is limited to the amount included in Federal Adjusted Gross Income. Estimated Tax Estimated tax is required for each individual subject to Georgia income tax who reasonably expects to have gross income during the year which exceeds (1) exemption for dependents, plus (2) estimated deductions, plus (3) $1,000 of income not subject to withholding. Estimated tax required from persons not regarded as farmers or fishermen shall be filed on or before April 15 of the taxable year, except if the estimated tax requirements are first met on or after April 1 and before June 1, estimated tax must be filed by June 15; on or after June 1 but before September 1, by September 15; and on or after September 1, by January 15 of the following year. Individuals filing on a fiscal year basis ending after December 31 must file on corresponding dates. Other State’s Tax Return If you claim a credit for taxes paid to another state(s): • You must include a copy of your return filed with that state along with your Georgia return. • No credit for taxes paid to another state will be allowed unless the other state’s return is enclosed with the Georgia return. Filing for Dependents If the parent or guardian prepared the minor child or dependent’s return, the Department recommends that the parent or guardian check the box allowing the preparer to discuss the return with the Department. If this is not done, and the parent did not sign the return on the child’s behalf as allowed by IRS Publication 929, then the parent or guardian will have to be included on a Power of Attorney (Form RD-1061) prepared by the minor in order for the Department to discuss the return with the parent or guardian. Filing for Deceased Taxpayers The surviving spouse, administrator, or executor may file a return on behalf of a taxpayer who dies during the taxable year. When filing, use the same filing status that was used on the Federal income tax return. The due date for filing is the same as for Federal purposes. Note: To have a refund check in the name of a de- ceased taxpayer reissued, mail Georgia Form GA- 5347, a copy of the death certificate, and the infor- mation specified on Georgia Form GA-5347 along with the check to the address on the form.

15 2024 IT-511 Instructions Booklet Line 6: Enter your date of birth. If you are married filing joint- ly, also enter your spouse’s date of birth. Lines 7a - d: Dependents 7a: Enter the total number of qualified dependents. 7b: Enter the number of unborn dependents. • The Unborn Dependent Exemption cannot be claimed if the child is born during the same tax year. • If the child is born during the tax year, include that dependent on Line 7a, not 7b. For more information, see guidance. https://dor.georgia.gov/life-act- 7c: Enter the total number of dependents. • Add Lines 7a and 7b. 7d: List the requested information about your qualified dependents in the spaces provided. • Do not include yourself, spouse and/or unborn dependents in this section. Line 8: Enter Federal adjusted gross income from Form 1040. Do not use Federal taxable income. If the amount on Form 500, Line 8 is greater than $40,000 or less than the total income on your W-2s you must submit a copy of your Federal Form 1040 pages 1, 2, and Schedule 1. The Federal Schedule 1 must be included if a copy was submitted with your Federal return. FORM 500 INSTRUCTIONS Lines 1 - 3: Print or type your name(s), address (including apartment number if applicable), and Social Security Number(s) in the spaces provided. Do not write both a street address and post office box in the address field.

Line 4: Enter the appropriate number for your residency status.

1 You lived in Georgia the entire year, regardless of temporary living arrangements. 2 You lived in Georgia part of the year. List the dates you lived in Georgia and you must complete Schedule 3 to calculate Georgia taxable income. 3 You did not live in Georgia or if one spouse is a resident and one is a part-year resident or nonresident. You must complete Schedule 3 to calculate Georgia taxable income. Line 5: Enter the appropriate letter for your filing status. Use the same status that is on your Federal return. A Single B Married filing jointly; C Married filing separately; D Head of household or Qualifying surviving spouse

Georgia recognizes same sex marriage. Exceptions: If one spouse is a resident and the other is a nonresident without any Georgia-source income, your Georgia return may be filed jointly or separately with each spouse claiming the appropriate exemptions and deductions.

• Georgia follows the Federal rules for qualified dependents. • If married separately, only one spouse may claim the dependent and the prior Federal rules (tho se applicable when Federal exemptions were available for dependents) are used to determine who is entitled to claim the dependent. • Do not include yourself, your spouse, and/or

dependent unborn children.

16 2024 IT-511 Instructions Booklet Married filing jointly $24,000 Single $12,000 Married filing separately $12,000 Head of household $12,000 Qualifying surviving spouse $12,000 Lines 12a-c: Itemized Deduction (Leave Lines 12a-c blank if you use the standard deduction) Note: If you itemize deductions on your Federal re- turn, or if you are married filing separately and your spouse itemizes deductions, you must itemize de- ductions on your Georgia return. Include a copy of Federal Schedule A with your Georgia return. Line 12a: Enter the itemized deductions from your Federal Schedule A.

Line 12b: Enter adjustments for income taxes other than Georgia and investment interest expense for the production of income exempt from Georgia tax. Line 12c: Subtract Line 12b from Line 12a, enter the total. Note: For all taxpayers (full year, part year, and nonresident), if state & local income taxes were limited on the Federal return to $10,000 ($5,000 if married filing separately), the following formula should be used to determine the disallowed other state income taxes: • Other state income taxes divided by the total taxes on Line 5d of Schedule A multiplied by the lesser of the amount on Line 5d of Schedule A or $10,000 ($5,000 if married filing separately). • For part-year and nonresidents on the Schedule 3, the same computation should be used in arriving at the amount of itemized deductions that would then be subject to proration using the part-year/nonresident income ratio on Form 500 Schedule 3 Line 9. Do not include state taxes paid by entities that pay income tax at the entity level. Line 13: Subtract Line 11 or 12c from Line 10, enter the total. Lines 14: Dependent Exemption Multiply the number of dependents on Line 7c by $4,000 and enter the total. Line 15a: Subtract Line 14 from Line 13 (or enter Schedule 3, Line 14) to get your Georgia taxable income before Georgia Net Operating Losses (NOLs). Line 15b: Georgia NOL Utilized Net operating losses (NOLs) for tax years 2018 and later that are applied to Georgia income cannot exceed 80% of Georgia income before NOLs. Use the following worksheet to compute the net operating losses that can be used in the current year. Line 9: You must adjust your Federal adjusted gross income if you have income that is taxable by the Federal Government but not taxable to Georgia or vice versa. You must document your adjustments on Schedule 1 and enter the total amount here. There are certain adjustments that must be added if applicable and some adjustments that may be subtracted. Please see pages 20-24 for more information about additions and subtractions. Note: Part-year residents and nonresidents must skip Lines 9-14 and follow the Schedule 3 instructions that begin on page 26. Line 10: Enter Georgia adjusted gross income (net total of Line 8 and Line 9). Line 11: Standard Deductions (Leave Line 11 blank if you use itemize deductions on your Federal return) Enter the standard deduction that corresponds to your marital status. If you use the standard deduction on your Federal return, you must use the Georgia standard deduction on your Georgia return.

17 2024 IT-511 Instructions Booklet 1. NOL carry forward available for current year from years before 2018 2. NOL carry forward available for current year from years 2018 and later 3. Income before GA NOL (Line 15a of Form 500) 4. NOL from Line 1 applied to current year 5. NOL from Line 2 applied to current year (cannot exceed 80% of Line 3) 6. Total NOL applied - add Lines 4 and 5, also enter on Line 15b of Form 500 Line 15c: Subtract Line 15b from Line 15a. Line 16: Multiply the amount on Line 15c by 5.39%. Round to nearest dollar. Line 17: Complete the Low Income Credit Worksheet on page 35 to determine your credit amount. On Line 17a, enter the amount from Line 4 of the worksheet. On Line 17b, enter the credit amount from Line 5 of the worksheet. On Line 17c, enter the result from Line 6 of the worksheet. Note: You may claim the low income credit if your Federal adjusted gross income is less than $20,000 and you are not claimed or eligible to be claimed as a dependent on another taxpayer’s Federal or Georgia income tax return. Part-year residents may only claim the credit if they were residents at the end of the tax year. Taxpayers filing a separate return for a taxable year in which a joint return could have been filed can only claim the credit that would have been allowed had a joint return been filed. You cannot claim this credit if you are an inmate in a correctional facility. This credit must be claimed on or before the end of the 12th month following the close of the tax year. The credit cannot exceed the taxpayer’s income tax liability. Line 18: Enter the other state(s) tax credit used. If you paid tax to more than one state, use the total of the other state’s income and the worksheet on page 34 to calculate the Other State’s Tax Credit. Note: You must include a copy of the return filed with the other state(s) with your Georgia return or the credit will not be allowed. Line 19: Georgia Resident Itemizer Credit If you were a Full Year Resident or a Part-Year resident living in Georgia at the end of the year and you itemized on your returns you are allowed up to $300 per taxpayer as a credit. This amount cannot be greater than your tax liability from Line 16. Line 20: Enter the amount of credits used from the last line of the IND-CR Summary Worksheet. The IND-CRs are located between Schedule 3 and Schedule 4 of the Form 500. You must include any applicable IND-CR forms when submitting your return. Line 21: Enter the amount of credits used from Schedule 2. The return must be filed electronically if series 100 tax credits are claimed or generated. If claiming credit code 125 (QEE), enter your Social Security Number and not the Federal Employer Identification Number of the Student Scholarship Organization. See page 9 and 36 for more information regarding credits. Line 22: Add Lines 17-21 to get the amount for total credits used. The amount cannot exceed Line 16. Line 23: Subtract Line 22 from Line 16. If zero or less, enter zero. Line 24: Only enter Georgia income tax withheld from W-2s and 1099s. Include a copy of these statements with your return or this amount will not be allowed.

18 2024 IT-511 Instructions Booklet Line 25: Enter Georgia income tax withheld on G2-A, G2-FL, G2- LP, and/or G2-RP. Include a copy of these statements with your return or this amount will not be allowed. Note: Please complete the Income Statement Details Section. Only report income on which Georgia tax was withheld. Enter income form W-2s, 1099s, and G2-As on Line 4 GA Wages/Income. For other statements, complete Line 4 using the income reported from Form G2-RP Line 12 or Line 13; Form G2-LP Line 11, or for Form G2-FL enter zero. Claim of right under IRC § 1341. In most cases, if the deduction option is used, a claim of right deduction is included in Federal Adjusted Gross Income or itemized deductions, no adjustment is necessary on the Georgia return since that flows to the Georgia return. However, if the credit option is used, the calculated credit may be included on the “Georgia Income Tax Withheld” line of Form 500 or 500X, with an attached statement showing the calculation. Note: If the credit option is used, the taxpayer does not get a credit for the entire amount repaid, only the reduced tax from the prior year computed as if they did not receive the income in the prior year. Line 26: Enter estimated tax payments, including amounts credited from a previous return, and any payments made electronically or with Form IT-560.

Line 27: Enter Schedule 2B Refundable Tax Credits. The return must be filed electronically to claim these credits. Line 28: Add Lines 24 through 27 and enter the total amount. Line 29: If Line 23 is more than Line 28, subtract Line 28 from Line 23 to calculate the balance due. Line 30: If Line 28 is more than Line 23, subtract Line 23 from Line 28 to calculate your overpayment. Line 31: Enter the amount you want credited to next year's estimated tax. Lines 32 - 41: Enter the amount you want to donate to the charities listed on the form. Amounts must be rounded to the nearest dollar and cannot be less than $1. Line 42: Enter the estimated tax penalty from Form 500 and include form. If you were eligible for an estimated tax penalty exception on Form 500 UET, please check the “500 UET Exception Attached” box, include the revised penalty on Line 42 of the Form 500, and include the 500 UET with the return. If the revised penalty is zero, enter zero. UET Line 43: Enter the amount of late payment and/or late filing penalty. Line 44: Enter the amount of interest. Line 45: Add Lines 29 and 32 through 44 and enter the total amount due. Mail your return, 525-TV payment voucher, and payment to the address on the Form 500. Line 46: Subtract the sum of Lines 31 through 44 from Line 30 and enter the amount to be refunded to you. Enter this total as your refund amount

19 2024 IT-511 Instructions Booklet Direct Deposit Option Note: If you are a first-time Georgia filer or if you have not filed Georgia taxes in five or more years, you will receive your refund via paper check. This applies both to electronic and paper return filers. Line 46a: Complete the direct depos- it information NOTE: To prevent fraud, the Department will only re- fund electronically made payments to the account from which they were paid. E.g., if you made estimat- ed payments through GTC, they will not be refunded to a different account. Check the appropriate box (Checking or Savings) for the type of account. Do not check more than one box. You must check the correct box to ensure your direct deposit is accepted. Enter your nine digit routing number. The first two dig- its must be 01 through 12 or 21 through 32. Ask your financial institution for the correct routing number to enter on Line 46a if: • The routing number on a deposit slip is different from the routing number on your checks.

• The deposit is to a savings account that does not allow you to write checks, or • Your checks state they are payable through a financial institution different from the one at which you have your checking account. Enter your account number from left to right and leave unused boxes blank. Include hyphens, but omit spaces and special symbols. The account number can be up to 17 characters (both numbers and let- ters). Example On the sample check below, the routing number is 807100013. John Doe would use that routing number unless their financial institution instructed them to use a different routing number for direct deposits. The account number is 978653421. Do not include the check number. On the sample check below, the check number is 5678. Direct Deposit Rejects If any of the following apply, your direct deposit request may be rejected and a check will be mailed: • Any numbers or letters are crossed out or whited out. • An invalid checking, savings, or routing number was entered. • Your financial institution may not allow a joint refund to be deposited into an individual account. The State of Georgia is not responsible if a financial institution rejects a direct deposit. Signature Section Please sign and date your return. If filing a joint return, you and your spouse must sign and date the return. The paid preparer must sign the return. If the taxpayer and/or spouse is deceased, check the box under the taxpayer's signature and provide the date of death.

20 2024 IT-511 Instructions Booklet Schedule 1 Instructions Lines 1 - 6: Enter your additions to income (see Additions section for detailed information) Lines 7 - 13: Enter your subtractions from income (see Subtrac- tions section for detailed information). Note: A taxpayer with multiple additions (Schedule 1, Line 5) and subtractions (Schedule 1, Line 12) should include a separate worksheet listing all adjustments and write the total for those lines respectively. Line 14: Enter your total net adjustments here and on Line 9 of page 2 of Form 500. Note: Please complete and include your Retirement Income Exclusion calculation (Page 2 of Schedule 1), if you entered information on Schedule 1, Lines 7a, 7d, 7c, and/or 7f. Also, please complete and include the Military Retirement Income Exclusion calculation (Page 3 of Schedule 1) if you entered information on Schedule 1, Lines 7b and/or 7e. Additions The following adjustments must be added if applicable:

1. Interest received from non-Georgia municipal bonds and dividends received from mutual funds that derived income from non-Georgia municipal bonds. These may only be reduced by direct and indirect interest expenses which are attributable to the income and which have not already been deducted in arriving at Federal adjusted gross income or itemized deductions. 2. Loss carryovers from years when you were not subject to Georgia income tax. 3. Lump sum distributions from employee benefit plans reported on IRS Form 4972. 4. Depreciation because of differences in Georgia and Federal law during tax years 1981 through 1986. 5. Adjustments due to Federal tax changes (see georgia.gov/rules-policies/income-tax/income- tax-federal-tax-changes). dor. If the contribution relating to the above credits is treated as a deduction of state taxes, then the following formula should be used to determine the disallowed state income taxes: Contribution treated as state income taxes divided by the total taxes on 6. Net operating loss carryover deducted on Federal return. 7. Payments for more than $600 in a taxable year made to employees who are not authorized employees and who are not excepted by

Code Section 48-7-21.1. An authorized employee is someone legally allowed to work in the United

States. 8. Taxable portion of withdrawals on the

Path2College 529 Plan (see Regulation 560-7-4- .04). 9. For the Qu ali fied Educa tion Expe nse Cre dit, the ded uction relating to the credit. See Regulation 560-7-8-.47. 10. For the Land Conservation credit, the deduction

relating to the credit. See Regulation 560-7-8-.50 for more information. 11. For the Qualifi ed R ural Hosp ital Organizat ion Expen se Exp ense tax cre dit, the de duction rela ting to the credit. See Regulation 560-7-8-.57 for more information. 12. For the Qu alified Education Donation tax credit, the deduction relating to the credit. See Regulation 560-7-8-.60 for more information. 13. For the Qu alified Foster Child Donation tax credit, the deduction relating to the credit. See regulation 560-7-8-.68 for more information. 14. For the Qualifie d La w Enforcem ent Donat ion tax credit, th e deduction relating to the credit. See regulation 560-7-8-.69 for more information.

21 2024 IT-511 Instructions Booklet Line 5d of Schedule A multiplied by the lesser of the amount on Line 5d of Schedule A or $10,000 ($5,000 if Married Filing Separately). When other state income taxes and when the contribution relating to the above credits is treated as a deduction of state taxes, the Federally taxable state income tax refund that is later received may be eligible to be reduced. The reduction equals the Federally taxable refund times the proportion that was used to figure out how much of the deduction had to be reduced in the year of the deduction (contribution treated as state income taxes divided by the total taxes on Line 5d of Schedule A). If a taxpayer receives a state refund and is not required to include the refund in Federal AGI since they were subject to Federal Alternative Minimum Tax, they are not required to include the refund for Georgia purposes. Surplus refunds are not taxable for Georgia individual income tax purposes but may be Federally taxable. Georgia does not allow the 20% qualified business income deduction. (I.R.C. Section 199A). However, since Georgia starts with Federal AGI, no adjustment is necessary on the Georgia return.

For owners of a pass-through entity or entities that have elected to pay tax at the entity level, see 560- 7-3-.03(9)(a). Note: Enter your allocable share of loss that was apportioned and allocated at the entity level on Schedule 1, Line 5. Use description PTEADD. Subtractions The following adjustments may be SUBTRACTED: 1. Retirement income. The maximum retirement in- come exclusion is $35,000 for taxpayers who are: A. 62 - 64 years of age, or B. less than 62 and permanently disabled to such an extent that they are unable to perform any type of gainful employment The maximum retirement income exclusion is $65,000 for taxpayers who are 65 years of age or older. The exclusion is available for the taxpayer and their spouse; however, each must qualify on a separate basis. If both spouses qualify, each spouse may claim the amounts above. Income from property that is jointly owned should be allocated to each taxpayer at 50% of the total value. Up to $5,000 of the maximum allowable exclusion may be earned income. See the instructions on page 24 and complete Form 500, Schedule 1, Page 2. Part-year and nonresident filers are required to prorate the amount of retirement exclusion. For more information on how to calculate the prorated exclusion amount, see the instructions on page 24.

2. Military Retirement Income. Up to $17,500 of military retirement income can be excluded for taxpayers under 62 years of age. An additional $17,500 can be excluded for such taxpayers with more than $17,500 of earned income in Georgia. The exclusion is available for the taxpayer and their spouse; however, each must qualify on a separate basis. If both spouses qualify, each spouse may claim the amounts above. Part-year residents and nonresidents are allowed to claim the military retirement income exclusion of $17,500 against the total military retirement income they received, but these taxpayers can only claim the additional military retirement exclusion of $17,500 after meeting the earned income threshold with Georgia-source earned income. 3. Depreciation because of differences in Georgia and Federal law during tax years 1981 through 1986. 4. Interest and dividends on U.S. Government bonds and other U.S. obligations. These must be reduced by direct and indirect interest expenses which are attributable to the income. Note: Interest received from the Federal National Mortgage Association, Government National Mortgage Association, and Federal Home Loan Mortgage Association, and/or from a repurchase agreement is taxable and should not be subtracted.

5. Social Security or Railroad Retirement (Tier 1 and Tier 2) paid by the Railroad Retirement Board included in Federal adjusted gross income. 6. Salaries and wages reduced from Federal taxable income because of the Federal Jobs Tax Credit.

22 2024 IT-511 Instructions Booklet 7. Individual retirement account, Keogh, and SEP plan withdrawals where tax has been paid to Georgia because of the difference between Georgia and Federal law for tax years 1981 through 1986. 8. Dependent’s unearned income included in parents’ Federal adjusted gross income. 9. Income tax refunds from states other than Georgia included in Federal adjusted gross income. Do not subtract Georgia income tax refunds. 10. Income from any fund, program, or system which is specifically exempted by Federal law or treaty. 11. Adjustment to Federal adjusted gross income for Georgia residents: • Shareholders with Subchapter S corporation income where the Subchapter S corporation election is not recognized by Georgia or another state; or • Partners in a partnership or members in an LLC where such entities’ income has been taxed at the entity level by another state. This adjustment is only allowed for the portion of income on which the tax was actually paid by the corporation or partnership to another state(s). The subtraction amount is calculated as follows: 1. Determine the Georgia taxable net income received from the entity. This should include any income, gains, losses, and deductions from the entity which are separately reported and included on the taxpayer’s return including any guaranteed payments received from a partnership. This does not include wages paid to the partner, shareholder, or member. However, if such wages are taxed by another state, the partner, shareholder, or member may be eligible for the other state(s) tax credit. 2. Multiply the above income by the entity’s apportionment ratio in such other state. A Georgia individual resident may take a subtraction for the entity’s income taxed in another state which imposes on the entity a tax on or measured by income. Income subject to the Texas Margin Tax is eligible for this subtraction. Please see Code Section 48-7-27(d) and Regulation 560-7-4-.01 for more information.

In cases where the Subchapter S election is recognized by another state(s), the income should not be subtracted. Credit for taxes paid to other states may apply. 12. Adjustment for teachers retired from the Teacher’s Retirement System of Georgia for contributions paid between July 1, 1987, and December 31, 1989, that were reported to and taxed by Georgia. 13. The amount claimed by employers in food and beverage establishments who took a credit instead of a deduction on the Federal return for FICA tax paid on employee cash tips. 14. An adjustment of 10% of qualified payments to classified subcontractors or $100,000, whichever is less, per taxable year by individuals, corporations, or partnerships that are party to state contracts. For more information, call the Department of Administrative Services at 404-657-6000 or visit their website: information-for-suppliers-and-ga-businesses https://doas.ga.gov/state-purchasing/ 15. Deductible portion of contributions to the Path2College 529 Plan. The deduction is limited on a return to the amount contributed but cannot exceed $4,000 per beneficiary. If a married filing joint return is filed, then the amount cannot exceed $8,000 per beneficiary. 16. Adjustments due to Federal tax changes (see policies/income-tax-federal-tax-changes). https://dor.georgia.gov/taxes/tax-rules-and- 17. Combat Zone Pay Exclusion. See page 14 for more information. 18. Organ Donation Expense Deduction up to $25,000 of unreimbursed travel expenses, lodging expenses, and lost wages incurred as a direct result of a taxpayer’s donation of all or part of a kidney, liver, pancreas, intestine, lung, or bone marrow during the taxable year. 19. An amount equal to 100 percent of the premium paid by the taxpayer during the taxable year for high deductible health plans as defined by Section

23 223 of the Internal Revenue Code. The amount may only be deducted to the extent the deduction has not been included in Federal adjusted income and the expenses have not been provided from a health reimbursement arrangement and have not been included in itemized deductions. In the event the taxpayer claims the expenses as itemized deductions, the taxpayer should multiply the expense by the ratio of total allowed itemized deductions after the federal limitation to the total allowed itemized deductions before the federal limitation to determine the amount that is not allowed to be deducted pursuant to this paragraph. For example, the taxpayer has $1,000 in high deductible health insurance premiums. They also have $7,000 of other medical expenses which means they have total medical expenses of $8,000. After the limitation, the taxpayer is only allowed to deduct $2,000 of medical expenses. The $1,000 deduction must be reduced by $250 ($2,000/$8,000 x $1,000), and the taxpayer is allowed to deduct $750.

20. Federally taxable interest received on Georgia municipal bonds designated as “Build America Bonds” under Section 54AA of the Internal Revenue Code of 1986. “Recovery Zone Economic Development Bonds” under Section 1400U-2 of the Internal Revenue Code or any other bond treated as a ‘Qualified Bond” under Section 6431(f) of the Internal Revenue Code are considered “Build America Bonds” for this purpose. 21. Federally taxable interest received on Georgia municipal bonds issued by the State of Georgia and certain authorities or agencies of the State of Georgia for which there is a special exemption under Georgia law from Georgia tax on such interest. 22. Interest eliminated from Federal itemized deductions due to the Federal Form 8396 credit. 23. An amount equal to 100 percent of the payments made to and received by a disabled first responder pursuant to O.C.G.A. § 45-9-85 (Payment of indemnification for death or disability), provided that and to the extent such amounts are included in the taxpayer’s Federal adjusted gross income and are not otherwise exempt from the tax imposed by this article under any other provision of law. The term ‘disabled first responders’ means a law enforcement officer, fireman, publicly employed emergency medical technician, or a surviving spouse of such an individual, receiving payments pursuant to O.C.G.A. § 45-9-85 (Payment of indemnification for death or disability) due to total permanent disability, organic brain damage, or death occurring in the line of duty. 24. For a firefighter, payments received pursuant to O.C.G.A. § 25-3-23(b)(2) (certain insurance benefits related to cancer) to the extent such amounts are included in the taxpayer’s Federal adjusted gross income and are not otherwise exempt on the Georgia return. 25. For a firefighter, an amount equal to 100% of any premium paid by the firefighter during the taxable year for coverage pursuant to O.C.G.A. 25-3-23(b)(2) (premiums paid to continue coverage by a firefighter that departs employment) to the extent such deduction has not been included in the taxpayer’s Federal adjusted gross income and is not otherwise deductible on the Georgia return. 26. Income received by a surviving family member that is based on the service record of a deceased veteran without regard to the age of the surviving family member. 27. For taxable years beginning on or after January 1, 2019, and ending on or before December 31, 2023, a subtraction is allowed for certain disaster relief payments. The payments that qualify are those that are received from a Federal disaster relief or assistance grant program administered by Georgia or its instrumentalities or the United States Department of Agriculture, but only if the Federal grant program was established specifically to address agricultural losses suffered due to Hurricane Michael during the 2018 calendar year. Also, the subtraction is only allowed to the extent the income is included in Federal adjusted gross income. Finally, any amounts that came from a pass-through entity are also eligible. 28. For owners of a pass-through entity or entities that have elected to pay tax at the entity level, see rule 560-7-3-.03(9)(a). Note: Enter your allocable share of income that was taxed at the entity level on Schedule 1, Line 12. Use description PTEDED. For more information see pass-through-entity-tax-faq. https://dor.georgia.gov/hb-149- 2024 IT-511 Instructions Booklet

Retirement Income Exclusion Part-year/Nonresident Retirement Exclusion Example Schedule 3: Ln 1 Wages 68,300 45,800 22,500 Ln 2 Interest and Dividends 82,500 82,500 0 Ln 3 Business (income or loss) 0 0 0 Ln 4 Other (income or loss) 325,150 100,000 225,150 Ln 5 Total (Total Lines 1 thru 4) 475,950 228,300 247,650 Ln 6 Total Adjustments from Form 1040 -12,000 -12,000 0 Ln 7 Sch 1 Retirement Exclusion (from step 2 below) -65,000 -30,215 -34,785 Ln 8 GA AGI 398,950 186,085 212,865 Column A Column B Column C Step 1 Determine the Everywhere and Georgia Parts of Retirement Exclusion 225,150 Everywhere Georgia Ln 1 Wages 68,300 22,500 Ln 2 Other Earned Income 68,300 22,500 5,000 5,000 82,500 0 Ln 3 Total Earned Income (Use in step 2) Ln 4 Max Earned Income Ln 5 Lesser of Ln 3 or 4 Ln 6 Interest Ln 7 Dividend 0 0 Ln 8 Alimony Ln 9 Capital Gains 30,450 30,450 Ln 10 Other Income 75,150 0 Ln 11 Taxable IRA Ln 12 Taxable Pensions 24,850 0 Ln 13 Rent, Royalty, etc. 194,700 194,700 Ln 14 Unearned Income - (Total Line 6 to 13) (Use in step 2) 407,650 Step 2 Determine the Part-year/Nonresident Retirement Exclusion Allowed Earned Portion Earned Income Ratio Georgia 22,500 Everywhere 68,300 0.3294 Max Earned Income Georgia Earned Income Portion 5,000 1,647 Unearned Portion

Total Max Exclusion 65,000 Portion Used on Earned Income Remaining Allowed on Unearned 5,000 60,000 Unearned Income Ratio Georgia 225,150 Everywhere 407,650 0.5523 Georgia Unearned Income Portion Total Retirement Exclusion Allowed from GA Income 33,138 34,785 24 2024 IT-511 Instructions Booklet Note regarding Achieving Better Life Experience (ABLE) Programs - No Deduction is allowed as a subtraction item for any contribution made pursuant to the Georgia ABLE Program or any other state ABLE programs. Social Security and Railroad Retirement paid by the Railroad Retirement Board, exempt interest, or other income that is not taxable to Georgia should not be included in the retirement income exclusion calculation. Income or losses should be allocated to the person who owns the item. If any item is held jointly, the income or loss should be allocated to each taxpayer at 50%. Part-year residents and nonresidents must prorate the retirement income exclusion. The earned income portion and unearned income portion must be separately prorated. The earned income portion shall be prorated using the ratio of Georgia source earned income to total earned income computed as if the taxpayer were a resident of Georgia for the entire year. The unearned portion shall be prorated using the ratio of Georgia source unearned retirement income to total unearned retirement income computed as if the taxpayer were a resident of Georgia for the entire year. Retirement income does not include income received directly or indirectly from lotteries, gambling, illegal sources, or similar income. Rental, Royalty, or Partnership income that is subject to FICA tax or Self employment tax should be included on Line 2 not Line 13. Trade or business income from an S Corporation in which the taxpayer or their spouse materially participated should be included on Line 2, not Line 13. Note: The date of birth is required for the Retirement Income Exclusion. If you are using the retirement income exclusion for disability, the date of disability is required.

25 2024 IT-511 Instructions Booklet Schedule 2: Credit Usage and Carryover (Series 100 Tax Credits) Note: Series 200 tax credit codes are claimed on the IND-CR forms. • A return is required to be electronically filed if the return claims, utilizes or includes in any manner a Series 100 tax credit. See page 36. • Georgia tax credits (Series 100), must be claimed on Schedule 2. For a list of tax credit codes (series 100), see page 36. Please see the Tax Credit Summaries on the Department’s website ( ) regarding Line 10 credits that can be sold. https://dor.georgia.gov/tax-credit-summaries • Refundable tax credits are claimed on Schedule 2B. Currently, only the Timber Tax credit is refundable but is not refundable if it was purchased. • If claiming any of the following credit codes, enter your SSN and not the FEIN of the donation/non- profit organization: • 125—Qualified Education Expense Credit • 136—Qualified Rural Hospital Organization Expense Credit • 140—Qualified Education Donation Credit • 150—Qualified Law Enforcement Donation Credit • Total the Schedule 2 credits used for this tax year, and enter the total on Line 21 of Form 500 or 500X. • The taxpayer must indicate which credits are being used. The total amount used from all Schedule 2s, IND-CRs, other state(s) tax credit, and from the low income credit cannot exceed the tax liability listed on Line 16 of Form 500 or 500X. • If a credit is eligible for carryover to this tax year, complete the Schedule 2, even if the credit is not used in this tax year. • If the same credit originated from multiple persons or entities, enter information for each person or entity on separate lines of this schedule. • Credit certificate numbers are issued by the Department of Revenue for pre-approved credits. Once a credit is pre-approved, an official letter will be issued by the Department. This letter will contain the certificate number for the generator of the credit. If the credit is allowed to be transferred, a new certificate number will be issued from the Department to the recipient of the transferred credit. If applicable, enter the credit certificate number where indicated. If you do not have a certificate number, this field should be left blank. • See the relevant forms, statutes, and regulations to determine how the credit is allocated to the owners, to determine when carryovers expire, and to see if the credit is limited to a certain percentage of tax. • Before the Georgia tax credit carryovers are applied to the next tax year, the amount must be reduced by any amounts elected to be applied to withholding in the current tax year (for businesses only) and by any carryovers that have expired. • For the credit generated this year, list the Company/Individual Name, FEIN/SSN, and Credit Certificate number, if applicable. Purchased credits should also be included. If the credit originated with this taxpayer, enter this taxpayer’s name and SSN. Disregarded Single Member LLC Credit Instructions. If the taxpayer owns a disregarded single member LLC, the single member LLC should be disregarded for filing purposes. All credits should be claimed on the owner’s return. All tax credit forms should be filed in the name of the single member LLC but included with the owner’s return. This is necessary so that the returns can be processed and the credits passed to the proper taxpayer. • 151—Qualified Foster Child Donation Credit

26 2024 IT-511 Instructions Booklet LINE 10: If itemizing, enter the amount from Federal Schedule A reduced by income taxes paid to other states and expense for the production of non- Georgia income. Include a copy of Federal Schedule A with your Georgia income tax return. If using the standard deduction, enter the amount for your filing status as indicated below. Married filing jointly $24,000 Single $12,000 Married filing separately $12,000 Head of household $12,000 Qualifying surviving spouse $12,000 LINES 11: Multiply Form 500, Line 7c by $4,000 and enter the total. LINE 12: Add Lines 10 and 11. LINE 13: Multiply Line 12 by the ratio on Line 9. LINE 14: Subtract Line 13 from Line 8, Column C. This is your Georgia taxable income. Enter here and on Form 500 Line 15a. Schedule 3: Part-Year and Nonresidents Include copies of applicable returns and schedules with your Georgia return. Column A must equal Column B plus Column C. LINES 1 - 4, Column A: List your income as if you were a Georgia resident. LINES 1 - 4, Column B: List your income not taxable to Georgia. LINES 1 - 4, Column C: List your Georgia taxable income. LINE 5, Columns A, B, and C: Enter the total of Lines 1- 4 in Columns A, B, and C respectively. LINES 6 - 7, Column A: List adjustments from your Federal return on Line 6; list adjustments allowed by Georgia law on Line 7. See the Line 9 instructions on pages 20-24 for adjustments. LINES 6 - 7, Column B: List adjustments that do not apply to Georgia residency or do not apply because of taxable income earned as a nonresident. LINES 6 - 7, Column C: List adjustments from the Federal return that apply to Georgia on Line 6; list Georgia adjustments on Line 7. See the Line 9 instructions on pages 20-24 for adjustments. LINES 8, Columns A, B, and C: Subtract Line 6 from Line 5 in each column; and add or subtract Line 7 from Line 5 in each column. Enter the total for each column on Line 8 A, B, and C respectively. LINE 9: Divide Line 8, Column C by Line 8, Column A to calculate the ratio of Georgia income to total income. The percentage on Schedule 3, Line 9 is zero if the Georgia adjusted gross income (AGI) is zero or negative. If the adjusted Federal AGI is zero or negative, Line 9 percentage is 100%. The ratio cannot be entered as a negative percentage and it cannot exceed 100%. The percentage is also considered to be 100% if both the adjusted Federal and Georgia AGI are zero or negative. In this case, the taxpayer is entitled to the full exemption amount and deductions.

Basis of Example: A Single, Head of Hosuehold, or Married filing separately taxpayer is a nonresident filer. Their Federal adjusted income is %50,000. Their income consists of $48,000 in wages and salaries plus interest and/or dividends totaling $4,000. They also have $2,000 of adjustments on their Federal Schedule 1. The taxpayer has one dependent and Georgia adjustments of $-500 from Form 500, Schedule 1. Their Schedule 3 would be completed as follows: Georgia Form 500 (Revision 08/01/24) Schedule 3 Part-Year Nonresident 2024 (Approved booklet version) DO NOT USE LINES 9 THRU 14 OF PAGES 2 AND 3 FORM 500 or 500X SCHEDULE 3 COMPUTATION OF GEORGIA TAXABLE INCOME FOR ONLY PART-YEAR RESIDENTS AND NONRESIDENTS. Column A must equal Column B plus Column C. See IT-511 Tax Booklet for other state(s) tax credits. FEDERAL INCOME AFTER GEORGIA ADJUSTMENT (COLUMN A) INCOME NOT TAXABLE TO GEORGIA

(COLUMN

B) GEORGIA INCOME (COLUMN C) 1. WAGES, SALARIES, TIPS, e tc 1. WAGES, SALARIES, TIPS, etc 1. WAGES, SALARIES, TIPS, etc 48,0 0 0 11, 45 3 36,5 4 7 2. INTEREST AND DIVIDENDS 2. INTEREST AND DIVIDENDS 2. INTEREST AND DIVIDENDS 4, 00 0 95 4 3, 04 6 3. BUSINESS INCOME OR (LOSS) 3. BUSINESS INCOME OR (LOSS) 3. BUSINESS INCOME OR (LOSS) 4 . OTHER INCOME OR (LOSS) 4. OTHER INCOME OR (LOSS) 4. OTHER INCOME OR (LOSS) 5. TOTAL INCOME: TOTAL LINES 1 THRU 4 5. TOTAL INCOME: TOTAL LINES 1 THRU 4 5. TOTAL INCOME: TOTAL LINES 1 THRU 4 52, 00 0 12, 40 7 39,5 9 3 6. TOTAL ADJUSTMENTS FROM FORM 1040 6. TOTAL ADJUSTMENTS FROM FORM 1040 6. TOTAL ADJUSTMENTS FROM FORM 1040 2 ,00 0 2 ,00 0 7. TOTAL ADJUSTMENTS FROM FORM 500, 7. TOTAL ADJUSTMENTS FROM FORM 500, SCHEDULE 1 7. TOTAL ADJUSTMENTS FROM FORM 500, SCHEDULE 1 SCHEDULE 1

- 50 0 - 50 0 8. ADJUSTED GROSS INCOME: LINE 5 PLUS OR MINUS LINES 6 AND 7 8. ADJUSTED GROSS INCOME: LINE 5 PLUS OR MINUS LINES 6 AND 7 8. ADJUSTED GROSS INCOME: LINE 5 PLUS OR MINUS LINES 6 AND 7 49,5 0 0 10, 40 7 30,0 9 3 ..................... 78 .9 8% Box Checked with an X 12,0 0 0 1 4, 00 0 16,0 0 0 12,6 3 7 26, 45 6

28 2024 IT-511 Instructions Booklet Schedule 4: 500 Net Operating Loss Instructions – 2023 tax year and forward What is a Net Operating Loss (NOL)? If your deductions for the year are more than your income for the year, you may have a net operating loss (NOL). Types of Net Operating Loss (NOL): For tax years beginning on or after January 1, 2018, select the type of NOL. • Normal Loss: A Normal Loss can only be carried forward until exhausted. • Insurance loss (2) year: An Insurance Loss can be carried back two (2) years and carried forward for 20 years or until exhausted. • Farm Loss (2) Year: A Farm Loss can be carried back two (2) years and carried forward until exhausted. General Instructions A Georgia Net Operating Loss (NOL) must be computed separately from any Federal NOL. It is possible to have a Federal NOL, but not a Georgia NOL. In computing the Georgia NOL, only amounts attributable to Georgia can be used.

The Schedule 4 must be completed and filed with the 500 or 500X return, no later than 3 years from the due date of the loss year income tax return, including any extensions which have been granted. Net operating losses (NOLs) for tax years 2018 and later that are applied to Georgia income cannot exceed 80% of Georgia income before NOLs. Use Schedule 4, to compute the net operating losses that can be used in the following year. Note: For taxable years beginning on or after January 1, 2023, use the Schedule 4 Net Operating Loss Application to compute the Individual net operating loss. For taxable years prior to tax year 2022, use the Form 500 NOL return to compute the net operating loss. Within 90 days from the last day of the month in which this return is filed, the Commissioner of Revenue shall make a limited examination of the schedule and disallow without further action any schedule containing errors of computation not correctable or having material omissions. A decrease of tax determined for prior years will first be credited against any unpaid tax and any remaining balance will be refunded to the taxpayer without interest within the 90-day period. Note: Schedule 4 shall constitute a claim for credit or refund. If the commissioner should determine that the amount credited or refunded by an application is in excess of the amount properly attributable to the carryback with respect to which such amount was credited or refunded, the commissioner may assess the amount of the excess as a deficiency as if it were due to a mathematical error appearing on the face of the return. For additional information, see Rule 560-7-4-.01 What must be included when claim- ing an NOL 1. Copy of Federal return (1040) including pages 1 and 2. Also include Schedules 1, A, C, D, E or F where a loss is generated. 2. Copy of Federal returns (1040) for the carryback years that include pages 1 and 2, Schedule 1, Schedule A, and any schedules that were recalculated in carryback year(s). 3. Copy of Georgia returns for the carryback or carryforward years. A copy of the Federal Form 1045 should be included for the carryback. Be sure to include all required forms listed above and complete all lines of the Schedule 4 that apply. Otherwise, your application may be disallowed.

29 2024 IT-511 Instructions Booklet Determine whether you have a Geor- gia NOL and its amount: Complete the Schedule 4, Net Operating Loss Application. If Line 8 is zero or more, you do not qualify for a Georgia NOL. How to calculate an NOL: Please see Schedule 4, Part I Computation Instructions. When and how to use an NOL Carry- back: The carryback period may be waived and the NOL carried forward. Election: A taxpayer is bound by the Federal election to forego the carryback period. A copy of this election should be attached to the Georgia return. If there is a Georgia NOL but no Federal NOL, the taxpayer may make an election “for Georgia purposes only” under the same rules and restrictions as the Federal election. The Schedule 4 should be attached and completed even when the carryback period is foregone. Example: A taxpayer has a large Net Operating Loss in 2017 (both Federal and Georgia). With a timely filed Federal return, they include a statement that elects to forgo the carryback period. Therefore, they must carry their Georgia (as well as their Federal) NOL forward without first carrying it back. Any portion not absorbed after 20 years is lost. Losses generated in 2018 and forward can be used until exhausted, with the exception of insurance losses. Carryback an NOL to a previous year: Schedule 4, page 3 carryback schedule should be left blank when not carrying back an NOL. An NOL carryback adjustment must be filed on Schedule 4, page 3 for an individual taxpayer who desires a refund of taxes afforded by carryback of a net operating loss. Do not file a 500X return for prior years to apply the carryback of an NOL. Generally, an NOL must be carried back (if applicable) and forward in the procedural sequence of taxable periods provided by Section 172 of the Internal Revenue Code of 1986, as defined in Code Section 48-1-2. For taxable years ending on or before December 31, 2017, generally the carryback period is 2 years (with special rules for farmers (5 years), casualty losses (3 years); specified liability loss (10 years), small business loss attributable to Federally declared disasters (3 years). For losses incurred in taxable years ending after December 31, 2017, there is no carryback (with a 2-year carryback for farmers) and unlimited carryover. Insurance Loss has a 2-year carryback, with a 20 year carryforward limitation. Also, Georgia does not follow the following provisions: • Special carryback rules enacted in 2009. • Special rules relating to Gulf Opportunity Zone public utility casualty losses, I.R.C. Section 1400N(j). • 5 year carryback of NOLs attributable to Gulf Opportunity Zone losses, I.R.C. Section 1400N(k). • 5 year carryback of certain disaster losses, I.R.C. Sections 172(b)(1)(j) and 172(j). • The election to deduct public utility property losses attributable to May 4, 2007 Kansas storms and tornadoes in the fifth tax year before the year of the loss, I.R.C. Section 1400N(o). For losses incurred in taxable years ending after December 31, 2017. Georgia follows the CARES Act relating to no carryback and unlimited carryforward of net operating losses and also adopts the 2-year carryback for farming losses and the 2-year carryback and 20-year carryforward for certain insurance company net operating losses. Georgia has adopted the CARES Act for taxable years beginning on or after January 1, 2019 but did not adopt the revised net operating loss provisions in the CARES Act and the modification to the Code Section 461(l) limitation in the CARES Act.

30 2024 IT-511 Instructions Booklet How to claim an NOL: The NOL can be taken in future years or carried back to previous tax years. The NOL cannot be taken in the loss year. The loss year is the year in which the NOL occurred.

Schedule 4, Part I: Computation In- structions Line 1: Enter amount from Form 500 or 500X, Line 15a. Line 2: Enter amount from Form 500 or 500X, Line 14 for full year residents. For part-year and nonresident filers, see Part-Year and Nonresidents instructions. Line 3: Complete Schedule 4, Part II (GA nonbusiness deductions) and enter the total from Line 18. Line 4: Enter as a positive number any Nonbusiness Capital losses over Nonbusiness Capital gains after the $3,000 Federal limitation. See Federal Form.

Line 5: Reserved. Leave blank. Line 6: Add Lines 1-4. Line 7: Enter I.R.C. Section 461(l) loss eligible to be carried forward only. Enter as a negative amount. Georgia follows the I.R.C. Section 461(l) loss limitation. However, before the I.R.C. Section 461(l) loss limitation is applied, the taxpayer should compute the business income and deductions pursuant to the I.R.C. as defined for Georgia purposes (with the I.R.C. Section 168(k) disallowance, etc.). Then the I.R.C. Section 461(l) provisions should be applied. The I.R.C. Section 461(l) loss that is disallowed and is eligible to be carried forward should be entered on Line 7. See Federal Form. Line 8: If Line 6 is a negative amount, add Line 6 and Line 7. Enter this amount on Line 8 and above on the amount line for Total Loss(es). Line 6. Loss Amount -39,000 Line 7. I.R.C. Section 461(l) loss eligible to be carried forward only -7,400 Line 8. Total Losses - 46,000 If line 6 is a positive amount, and there is an amount on Line 7, enter the amount from Line 7 on Line 8. Line 6. Loss Amount 39,000 Line 7. I.R.C. Section 461(l) loss eligible to be carried forward only -7,400 Line 8. Total Losses -7,400 If Line 8 is zero or more, you do not have an NOL. Schedule 4, Part II: NOL Worksheet Instructions Georgia Nonbusiness Income Line 1: Enter excess of Nonbusiness Capital gains over Nonbusiness Capital losses (See Federal Form). Enter as a positive number. Line 2: Enter Dividends income.

31 2024 IT-511 Instructions Booklet Line 3: Enter Interest income. Line 4: Enter Alimony received. Line 5: Enter Pension/Annuities. Line 6: Enter the nonbusiness portion of the Retirement Income Exclusion (RIE) as a negative number on this line. This should be computed as follows. The total nonbusiness income (as it is defined for NOL purposes) that is included in the retirement exclusion should be divided by the total income that is included in the retirement exclusion. This percentage should then be multiplied by the retirement exclusion.

Example: If the taxpayer has $8,000 in wages (only $5,000 of the wages can be included in the RIE), $20,000 in interest income, and $9,000 in S Corp income, the taxpayer would divide $20,000 by $34,000 and then multiply this by the retirement exclusion amount. When computing the percentage, use the following guidelines: 1. If the total nonbusiness income that is included in the RIE is zero or less than zero, the percentage is zero. This would apply even if the total income that is included in the RIE is zero or less than zero. 2. If the total nonbusiness income that is included in the RIE is greater than zero and exceeds the total income that is included in the RIE, the percentage is 100%. This would apply even if the total income that is included in the RIE is zero or less than zero. In situations where two people filed Married filing jointly, a separate computation should be made to determine each taxpayer’s portion of the RIE that is related to nonbusiness income. Note: Military Retirement Income Exclusion should be entered on Line 9 as a negative amount.

Line 7: Enter Georgia adjustment for interest as a negative number for interest includible in federal gross income but exempt from state income taxes. The adjustment must be reduced by direct and indirect interest expenses attributable to the income. Examples include interest from U.S. Government bonds and other U.S. obligations, interest issued on Georgia municipal bonds issued by the State of Georgia, and interest issued on Georgia municipal bonds designated as “Build America Bonds”. Enter Georgia adjustment for interest as a positive number for interest exempt from federal income but not from state income taxes. Line 8: Enter Georgia adjustment for non-Georgia municipal interest as a positive number. Line 9: Enter any other adjustments. Line 10: Add the total of Lines 1-9. Enter total Nonbusiness Income. Georgia Nonbusiness Deductions Line 11: Enter the standard deduction amount from Form 500/500X Line 11 or enter the itemized deduction amount from Form 500/500X Line 12c less casualty and theft losses, Federal Form 2106 deductions, and state and local income taxes for full year residents. For part-year and nonresident filers, see Part-Year and Nonresident instructions. Line 12: Enter contributions to self-employed pension plan or Keogh (Federal form) amount. Line 13: Enter Alimony Paid as a positive amount.

32 2024 IT-511 Instructions Booklet Line 14: Enter forfeited interest/penalty on early withdrawal amount. Line 15: Enter contributions on a deductible IRA amount. Line 16: Enter any other adjustments amount. Line 17: Add Lines 11-16 and enter total Nonbusiness Deduc- tions amount. Line 18: Excess of Nonbusiness Deductions (Line 17) less Nonbusiness Income (Line 10). If zero or less, enter zero. Part III: Carryback Computation of Overpayments

The following applies only to losses that allow a carryback:

• If the loss is only being carried forward, leave Part III: Carryback blank. • An Insurance loss can be carried back two years. • A Farm loss can be carried back two years. • When carrying back an NOL, apply the loss to the oldest applicable tax year first. Line 1: Enter the Federal adjusted gross income excluding the Federal NOL. Line 1 should not be reduced by the Federal or Georgia NOL. Enter the amount from Form 500/500X, Line 8. Line 2: Enter the Net Adjustments from Schedule 1, Line 14. Line 3: For the earliest carryback year, in column (b) enter the NOL from Schedule 4, Part 1, Line 8 that is allowed to be carried back. Enter as a negative amount. Line 4: Add the net total of Lines 1, 2, and 3, for the Georgia adjusted gross income. Line 5: Enter the standard deduction amount from Form 500/500X, Line 11c or the itemized deduction amount from Form 500/500X Line 12c less casualty, and theft losses, Federal Form 2106 deductions, and state and local income taxes for full year residents. For part-year and nonresidents, recalculate the prorated deductions after the application of the NOL. See NOL part-year and nonresident instructions. Line 6: Subtract Line 5 from Line 4. Line 7: Enter amount from Form 500/500X, Line 14c for full year residents. For part-year and nonresidents, recalculate the prorated exemptions after the application of the NOL. Line 8: Subtract Line 7 from Line 6 for the taxable income. Line 9: Multiply Line 8 by the applicable Georgia tax rate. See the applicable IT-511 Tax Booklet to determine the tax rate. Line 10: The credit for taxes paid to other states should be recomputed based on the new Georgia AGI and deductions. Other credits that are based on liability should be adjusted accordingly. Any credits that are not allowed and that are eligible for carryforward can be carried forward. Do not enter an amount greater than Line 9.

33 2024 IT-511 Instructions Booklet Line 11:Line 11:Line 11: Subtract Line 10 from Line 9. Line 12:Line 12: Enter Line 11 of column (b) in column (a). Line 13:Line 13: Subtract Line 12 from Line 11. Part-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and NonresidentsPart-Year and Nonresidents In computing the Georgia NOL only amounts attributable to Georgia can be used. Part I, Line 2:Part I, Line 2:Part I, Line 2:Part I, Line 2:Part I, Line 2:Part I, Line 2: To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9.To prorate your exemptions, multiple Schedule 3, Line 11 by Schedule 3, Line 9. Part II, Line 11:Part II, Line 11:Part II, Line 11:Part II, Line 11:Part II, Line 11:Part II, Line 11:Part II, Line 11: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed:Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: • Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. • Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9. Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9. Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9. Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9. Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9. Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9. Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9.Standard deductions - Schedule 3, Line 10 multiplied by Schedule 3, Line 9. • Georgia Itemized deductions- Do not prorate,utilize the full amount.Georgia Itemized deductions- Do not prorate, utilize the full amount. Example: Standard Deduction Schedule 3, Line 10 12,000 Schedule 3, Line 9 x 78.98% Prorated Deductions = 9,478 Part III, Line 5:Part III, Line 5:Part III, Line 5:Part III, Line 5:Part III, Line 5: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed:Part-year and nonresident filers must prorate their deductions based on how the deductions are claimed: • Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9.Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. Itemized deductions – Schedule 3, Line 10a: Less casualty, Federal Form 2106 deductions, and state and local income taxes. Multiply the total by Schedule 3, Line 9. • Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9. Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9.Standard deductions - Schedule 3: Add Line 10a plus Line 10b, then multiply the total by Schedule 3, Line 9. • Georgia Itemized deductions - Do not prorate,utilize the full amount.Georgia Itemized deductions - Do not prorate, utilize the full amount. WorksheetWorksheet Schedule 3, Line 10 Schedule 3, Line 9 x Prorated DeductionsProrated Deductions = Example: Itemized Deduction Schedule 3, Line 10 15,000 Schedule 3, Line 9 x 78.98% ProratedProrated = 11,84711,847

WORKSHEET FOR OTHER STATE(S) TAX CREDIT Georgia allows a credit for tax paid to another state on income taxable to Georgia and the other state. Use these worksheets to compute the other state(s) tax credit for full-year and part-year residents. Do not file these worksheets with your return. Keep them for your records. Enter the Total Tax Credit on Form 500 Line 18. Include a copy of tax return(s) filed with other state(s). The credit is for state (including Washington DC) and U.S. local income tax only. The tax must have been imposed on net income. No other income taxes such as foreign local, foreign city, foreign province, foreign country, U.S. Possession, etc., qualify for this credit. FULL-YEAR RESIDENTS 1. Other state(s) adjusted gross income 2. Georgia adjusted gross income (Line 10, Form 500) $ ______ _ 3. Ratio: Line 1 divided by Line 2 _______ % 4. Georgia standard or itemized deductions 5. Georgia credit for dependents from Form 500, Line 14 6. Total of Line 4 and Line 5 7. Line 6 multiplied by ratio on Line 3 8. Income for computation of credit (Line 1 less Line 7) 9. Tax at Georgia rate (use the applicable tax rate) 10. Tax shown on return(s) filed with other state(s)* $ ______ _ $ ______ _ $ ______ _ 11. Total Tax Credit (Lesser of Line 9 or Line 10) to be entered on Line 18 of Form 500 PART-YEAR RESIDENTS 1. Income earned in other state(s) while a Georgia resident 2. Georgia adjusted gross income (Line 8, Column C of Form 500, Schedule 3) $ 3. Ratio: Line 1 divided by Line 2 4. Georgia standard or itemized deductions and Georgia dependent exemption after applying the ratio on Schedule 3 (Line 13, Schedule 3, Form 500) $ 5. Line 4 multiplied by ratio on Line 3 6. Income for computation of credit (Line 1 less Line 5) 7. Tax at Georgia rate (use applicable tax rate) 8. Tax shown on return(s) filed with other state(s) for income taxed by Georgia* 9. Total Tax Credit (Lesser of Line 7 or Line 8) to be entered on Line 18 of Form 500 *The amount entered must be reduced by credits that have been allowed by the other states. % $ ______ _ $ ______ _ $ ______ _ $ ______ _ $ ______ _ $ ______ _ $ $ $ $ $ $ 34 2024 IT-511 Instructions Booklet

LOW INCOME CREDIT WORKSHEET All claims for the low income credit, including claims on amended returns, must be filed on or before the end of the 12th month following the close of the tax year for which the credit may be claimed. 1. Enter the amount from Form 500, Line 8 or Form 500EZ, Line 1 ....................................................................... $ _________ _ 2. Enter the number of exemptions. Exemptions are self, spouse and natural or legally adopted children ......... . Note: For purposes of the low income credit, dependents do not include those unborn with a detectable heartbeat 3. Enter 1 if you or your spouse is 65 or older; enter 2 if you and your spouse are 65 or older ............................. . Note: The taxpayer and/or spouse's Date of Birth must be entered on Line 6 of Form 500 4. Add Lines 2 and 3; enter on Line 17a of Form 500, or if filing the Form 500EZ, Line 5a .................................... . 5. Find the credit that corresponds to your income in the table below and enter on Line 17b of Form 500, or if filing the Form 500EZ, Line 5b ..................................................................................................................... $ ________ _ 6. Multiply Line 4 by Line 5; enter the total on Line 17 c of Form 500; or if filing the Form 500EZ, Line 5c....... ...... ...,_ ________ _ Credit Table: Federal Adjusted Gross Income Credit Under $6,000 $26 $6,000 but not more than $7,999 $20 $8,000 but not more than $9,999 $14 $10,000 but not more than $14,999 $ 8 $15,000 but not more than $19,999 $ 5 SCHEDULE FOR ESTIMATING GEORGIA INCOME TAXES (Amounts must be rounded.) Please see the Form 500ES which includes important information regarding how to file and pay estimated tax. 1. Federal adjusted gross income expected during the current year 2. Additions to income (See instructions on page 20) 3. Balance 4. Social Security $ (See subtraction instructions on page 21) 5. Railroad Retirement $ (See subtraction instructions on page 21) 6. Applicable Retirement Exclusion 7. Other deductions (See instructions on pages 21-24) 8. Balance (Subtract Lines 4 - 7 from Line 3) 9. Exemption for Dependents 10. Standard or Itemized deductions 11. Taxable income (Subtract Lines 9 and 10 from Line 8) 12. Tax on amount on Line 11 (Use applicable tax rate) 13. Withholding Tax and other credits 14. Amount from prior year's return to be credited to this year's estimate 15. Estimated Tax due this year (Subtract Lines 13 and 14 from Line 12) (See 500ES) $ $ $ 35 2024 IT-511 Instructions Booklet

TAX CREDITS The following credits from the Taxpayer or from the ownership of a S Corp, LLC, LLP, or Partnership Interest which will be reflected on the Individual's K-1 must be listed on Form 500, Schedule 2. The entity information and credit type code must be included. Additional documentation for claiming a credit is required where indicated. NOTE: Credit code numbers are subject to change annually. Current code numbers are listed below. See Form IND-CR for information about additional tax credits. NOTE: A return is required to be filed electronically if the return generates, allocates, claims, utilizes, or includes in any manner a Series 100 tax credit. Refundable credits are claimed on Schedule 28. Currently only the Timber Tax Credit (145) is refundable but not if it was purchased. Disregarded Single Member LLC Credit Instructions. If the taxpayer owns a disregarded single member LLC, the single member LLC should be disregarded for filing purposes. All credits should be claimed on the owner's return. All tax credit forms should be filed in the name of the single member LLC but included with the owner's return. This is necessary so that the returns can be processed and the credits flow to the proper taxpayer. For additional information credits, please visit the Georgia Department of Revenue website at credits. dor.georgia.gov/taxes/tax­ Q Name of credit 102 - Employer's Credit for Approved Employee Retraining 103 - Employer's Jobs Tax Credit 104 - Employer's Credit for Purchasing Child Care Property 105 - Employer's Credit for Providing or Sponsoring Child Care for Employees 106 - Manufacturer's Investment Tax Credit 107 - Optional Investment Tax Credit 109 - Low Income Housing Credit lll - Business Enterprise Vehicle Credit 112 - Research Tax Credit 113 - Headquarters Tax Credit 114 - Port Activity Tax Credit 115 - Bank Tax Credit 118 - New Facilities Jobs Credit 119 - Electric Vehicle Charger Credit 120 - New Manufacturing Facilities Property Credit 121 - Historic Rehabilitation Credit for Historic Homes 122 - Film Tax Credit (use code 133 if the credit is for a Qualified Interactive Entertainment Pro duction Company) Film Tax Credit (use code 133 if the credit is for a Qualified Interactive Entertainment Production Company) 124 - Land Conservation Credit 125 - Qualified Education Expense Credit 126 - Seed-Capital Fund Credit 128 - Wood Residual Credit 129- Qualified Health Insurance Expense Credit 130 - Quality Jobs Tax Credit 36 Q Name of credit 131 - Alternate Port Activity Tax Credit 132 - Qualified Investor Tax Credit 133 - Film Tax Credit for a Qualified Interactive Entertainment Production Company 135 - Historic Rehabilitation Tax Credit for any Other Certified Structures (not a historic home) 136 - Qualified Rural Hospital Organization Expense Tax Credit 138 - Postproduction Film Tax Credit 139 - Small Postproduction Film Tax Credit 140 - Qualified Education Donation Tax Credit 141 - Musical Tax Credit 142 - Rural Zone Tax Credits 143 - Agribusiness and Rural Jobs Tax Credit 144 - Post-Consumer Waste Materials Tax Credit 145 - Timber Tax Credit 146 - Railroad Track Maintenance Tax Credit 147 - Personal Protective Equipment Manufacturer Jobs Tax Credit 148 - Life Sciences Manufacturing Job Tax Credit 149 - Historic Rehabilitation Tax Credit for Historic Homes and Other Certified Structures Earn­ ing $300K or less 150 - Qualified Law Enforcement Donation Credit 151 - Qualified Foster Child Donation Credit 152 - Historic Rehabilition Credit for Historic Homes 153 - Historic Rehabilition for Other Certified Structures 154 - Rural Healthcare Professional Credit 2024 IT-511 Instructions Booklet

EXAMPLE OF HOW TO FILL OUT A TAX CREDITS SCHEDULE FOR CREDITS THAT DO NOT REQUIRE PRE-APPROVAL If receiving the same credit type from multiple entities, you must complete one tax credit schedule for each credit code. For the credit generated this tax year, list the Company Name and ID number if applicable. If the credit originated with this taxpayer, enter this taxpayer's name and ID#. Only enter a certificate number if the Department has provided a letter with your unique certificate number because the credit is preapproved. Purchased credits and credits received from an allocation from a pass-through entity should also be included on this schedule. If a credit is purchased from a previous-year the credit should be claimed as a previous year credit on Line 2. SCHEDULE 2 GEORGIA TAX CREDIT USAGE AND CARRYOVER 1. Credit Code -----------------------------------------------------------------------________________________ 1. 103 2. 2.Credit remaining from previous years (If from a busine ss, do not include amounts elected to be applied to withholding) , 2.Credit remaining from previous years (If from a business, do not include amounts elected to be applied to withholding) 2. 3. 3. COMPANY/INDIVIDUAL NAME TAXPAYER'S NAME CREDIT CERTIFICATE # 4. COMPANY/INDIVIDUAL NAME XYZ LLC Credit Certificate # 5. Company/Individual Name ABC COMPANY Credit Certificate # 6. Company/Individual Name Credit Certificate # 7. Company/Individual Name Credit Certificate # 8. Company/Individual Name Credit Certificate # FEIN/SSN 123-45-6789 FEIN/SSN 67-0009876 FEIN/SSN 57-2233445 FEIN/SSN FEIN/SSN FEIN/SSN 9. Total available credit for this tax year(sum of Lines 2 through 8) ______________________ _ 10. Enter the amount of the credit sold (only certain credits can be sold, See IT -511 Tax Booklet CREDIT GENERATED THIS TAX YEAR 45000 CREDIT GENERATED THIS TAX YEAR 3000 CREDIT GENERATED THIS TAX YEAR 3000 CREDIT GENERATED THIS TAX YEAR CREDIT GENERATED THIS TAX YEAR CREDIT GENERATED THIS TAX YEAR 9. 51000 see IT-511 Tax Booklet)---------------------------------------------------------------------------------------- 10. 11. Credit used for this tax year. ________ -----------------------------___ ---------------------------------------- 11. 12. Potential carryover to next tax year (Line 9 less Lines 10 and 11 )-- 12. 37 5000 46000 2024 IT-511 Instructions Booklet

EXAMPLE OF HOW TO FILL OUT A TAX CREDITS SCHEDULE FOR CREDITS THAT REQUIRE PRE-APPROVAL If receiving the same credit type from multiple entities, you must complete one tax credit schedule for each credit code. For the credit generated this tax year, list the Company Name and ID number if applicable. If the credit originated with this taxpayer, enter this taxpayer's name and ID#. Only enter a certificate number if the Department has provided a letter with your unique certificate number because the credit is preapproved. Purchased credits and credits received from an allocation from a pass-through entity should also be included on this schedule. If a credit is purchased from a previous year the credit should be claimed as a previous-year credit on Line 2. SCHEDULE 2 GEORGIA TAX CREDIT USAGE AND CARRYOVER 1. Credit Code . ... ... . ... . .. . .. . ..... .. .. . .. ... . ... ... . .. . ............ ................. ............... .. . . . . . 1. 2. Credit remaining from previous years (If from a business, do not include amounts elected to be appfied to wilhholding)................................... 2. 3. COMPANY/INDIVIDUAL NAME TAXPAYER'S NAME CREDIT CERTIFICATE# 01.1223344 4. COMPANY/INDIVIDUAL NAME CREDIT CERTIFICATE# 5. COMPANY/INDIVIDUAL NAME CREDIT CERTIFICATE# 6. COMPANY/INDIVIDUAL NAME CREDIT CERTIFICATE# 7. COMPANY/INDIVIDUAL NAME CREDIT CERTIFICATE# 8. COMPANY/INDIVIDUAL NAME CREDIT CERTIFICATE# FEIN/SSN 123-45-6789 FEIN/SSN FEIN/SSN FEIN/SSN FEIN/SSN FEIN/SSN See IT-511 Tax Booklet 125 CREDIT GENERATED THIS TAX YEAR 1.0000 CREDIT GENERATED THIS TAX YEAR CREDIT GENERATED THIS TAX YEAR CREDIT GENERATED THIS TAX YEAR CREDIT GENERATED THIS TAX YEAR CREDIT GENERATED THIS TAX YEAR 9. Total available credit for1his tax year(sum of Unes 2 through 8)......................... 9. 10000 10. Enter the amount of the credit sold (only certain credits can be sold, see IT 511 Tax Booklet) - ........................................................................................ 10. 11. Credit used for this lax year.. ..................................... ······-·····................................ 11. 12. Potential carryover to next tax year (Line 9 less Lines 10 and 11) .......................... 12. 10000 38 2024 IT-511 Instructions Booklet

CSG T•driuilS,..1-r,1r...p. FOUNDATION Checkoff Georgia: Pick an Amount & Make it Count! Pick an amount and make it count by donating on your State Income Tax Return form to one or more of the following Checkoff Georgia charitable organizations. › iii OHS Georgia Oep.rtment ofHumanServices  &:.:::::::" , ,, .. ,{1,M,Ha/1! GEORGIA core CENTER/or ONCOLOGY RESEARCII & EDUC1\TION .. • 4t ll ; REACH GEORGIA GSFA Georgia Student Finance Authority The Georgia Wildlife Conservation Fund protects and preserves Georgia's nongame wild­ life, including bald eagles, sea turtles, and other animals that are not hunted, trapped or fished. Georgia Department of Natural Resources I 2067 U.S. Hwy 278 SE I Social Circle, GA 30025 I 706-557-3333 I http://georgiawildlife.com The Georgia Fund for Children and Elderly provides programs for preschool children with spe­ cial needs plus home-delivered meals and transportation for elders. DHS Division Aging Services I 404-657-5258 / DCH /Division of Public Health I MCH I Children and Youth with Special Needs I 866-552-4464 I http://dph.georgia.gov http://aging.georgia.gov/georgia-fund-children-and-elderly, The Georgia Cancer Research Fund supports innovative and promising research on all types of cancer. Funds often provide seed money for pilot projects to help scientists obtain data needed to win grants from national cancer organizations. Georgia Center for Oncology Research and Education I 999 Peachtree St. NE, Suite 400 I Atlanta, GA 30309 I 404-523-8735 The Georgia Land Conservation Program provides funds for land conservation to protect natural resources and increase the state's economic competitiveness. Georgia Environmental Finance Authority I 47 Trinity Ave SW, Fifth Floor I Atlanta, GA 30334 The Georgia National Guard Foundation Inc. provides emergency relief assistance to the soldiers and airmen of the Georgia National Guard and other qualified members of the Georgia Depart­ ment of Defense. Georgia National Guard Foundation/ 1000 Halsey Ave. BLDG. 447/ Marietta, GA 30060 I 678-569-5704 I http://georgiaguardfamily.org/ The Dog and Cat Sterilization Fund provides financial support for the sterilization of dogs and cats, as well as education to the public about the healthy benefits of animal sterilization. DCSF I 19 Martin Luther King Jr. Drive SW I Atlanta, GA 30334 I 855-424-5423 I http://agr.georgia.gov The Saving the Cure Fund is designed to encourage the donation, collection and storage of stem cells from postnatal tissue and fluid; make such stem cells available for medical research and treatment; promote principled and ethical stem cell research; and to encourage stem cell research with immediate clinical and medical applications. Realizing Educational Achievement Can Happen (REACH) Program provides low-income academically promising students with the academic, social, and financial support needed to graduate from high school, access college, and achieve post-secondary success. Georgia Student Finance Authority I 2082 East Exchange Place I Tucker, GA 30084 I 770-724-9252 I https:l/www.gafutures.org/hope-state-aid-programs/scholarships-grantslreach-georgial The Public Safety Memorial Grant Program administered by the Georgia Student Finance Authority, provides educational aid to children whose parents are/were public safety employees and were disabled or killed in the line of duty, Recipients attend eligible colleges and universities in Georgia. Georgia Student Finance Authority I 2082 East Exchange Place I Tucker, GA 30084 /(800) 505-4732 I public-safety-memorial-granU https://www.gafutures.org/hope-state-aid-programs/scholarships-grants/ Disabled Veterans' Scholarship Fund administered by the Technical College System of Geor­ gia Foundation provides workforce and educational skills training at its network of 22 technical colleges throughout Georgia. Your donation will provide scholarships to disabled veterans pur­ suing their education. TCSG.edu/ 1 800 Century Place NE/ Atlanta GA. 30045 I 404-679-5466/

https://tcsgfoundation.org/ 39 2024 IT-511 Instructions Booklet

Georgia Form 500 (Rev. 08/01/24) Individual Income Tax Return Georgia Department of Revenue (Approved booklet version)

2024 Please print your n umbers like this in blac k or blue ink : 2. PART- YEAR RESIDENT

3. NONRESIDENT CITY (Please insert a space if the city has multiple names) STATE ZIP C ODE SPOUSE’S FIRST NAME MI 5. Enter Filing Status with appropriate letter (See IT-511 Tax Booklet)................................................................................... .... .... 5. Fiscal Year Ending 6a. Your Date of Birth Filing Status Omit Lines 9 thru 14 and use Form 500 Schedule 3 if you are a part-year or nonresident filer. LAST NAME (For Name Change See IT-511 Tax Booklet) SUFFIX LAST NAME SUFFIX ADDRESS (NUMBER AND STREET or P.O. BOX) (Use 2nd address line for Apt, Suite or Building Number) CHECK IF ADDRESS HAS CHANGED

SPOUSE’S SOCIAL SECURITY NUMBER (COUNTRY IF FOREIGN) DEPARTMENT USE ONLY YOUR SOCIAL SECURITY NUMBER 1. 2. 3. 1. FULL- YEAR RESIDENT 4. Enter your Residency Status with the appropriate number .... ...................................................................................................... Residency Status 4. Fiscal Year Beginning YOUR FIRST NAME MI STATE ISSUED YOUR DRIVER’S LICENSE/STATE ID Page 1 TO D. Head of household or Qualifying surviving spouse A. Single B. Married filing jointly C. Married filing separately (Spouse’s social security number must be entered above) s Spouse’s Date of Birth . 6b Total Number of Dependents

Federal Itemized

Deductions

( Schedule A- Form 1040)

Use EITHER Line 11 OR Line 12c (Do not write on both lines)

Georgia Form 500 Individual Income Tax Return Georgia Department of Revenue Page 2 2024 , , , , , , , 00

.....................................

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, YOUR SOCIAL SECURITY NUMBER 7d. Qualified Dependents. If you have more than 4 dependents, attach a list of additional dependents. First Name, MI. Last Name Social Security Number Relationship to You First Name, MI. Last Name Social Security Number Relationship to You First Name, MI. Last Name Social Security Number Relationship to You First Name, MI. Last Name Social Security Number Relationship to You INCOME COMPUTATIONS If amount on line 8, 9, 10, 13 or 15 is negative, use the minus sign (-). Example -3456. . 8. 8. Federal adjusted gross income (From Federal Form 1040) (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 include a copy of your Federal Form 1040 Pages 1, 2, and Schedule 1. 9. 9. Adjustments from Form 500 Schedule 1 (See IT-511 Tax Booklet) 10. 10. Georgia adjusted gross income (Net total of Line 8 and Line 9) 11. 11. Standard Deduction (Do not use FEDERAL STANDARD DEDUCTION) (See IT-511 Tax Booklet) Enter $12,000 if the filing status from Line 5 is A, C, or D. If the filing status is B, enter $24,000. 12. Total Itemized Deductions used in computing Federal Taxable Income. If you use itemized deductions, you must include Federal Schedule A. a. ............................... b. Less adjustments: (See IT-511 Tax Booklet) ................................................ c. Georgia Total Itemized Deductions.................................................................. 12a. 12b. 12c. 13. Subtract either Line 11 or Line 12c from Line 10; enter balance.......................... 13.

1.

G2-LP

3.

4.

5. G2-A

W-2

14.

INCOME STATEMENT DETAILS Only income on Georgia was . W-2s, 1099s and G2-As Line GA Wages/Income. For other income statements complete Line using the income reported from Form G2-RP Line 12 or 13; Form G2-LP Line 11, Form G2-FL enter zero.

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.

. 00 . 00 . 00 , , , , , ,

Georgia Form500 Individual Income Tax Return Georgia Department of Revenue 2024 YOUR SOCIAL SECURITY NUMBER Page 3 Enter the number from Line 7c. Multiply by $4,000 15a. Income before GA NOL (Line 13 less Line 14 or Schedule 3, Line 14)......... 15a. 15b. Georgia NOL utilized (Cannot exceed Line 15a or the amount after applying the 80% limitation, see IT-511 Tax Booklet for more information) 15b. 15c. Georgia Taxable Income (Subtract Line 15b from Line 15a) 15c. 16. Tax (Multiply Line 15c by 5.39%. Round to the nearest dollar) 16. 17a. 17b. 17. Low Income Credit 17c. 18. Other State(s) Tax Credit (Include a copy of the other state(s) return) 18. 19. Georgia Resident Itemizer Tax Credit (See IT-511 Tax Booklet) 19. 20. Credits used from IND-CR Summary Worksheet .......................................... 20. 21. Total Credits Used from Schedule 2 Georgia Tax Credits (must be filed 21. electronically) 22. Total Credits Used (sum of Lines 17-21) cannot exceed Line 16. 22. 23. Balance (Subtract Line 22 from Line 16) if zero or less than zero, enter zero.... 23. INCOME STATEMENT DETAILS Only enter enter income on which which Georgia tax tax was withheld withheld. Enter Enter income income from from W-2s, 1099s, and G2-As on on Line 4 GA Wages/Income. For other income statements complete Line 4 using the income reported from Form G2-RP Line 12 or 13; Form G2-LP Line 11, or or for for Form G2-FL enter zero. (INCOME STATEMENT A) (INCOME STATEMENT B) (INCOME STATEMENT C) 1. WITHHOLDING TYPE: 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN 1. WITHHOLDING TYPE: WITHHOLDING TYPE: 1099 G2-FL 2. EMPLOYER/PAYER FEDERAL ID NUMBER FEIN (Checkbox)FEIN (Checkbox)FEIN (Checkbox) SSN (Checkbox) W-2 G2-A G2-LP W-2 G2-A G2-LP G2-RP 1099 G2-FL G2-RP 1099 G2-FL G2-RP 2. EMPLOYER/PAYER FEDERAL ID NUMBER FEIN (Checkbox)FEIN (Checkbox)FEIN (Checkbox) SSN (Checkbox) EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID 4. GA WAGES / INCOME GA WAGES / INCOME 4. GA WAGES / INCOME . 00 . 00 . 00 , , , , , , . 5 GA TAX WITHHELD GA TAX WITHHELD 5. GA TAX WITHHELD PLEASE COMPLETE INCOME STATEMENT DETAILS ON PAGE 4. All Pages (1-5) are required for processing

FEIN (Checkbox)

3.

5.

5.

4.

W-2

37.

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(Cannot be claimed unless filed electronically)

Georgia Form 500 Individual Income Tax Return Georgia Department of Revenue YOUR SOCIAL SECURITY NUMBER 2024 (INCOME STATEMENT D) (INCOME STATEMENT E) (INCOME STATEMENT F) 1. WITHHOLDING TYPE: 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN 1. WITHHOLDING TYPE: 1. WITHHOLDING TYPE: G2-A 1099 G2-FL 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN G2-LP W-2 G2-A G2-LP W-2 G2-A G2-LP G2-RP 1099 G2-FL G2-RP 1099 G2-FL G2-RP 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID GA WAGES / INCOME 4. GA WAGES / INCOME 4. GA WAGES / INCOME . 00 . 00 . 00 , , , , , , GA TAX WITHHELD GA TAX WITHHELD 5. GA TAX WITHHELD . 00 . 00 . 00 , , , , , , 24. Georgia Income Tax Withheld on Wages and 1099s .. (Enter Tax Withheld Only and include W-2s and/or 1099s)

........................... 25. 25 . Other Georgia Income Tax Withheld ........................................................ (Must include G2-A, G2-FL, G2-LP and/or G2-RP) 26.26. Estimated Tax paid for 2024 and Form IT-560 ......................................... 24. 25. 26. , , , , , , . 00 . 00 . 00 27.27.27. Schedule 2B Refundable Tax Credits..........................................................

28.28.28. Total

prepayment credits (Add Lines 24, 25, 26 and 27)........................... 27. 28. 29.29.29. If Line 23 exceeds Line 28, subtract Line 28 from Line 23 and enter balance due 30.30.30. If Line 28 exceeds Line 23, subtract Line 23 from L ine 28 and enter overpayment .............................................................................................. 29. 30. 31.31.31. Amount to be credited to 2025 ESTIMATED TAX . 31. 32. 32.32.32. Georgia Wildlife Conservation Fund (No gift of less than $1.00). 33. 33.33.33. Georgia Fund for Children and Elderly (No gift of less than $1.00) 34. 34.34.34. Georgia Cancer Research Fund (No gift of less than $1.00) 35. 35.35.35. Georgia Land Conservation Program (No gift of less than $1.00). 36.36.36. Georgia National Guard Foundation (No gift of less than $1.00) 36. Dog & Cat Sterilization Fund (No gift of less than $1.00) 37. 38.38.38. Saving the Cure Fund (No gift of less than $1.00) 38. 39.39.39. Realizing Educational Achievement Can Happen (REACH) Program 39. (No gift of less than $1.00) , , . 00 , . , 00 , , . 00 , , . 00 , . 00 , . 00 , . 00 , . 00 , . 00 , . 00 , . 00 , . 00 All Pages (1-5) are required for processing

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45.

..... 44. (If you owe) Add lines 29, 32 through 44 (If you owe) Add lines 29, 32 through 44 (If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44 (If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44 (If you owe) Add lines 29, 32 through 44 (If you owe) Add lines 29, 32 through 44 (If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44 (If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44(If you owe) Add lines 29, 32 through 44

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Georgia Form500 Individual Income Tax Return Georgia Department of Revenue YOUR SOCIAL SECURITY NUMBER 2024 Page 5 40. ............................ 40. 41. Disable Veterans Scholarship Fund (No gift of less than _ ) 41. 500 DET Exception Attached 42. 43. 43. 44. 45. ........................................................... MAKE CHECK PAYABLE TO GEORGIA DEPARTMENT OF REVENUE, Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740399 ATLANTA, GA 30374-0399 46. (If you are due a refund) Subtract the sum of Lines 31 thru 44 from Line 30 THIS IS YOUR REFUNDTHIS IS YOUR REFUNDTHIS IS YOUR REFUNDTHIS IS YOUR REFUNDTHIS IS YOUR REFUND 46.46.46. Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 Refund Due Mail To: GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 , , . 00 If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check.

Type: Checking 46a. Direct Deposit (U.S. Accounts Only) Savings Routing Number Account Number Mail pages 1-5 and any applicable schedules, forms, documentation. DO NOT staple pages. I/We decl a r e under t he penalties of perjury that I/we have examined th is retur n (including accompanying schedules and statements) and to the b e st o f my/our knowledge a n d belief, it is t r ue, cor r ect, a nd comple te. If prepared by a person other than the taxpayer(s) , this declarat ion is based on a ll info r mation of which the preparer has knowledge. Taxpayer’s Signature (Check box if deceased) Spouse’s Signature (Check box if deceased) Taxpayer’s Date of Death Spouse’s Date of Death Taxpayer’s Signature Date Taxpayer’s Phone Number Spouse’s Signature Date By providing my e-mail address I am authorizing the Georgia Department of Revenue to electronically notify me at the below e-ma il address regarding any updates to my account(s). Taxpayer’s E-mail Address I authorize DOR to discuss this return with the named preparer. Preparer’s Phone Number Signature of Preparer Name of Preparer Other Than Taxpayer Preparer’s Firm N ame Preparer’s FEIN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN Preparer’s SSN/PTIN/SIDN

13.

Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. SUBTRACTION from INCOME (See IT-511 Tax Booklet) Depreciation

Total Subtractions (Enter sum of Lines 7-12 here)

DepreciationDepreciationDepreciationDepreciationDepreciationDepreciationDepreciationDepreciationDepreciationDepreciationDepreciationDepreciationDepreciation

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3.

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Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.

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SUBTRACTION from INCOME (See IT-511 Tax Booklet)

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Georgia Form 500 (Rev. 08/01/24) Schedule 1 Adjustments to Income 2024 (Approved booklet version) Schedule 1 Page 1 YOUR SOCIAL SECURITY NUMBER See IT-511 Tax Booklet SCHEDULE 1 ADJUSTMENTS to INCOME BASED on GEORGIA LAW ADDITIONS to INCOME 1. Interest on Non-G eorgia Municipal and State Bonds ................................... 1. , , .00 2. Lump Sum Distributions 2. , , .00 . 3. , , .00 4. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return. Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return.Net operating loss carryover deducted on Federal return....................................... 4. , , .00 5. Other (Specify) 5. , , .00 6. Total Additions (Enter sum of Lines 1-5 here) 6. , , .00 SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet)SUBTRACTION from INCOME (See IT-511 Tax Booklet) 7. Retirement Income Exclusion Taxpayer Date of Birth: Required for Retirement Income Exclusion and Military Retirement Income Exclusion 7a. , .00 a. Retirement Income Exclusion - Complete Schedule 1, page 2. 7b. , .00 b. Military Retirement Income Exclusion (Must be under 62 years of age) - Complete Schedule 1, page 3. c. Date of Disability

: Type of Disability: 7c. , .00 Spouse Date of Birth: Required for Retirement Income Exclusion and Military Retirement Income Exclusion 7d. , .00 d. Retirement Income Exclusion - Complete Schedule 1, page 2. , .00 , .00 e. Military Retirement Income Exclusion (Must be under 62 years of age) - Complete Schedule 1, page 3. 7e. f. Date of Disability

: Type of Disability: 7f. .00 , , 8. Social Security Benefits (Taxable portion from Federal return).................... 8. .00 .00 .00 .00 .00 , , , , , , 9. Path2College 529 Plan 9. 10. Interest on United States Obligations (See IT-511 Tax Booklet ) .................. 10. 11. 11. , , 12.12.12. Other Adjustments (Specify) 12. , , ....................................... 14. Net Adjustments (Line 6 less Line 13). Enter Net Total here and on Line 9 of Page 2 (+ or -) of Form 500 or 500X .......................................... 13. 00 , . , 14.

SCHEDULE 1 RETIREMENT INCOME EXCLUSION See IT-511 Tax Booklet

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Georgia Form500 (Rev. 08/01/24) Schedule 1 Adjustments to Income 2024 (Approved booklet version) Schedule 1 Page 2 YOUR SOCIAL SECURITY NUMBER SCHEDULE 1 RETIREMENT INCOME EXCLUSION (TAXPAYER) 1. Salary and wages , , . 00 2. Other Earned Income (Losses). , , . 00 3. TotalEarned Income. , , . 00 4. Maximum Earned Income. 5,000.00 5 ,0 00.05,000.0 0 5,000.005,000. 00 , 5. The lesser of Line 3 or 4; if zero or less, enter zero . 00 , , , , . 00 6. Interest Income. , , . 00 7. Dividend Income . 00 . 00 . 00 , , , , 8. Alimony...................................................... 9. Capital Gains (Losses)............................... , , 10. Other Income (Losses).............................. (See IT-511 Tax Booklet) . 00 , , 11. Taxable IRA Distributions......................... 12. TaxablePensions , , . 00 13. Rental, Royalty,Partnership, S Corp, etc. Inco me(Losses).....(See IT-511 Tax Booklet) , , . 00 14. Total of Lines 6 through 13; if zero or less, enter zero ................................................ , , . 00 . Add Lines 5 and 14 .................................... , , . 00 15 16. Maximum Allowable Exclusion * .................. , , . 00 See IT-511 Tax Booklet (SPOUSE) , , . 00 , , . 00 , , . 00 , 5,000.00 5,000.005,000.0 05,000.0 05,000.0 0 5,000.005,000. 00 , . , 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , . , . , 00 , 00 , , . 00 , , . 00 17. The lesser of Lines 15 and 16; enter here and on Form 500, Schedule 1, Lines 7a & d for Re- tirement Exclusion or Lines 7c & f for Retire- ment Exclusion for Disability.......................... , , . 00 , , . 00 *If age 62-64 or less than age 62 and permanently disabled enter $35,000, or if age 65 or older enter $65,000.

Include

this page with your Form 500/500X, if applicable.

See IT-511 Tax Booklet

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Georgia Form500 (Rev. 08/01/24) Schedule 1 Adjustments to Income 2024 (Approved booklet version) Schedule 1 Page 3 YOUR SOCIAL SECURITY NUMBER SCHEDULE 1 MILITARY RETIREMENT INCOME EXCLUSION See IT-511 Tax Booklet Do I Qualify for Military Retirement Exclusion? 1. Do

you have any military retirement income? No

. You

do not qualify. Do not complete this page. Yes

. You

may qualify if you meet the age requirements. 2. Are

you under the age of 62? No

. You

do not qualify. Do not complete this page. Yes

. You

qualify for Military Retirement Income Exclusion. Complete this page. 3. (TAXPAYER) (SPOUSE) , , . 00 , , . 00 1. Taxable Military Retirement from 1099-R , 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 , 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 17,500.00 2. Base Military Exclusion. , , . 00 , , . 00 3. Enter the lesser of Line 1 or Line 2 ......... If your taxable military retirement is less than 17,501 STOP HERE and enter line 3 on Schedule 1, Line 7b and 7e. , , . 00 , , . 00 4. Taxable Georgia Salary and Wages............... , , . 00 , , . 00 5. Other Earned Georgia Income , , . 00 , , . 00 6. Total Georgia Earned Income. If your Georgia earned income is less than 17,501 STOP HERE and enter line 3 on Schedule 1, Line 7b and 7e. , 35,000.0035,000.0035,000.00 35,000.0035,000.0035,000.0035,000.0035,000. 00 , 35,000.0035,000.0035,000.00 35,000.0035,000.0035,000.0035,000.0035,000. 00 7. Total additional Military Exclusion allowed....... 8. Enter the lesser of Line 1 or Line 7. Enter this amount on Schedule 1, Lines 7b and e....... , , . 00 , , . 00

YOUR SOCIAL SECURITY NUMBER

INCOME NOT TAXABLE TO GEORGIA (COLUMN B)

FEDERAL INCOME AFTER GEORGIA ADJUSTMENT (COLUMN A)

GEORGIA INCOME (COLUMN C)

13.

7.

T O T AL ADJUSTMENTS FROM FORM 500, SCHEDUL E 1

INTEREST AND DIVIDENDS 7. T O T A L ADJUSTMENTS FROM FORM 500, SCHEDULE 1

7. T O T A L ADJUSTMEN T S FROM FORM 500, SCHEDU LE 1 6.

6.

WAGES, SALARIES, TIPS,etc 4.

4.

WAGES, SALARIES, TIPS, etc

8.

8.

ADJUSTED GROSS INCOME:

LINE 5 PLUS OR MINUS LINES 6 AND 7 8. A D J USTED

GROSS I N COME: LINE 5 PLUS OR MINUS LINES 6 AND 7 3.

1.

WAGES, SALARIES, TIPS,e tc 6. 2.

5.

5. 4.

5.

10.

11. Total Deductions and Exemptions: Add Lines 10 and 11

14. Income before GA NOL: Subtract Line 13 from Line 8, Column C

Georgia Form 500 (Rev. 08/01/24) Schedule 3 Part-Year Nonresident 2024 (Approved booklet version) DO NOT USE LINES 9 THRU 14 OF PAGES 2 AND 3 FORM 500 or 500X Schedule 3 Page 1 SCHEDULE 3 COMPUTATION OF GEORGIA TAXABLE INCOME FOR ONLY PART-YEAR RESIDENTS AND NONRESIDENTS. Column A must equal Column B plus Column C. See IT-511 Tax Booklet for other state(s) tax credits. 1. 1. , , . 00 , , . 00 , , . 00 INTEREST AND DIVIDENDS 2. 2. INTEREST AND DIVIDENDS , , . 00 , , . 00 , , . 00 BUSINESS INCOME OR (LOSS)

BUSINESS INCOME OR (LOSS) BUSINESS INCOME OR (LOSS) 3. 3. . 00 . 00 . 00 , , , , , , OTHER INCOME OR (LOSS) OTHER INCOME OR (LOSS) OTHER INCOME OR (LOSS) . 00 . 00 . 00 , , , , , , TOTAL INCOME: TOTAL LINES 1 THRU 4 TOTAL INCOME: TOTAL LINES 1 THRU 4 TOTAL INCOME: TOTAL LINES 1 THRU 4 . 00 . 00 . 00 . 00 . 00 . 00 , , , , , , TOTAL ADJUSTMENTS FROM FORM 1040 TOTAL ADJUSTMENTS FROM FORM 1040 TOTAL ADJUSTMENTS FROM FORM 1040 , , , , , ,

, , ADJUSTED GROSS INCOME: LINE 5 PLUS OR MINUS LINES 6 AND 7 , , . 00 , , . 00

9. RATIO: Divide Line 8, Column C by Line 8, Column A Enter percentage here (% cannot be negative and cannot exceed 100%)...................... , , . 00 , , . 00 . 00 . 00 , , 9. . % (See IT-511 Tax Booklet) Standard Deduction Itemized ............................................................... (For Standard Deduction - Enter $12,000 if the filing status is Single, Married filing separately, Head of household or Qualifying surviving spouse. If filing status is Married filing jointly, enter $24,000) Enter the number on Line 7c from Form 500 or 500X multiply by $4,000.... 12. ........................................ Multiply Line 12 by Ratio on Line 9 and enter result................................................ 10. 11. 12. 13. , , , , , , , , 00 . . 00 . 00 . 00 Enter here and on Line 15a, Page 3 of Form 500 or Form 500X

............................. 14. , . , 00

For the following pages, Parts, I, II and II use the minus sign (-) for all negative amounts. Example -3456. See IT-511 Tax Booklet 1. Georgia Resident (Part-year/Nonresident, see instructions)

3. Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18)Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18)Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18)Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18)Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18) Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18)Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18)Excess Nonbusiness Deductions (NOL Worksheet Part II, Line 18)

U M S E 5 FO 0

Normal Loss Normal Loss

INSURANCE LOSS (2) YEAR

INSURANCE LOSS (2) YEAR INSURANCE LOSS (2) YEAR

Georgia Resident (Part-year/Nonresident, see instructions) Georgia Resident (Part-year/Nonresident, see instructions)

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Excess of Nonbusiness Capital losses of Nonbusiness Captial gains after $3,000 Federal Limitation (Federal Form)Excess of Nonbusiness Capital losses of Nonbusiness Captial gains after $3,000 Federal Limitation (Federal Form)Excess of Nonbusiness Capital losses of Nonbusiness Captial gains after $3,000 Federal Limitation (Federal Form) Excess of Nonbusiness Capital losses of Nonbusiness Captial gains after $3,000 Federal Limitation (Federal Form)

Total of lines 1-4. See instructions.

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U M S N I T L C DE A P G 1 5 - F O R 0MUST INCLUDE PAGES 1-5 OF FORM 50 0 MU ST INCLUDE PAGES 1-5 OF FORM 500 Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version)Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version)Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version)Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version)Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version)Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version) Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version)Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version) Georgia Form 500 (Rev. 08/01/24) Schedule 4 Net Operating Loss Application 2024 (Approved booklet version) MUST INCLUDE PAGES 1-5 OF FORM 500 MUST INCLUDE PAGES 1-5 OF FORM 500 YOUR SOCIAL SECURITY NUMBER MUST INCLUDE PAGES 1-5 OF FORM 500 MUST INCLUDE PAGES 1-5 OF FORM 500 M U ST INCLUDE PAGES 1-5 OF FORM 500 YOUR FIRST NAME Normal Loss Normal LossNormal Loss , , . 00 LAST NAME FARM LOSS (2) YEAR FARM LOSS (2) YEARFARM LOSS (2) YEAR , , . 00 MUST INCLUDE PAGES 1-5 OF FORM 500 MUST INCLUDE PAGES 1-5 OF FORM 500 INSURANCE LOSS (2) YEARINSURANCE LOSS (2) YEARINSURANCE LOSS (2) YEARINSURANCE LOSS (2) YEAR INSURANCE LOSS (2) YEAR , , . 00 Total Loss(es) , , . 00 MUST INCLUDE PAGES 1-5 OF FORM 500 MUST INCLUDE PAGES 1-5 OF FORM 500 for detailed instructions. Example , - 3 ,45 6 .0 0 -3,456.00 MUST INCLUDE PAGES 1-5 OF FORM 500 MUST INCLUDE PAGES 1-5 OF FORM 500 . 00 . 00 . 00 , , Georgia Income before NOL Form 500 15a. ................................................ 1. MUST INCLUDE PAGES 1-5 OF FORM 500 , , , , 2. Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions) Georgia Resident (Part-year/Nonresident, see instructions)Georgia Resident (Part-year/Nonresident, see instructions) 2. M UST INCLUDE PAGES 1-5 OF FORM 500 ............... 3. MUST INCLUDE PAGES 1-5 OF FORM 500 4. Excess of Nonbusiness Capital losses of Nonbusiness Captial gains after $3,000 Federal Limitation (Federal Form) . 00 , , .................................................... 4. M UST INCLUDE PAGES 1-5 OF FORM 500 5. Reserved. 5. . 00 . 00 , , 6.6. Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions. Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions. Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.Total of lines 1-4. See instructions.................................................................... 6. MUST INCLUDE PAGES 1-5 OF FORM 500 , , 7. IRC Section 461(l) loss eligible to be carried forward only. 7. MUST INCLUDE PAGES 1-5 OF FORM 500 ( negative .) . 00 , 8. Total Loss(e s) . See instructions. (Must be a negative amount for a loss) 8. , MUST INCLUDE PAGES 1-5 OF FORM 500Total Loss(es). See instructions. (Must be a negative amount for a loss) MUST INCLUDE PAGES 1-5 OF FORM 500 If no, complete Part III and attach a copy of Federal Form 1045.

M S U E 5 FO 0

S

............................................................................................

............................................ ....

............................................................. 15. 15.15.15. ...................

.......................................................................................................................

..............................................................................................................

............................................................................................

6.

...........................................................

7.

........................................................................

...........................................

...................................................

10

.................

Contributions to self-employed pension plan or Keogh

.....................................

1 3.

...................................................................................................

14.

..................................................

Contribution to a deductible IRA

..........................................................................

16. 16.16. 1 7. Excess of Nonbusiness Deductions (Line 17) less Nonbusiness Income (Line 10) If zero or less, enter zero. Enter here and on Form 500 Net Operating Loss

.................................................

M S U I T C N L E D A P G 5 - 1 F O R 0 Schedule 4 0 Net Operating Loss Application Georgia Form500 (Rev. 08/01/24) YOUR SOCIAL SECURITY NUMBER Schedule 4 Page 2 M R Georgia Nonbusiness Income 2024 (Approved booklet version) 0 5 FO Part II: NOL WorksheetPart II: NOL WorksheetPart II: NOL WorksheetPart II: NOL Worksheet Part II: NOL WorksheetPart II: NOL Worksheet 1. Excess of Nonbusiness Capital gains over Nonbusiness Capital losses 2. Dividends F 3. Interest O 4. Alimony (received) U C N I Other (specify) T Total Nonbusiness Deductions (Add Lines 11 - 16)

S Application Part 1, Line 3 ....................................................................................... D 12. Contributions to self-employed pension plan or KeoghContributions to self-employed pension plan or KeoghContributions to self-employed pension plan or KeoghContributions to self-employed pension plan or Keogh U Alimony (paid) L Forfeited interest/penalty on early withdrawal

E G .Total Nonbusiness Income (Add Lines 1 - 9) A P Georgia Nonbusiness Deductions E 11.11 . - GA adjustment for retirement exclusion 1 8. GA adjustment for non-Georgia municipal interest 5. Pensions/Annuities 5 18. GA adjustment for U.S. Interest 9. Other (specify) . 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11 .1 2.1 3.1 4.1 5.1 6.1 7.1 8. , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 , , . 00 M

(Rev. 08/01/24) Schedule 4 2024 (Approved booklet version) *YEAR ENDED (a) Return as filed or liability as last determined (b) Liability after application.(b) Liability after application.(b) Liability after application. 1. Federal adjusted gross income (exclude Federal NOL) 2. Georgia

adjustments. See instructions 3. Net operating loss. See instructions 4. Georgia adjusted gross income. Net total of Lines 1, 2 and 3 5. Deductions

. See instructions 6. Subtract Line 5 from Line 4 7. Exemptions. See instructions 8. Taxable income. Subtract Line 7 from Line 6 9. Income Tax 10. Credits. See instructions 11. Tax after credits. Subtract Line 10 from Line 9 12. Enter Line 11 column (b) 13. Decrease in tax. Subtract Line 12 from Line 11 , , , , , , , , , , , , , , , , , , , , , , , , . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 , , , , , , , , , , , , , , , , , , , , , , . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00

(Rev. 08/01/24) Schedule 4 2024 (Approved booklet version) *YEAR ENDED Schedule 4 Apply to oldest tax year applicable first 1. Federal adjusted gross income (exclude Federal NOL) 2. Georgia

adjustments. See instructions 3. Net operating loss. See instructions 4. Georgia adjusted gross income. Net total of Lines 1, 2 and 3 5. Deductions

. See instructions 6. Subtract Line 5 from Line 4 7. Exemptions. See instructions 8. Taxable income. Subtract Line 7 from Line 6 9. Income Tax 10. Credits. See instructions 11. Tax after credits. Subtract Line 10 from Line 9 12. Enter Line 11 column (b) 13. Decrease in tax. Subtract Line 12 from Line 11 , , , , , , , , , , , , , , , , , , , , , , , , . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 , , , , , , , , , , , , , , , , , , , , , , . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00

4.

..........................................................................................................

Form IND-CR 201 Page 1 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable.– YOUR SOCIAL SECURITY NUMBER Disabled Person Home Purchase or Retrofit Credit - Tax Credit 201 O.C.G.A. § 48-7-29.1

provides a disabled person credit

equal to the lesser of $500 per residence or the taxpayer’s income t ax liability for the purchase of a new single-family home

that contains all of the accessibility features listed below. It also provides a credit

equal to the

lesser of the cost or $125 to retrofit

an

existing

single-family

home

with

one or more of these features. The disabled person must be the taxpayer or the taxpayer’s spouse if a joint return is filed. Qualified features are: One no-step entrance allowing access into the residence. Interior passage doors providing at least a 32-inch-wide opening. Re inforcements in bathroom walls allowing installation of grab bars around the toilet, tub, and shower, where such facilities are provide d. Light switches and outlets placed in accessible locations. To qualify for this credit, the disabled person must be permanently disabled and have been issued a permanent parking permit by the Department of Revenue or have been issued a special permanent parking permit by the Department of Revenue. This credit can be carried forward 3 years. For more information, see Regulation 560-7-8-.44. 1. Credit remaining from previous years............................................................................. 2. Purchase of a home that contains all four accessibility features OR total of accessibility features added to retrofit a home (up to $125 per feature) cannot exceed $500 per residence................................................................................................................... 1. , . 00 2. , . 00 3. Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 1) 3. , . 00 Potential carryover to next tax year (Line 1 plus Line 2 less Line 3) .............................. 4. , . 00

1 Page Form IND-CR 202 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable. – YOUR SOCIAL SECURITY NUMBER Child and Dependent Care Expense Credit - Tax Credit 202 O.C.G.A. § 4 8-7-29.10 provid e s taxpayers with a credit for qua lified child & dependent ca re expenses. The credit is a percentage of the cre d it claim ed and a llowed und er Inter n al Reven u e Code § 21 and

claime d by the ta x payer on the taxpayer’s Federal income tax return. This credit c annot be caried forward. The credit is comput ed as follow s : 1. Amount of child & dependent care expense credit claimed on Federal Form 1040. 1. , . 00 2. Georgia allowable rate ...................................................................................... 3. Allowable Child & Dependent Care Expense Credit (Line 1 x .30)............................ 3. , . 00 4. Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 2)..................................................................................................................... 2. 30% 4. , . 00

Georgia National Guard/Air National Guard Credit - Tax Credit 203 1.

......................................................

............................................ 2.

3.

4. 1 Page

........................

Form IND-CR 203 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) YOUR SOCIAL SECURITY NUMBER – Include with Form 500 or 500X, if this schedule is applicable. – O.C.G.A. § 48-7-29.9 provides a tax credit for Georgia residents who are members of the National Guard or Air National Guard and are on active duty full time in the United States Armed Forces, or active duty training in the United States Armed Forces for a period of more than 90 consecutive days. The credit shall be claimed and allowed in the year in which the majority of such days are served. In the event an equal number of consecutive days are served in two calendar years, then the exclusion shall be claimed and allowed in the year in which the ninetieth day occurs. The credit shall apply with respect to each taxable year in which such member serves for such qualifying period of time. The credit cannot exceed the amount expended for qualified life insurance premiums nor the taxpayer’s income tax liability. Qualified life insurance premiums are the premiums paid for insurance coverage through the service member’s Group Life Insurance Program administered by the United States Department of Veterans Affairs. Any unused tax credit is allowed to be carried forward to the taxpayer’s succeeding year’s tax liability. 1. Credit remaining from previous years. 2. Enter amount of qualified life insurance premiums Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 3) Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 3))...................................................................................... , , . 00 , , . 00 3. , , . 00 Carryover to next tax year (Line 1 plus Line 2 less Line 3). 4. , , . 00

Qualified Caregiving Expense Credit - Tax Credit 204

1.

2.

3.

4. 4. 1 Page

...........................................................................

..............................................................................................

......................................................................

Form IND-CR 204 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) YOUR SOCIAL SECURITY NUMBER – Include with Form 500 or 500X, if this schedule is applicable. – O.C.G.A. § 48-7-29.2 provides a qualified caregiving expense credit equal to 10 percent of the cost of qualified caregiving expenses for a qualifying family member. The credit cannot exceed $150. Qualified services include Home health agency services, personal care services, personal care attendant services, homemaker services, adult day care, respite care, or health care equipment and other supplies which have been determined by a physician to be medically necessary. Services must be obtained from an organization or individual not related to the taxpayer or the qualifying family member. The qualifying family member must be at least age 62 or been determined disabled by the Social Security Administration. A qualifying family member includes the taxpayer or an individual who is related to the taxpayer by blood, marriage or adoption. Qualified caregiving expenses do not include expenses that were subtracted to arrive at Georgia net taxable income or for which amounts were excluded from Georgia net taxable income. There is no carryover or carry-back available. The credit cannot exceed the taxpayer’s income tax liability. For more information, see Regulation 560-7-8-.43. Qualifying Family Member Name: Name: SS# Relationship Age, if 62 or over If disabled, date of disability Additional Qualifying Family Member Name, if applicable: Name: SS# Relationship Age, if 62 or over If disabled, date of disability Qualified caregiving expenses 1. , . 00 Percentage limitation....................................................................................... 2. 10% 3. , . 00 Line 1 multiplied by Line 2................................................................................ 15 0 150 Maximum credit. 5. , . 00 5. Enter the lesser of Line 3 or Line 4 6. Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 4).................................................................................................................... 6. , . 00

1 Page

Form IND-CR 206 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable. – YOUR SOCIAL SECURITY NUMBER Disaster Assistance Credit - Tax Credit 206 O.C.G.A. § 48-7-29.4 provides for a credit for a taxpayer who receives disaster assistance during a taxable year from the Georgia Emergency Management and Homeland Security Agency or the Federal Emergency Management Agency. The amount of the credit is equal to $500 or the actual amount of the disaster assistance, whichever is less. The credit cannot exceed the taxpayer’s income tax liability. Any unused tax credit can be carried forward to the succeeding years’ tax liability but cannot be carried back to the prior years’ tax liability. The approval letter from the disaster assistance agency must be enclosed with the return. The following types of assistance qualify: Gr ants from the Dep a rtme nt of Human Servic es’ Individual and Family Grant Program . Grants from GEMA/HS and/or FEMA. Loans from the Small Business Administration that are due to disasters declared by the President or Governor. Disaster assistance agency 1. , . 00 1. Credit remaining from previous years............................................................ 2. Date assistance was received.................................................................... 3. Amount of the disaster assistance received................................................. 2. 3. , 00 . 4. 500.00500. 00 4. Maximum credit........................................................................................ 5. , . 00 5. Enter the lesser of Line 3 or Line 4................................................................. 6. Credit used this tax year (enter here and include in IND-CR Summary Worksheet Line 6).......................................................................................... 7. Carryover to next tax year (Line 1 plus Line 5 less Line 6) ............................ 6. , . 00 7. , . 00

1 Page

Form IND-CR 207 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable. – YOUR SOCIAL SECURITY NUMBER Rural Physicians Credit - Tax Credit 207 O.C.G.A . § 48-7-29

provides

for a $5,000

tax credit

for rural physicians. The tax credit may be claimed for not more than five years. There is no carryover or carry-back available. The credit cannot exceed the taxpayer’s income tax liability. In order to qualify, the physician must, on or

before

May

15, 2024

, meet

the

following

conditions: 1. The physician must have started working in a rural county after July 1, 1995. If the physician worked in a rural county prior to that date, a period of at least three years must have elapsed before the physician returns to work in a rural county. 2. The physician must practice and reside in a rural county. For taxable years beginning on or after January 1, 2003, a physician qualifies for the credit if they practice in a rural county and reside in a county contiguous to a rural county. A rural county is defined as one with 65 or fewer persons per square mile according to the United States Decennial Census of 1990 or any future such census. For taxable years beginning on or after January 1, 2012, the United States Decennial Census of 2010 is used. For taxable years beginning on or after January 1, 2022, the United States Decennial Census of 2020 is used (see regulation 560-7-8-.20 for transition rules). A listing of rural counties for 3. The physician must be licensed to practice medicine in Georgia, primarily admit patients to a rural hospital, and practice in the fields of family practice, obstetrics and gynecology, pediatrics, internal medicine, or general surgery. A rural hospital

is defined

as an acute-care

hospital

located in a

rural county

that contains

80 or

fewer

beds

. For taxable

years

beginning

on or after

January

1, 2003 , a rural hospital is defined as an acute-care

hospital

located

in a rural

county

that

contains 100 or fewer beds. For more information, see Regulation 560-7-8-.20. purposes of the rural

physicians credit may be obtained at the following web page: dor.georgia.gov Only enter the information for the taxpayer and/or the spouse if they are a rural physician. Taxpayer 1. County of residence Spouse 1. County of residence 2. County of practice 2. County of practice 3. Type of practice 3. Type of practice 4. Date started working as a rural physician 4. Date started working as a rural physician 5. Number of hospital beds in the rural hospital 5. Number of hospital beds in the rural hospital , , 6. Rural physicians credit, enter $5,000 per rural physician......... 6. , . 00 7.Credit used this tax year (enter here and include on IND-CR S ummary Worksheet L ine 7)Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 7)Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 7)..................................................... 7. , . 00

1 Page

Form IND-CR 208 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable. – YOUR SOCIAL SECURITY NUMBER Adoption of a Foster Child Credit for Adoptions Occurring in Taxable Years Beginning on or After January 1, 2008 and before January 1, 2021 - Tax Credit 208 Georgia Code Section48-7-29.15 provides an income tax credit for the adoption of a qualified foster child. The amount of the credit is $2,000 per qualified foster child per taxable year, commencing with the year in which the adoption becomes final, and ending in the year in which the adopted child attains the age of 18. This credit applies to adoptions occurring in the taxable years beginning on or after January 1, 2008 and before January 1, 2021. Any unused credit can be carried forward until used. Georgia Code Section48-7-29.15 provides an income tax credit for the adoption of a qualified foster child. The amount of the credit is $2,000 per qualified foster child per taxable year, commencing with the year in which the adoption becomes final, and ending in the year in which the adopted child attains the age of 18. This credit applies to adoptions occurring in the taxable years beginning on or after January 1, 2008 and before January 1, 2021. Any unused credit can be carried forward until used.Georgia Code Section48-7-29.15 provides an income tax credit for the adoption of a qualified foster child. The amount of the credit is $2,000 per qualified foster child per taxable year, commencing with the year in which the adoption becomes final, and ending in the year in which the adopted child attains the age of 18. This credit applies to adoptions occurring in the taxable years beginning on or after January 1, 2008 and before January 1, 2021. Any unused credit can be carried forward until used. 1. , . 00 1. Credit remaining from previous years.................................................. 2. Enter $2,000 per qualified foster child.................................................. 3. Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 8)................................................................................. 4. Carryover to next year (Line 1 plus Line 2 less Line 3)........................ 2. , . 00 3. , . 00 4. , . 00

A residence with respect to whic h a f oreclosure event has tak en place a nd which is owned by the mortgagor or the mortgagor’s agent; or An owner-occupied residence with respect to which the owner’s acquisition indebtednes was in default on or before March 1, 2009. Acquisition indebtedness is debt incurred in acquiring, constructing, or substantially improving a qualified residence and which is secured by such residence. Refinanced debt is acquisition debt if at least a portion of such debt refinances the principal amount of existing acquisition indebtedness.

1 Page

Form IND-CR 209 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable. – YOUR SOCIAL SECURITY NUMBER Eligible Single-Family Residence Tax Credit - Tax Credit 209 O.C.G.A. § 48-7-29.17 pr ovides taxpayers a credit for the pur c hase of an elig ible single-family residence located in Georgia. An eligible single-family residence is a single-f a mily structure (including a condominium unit a s defined in O.C.G.A.§ 44-3-71) that is occupied for residential purposes by a single family, that is: a) Any residence (including a new residence, one occupied at the tim e of sale, or a previously occupied residence) that was for sale prior to May 11, 2009 and that remained for sale after May 11, 2009; or b) c) An owner-occupied residence with respect to which the owner’s acquisition indebte dness was in default on or before Mar c h 1, 2009. Acquisition indebted ness is debt in curred in

acqu i ring, c onstructing , or substantialy im p roving a qualified residence an d which is secured by such residence. Refinanced

debt is acquis ition debt if at least a portion of such debt refinances the principal amount of existing acquisition indebtedness. Any residence (including a new residence, one occupied at the time of sale, or a previously occupied residence) that was for sale prior to May 11, 2009 and that remained for sale after May 11, 2009; or A residence with respect to which a foreclosure event has taken place and which is owned by the mortgagor or the mortgagor’s agent; or A taxpayer is allowed the

tax credit for a purchase of

one eligible single-family

residence

made

between June 1, 2009 and November

30, 2009. The c redit amount is the lesser

o f 1.2 p ercent of the p urchase price of the eligible single-family residence

or

$1,800.00. The

amount of the tax credit that may be claimed and allowed in a single tax year cannot exceed the lesser of 1/3 of the credit or the taxpayer’s income tax liability. Any unused tax credit can be carried forward but cannot be carried back. The taxpayer must have claimed the credit in 2009 in order to claim the unused credit below. 1. Total credit. (Enter amount from 2009 IND-CR, Part 9, Line 5.)............................... 2. Maximum allowed per year................................................................................... 2. 33.33% 3. Maximum credit allowed, (multiply Line 1 by Line 2)................................................ 1. , . 00 3. , . 00 4. Enter unused credit (Total credit less amounts used in previous years).................. 5. Credit allowed, lesser of Line 3 or Line 4.................................................................. 6. Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 9)........................................................................................................................ 4. , . 00 5. , . 00 6. , . 00 7. Carryover to next tax year (Line 4 less Line 6)............................................................. 7. , . 00

3. 1.

Number of Rotations (enter no more than 7) Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7) 2.

Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500)Number of Rotations (enter no more than 3)(not to exceed $1,500) 1.

A. Community Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physicianCommunity Based Faculty Preceptor Tax Credit for a physician

............................................................

.............

B. Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant.Community Based Faculty Preceptor Tax Credit for an advanced practice registered nurse or physician assistant. Number of Rotations (enter no more than 3) Number of Rotations (enter no more than 3) Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3)Number of Rotations (enter no more than 3) 1.

C. Community Based Faculty Preceptor Tax Credit TotalCommunity Based Faculty Preceptor Tax Credit TotalCommunity Based Faculty Preceptor Tax Credit TotalCommunity Based Faculty Preceptor Tax Credit TotalCommunity Based Faculty Preceptor Tax Credit TotalCommunity Based Faculty Preceptor Tax Credit TotalCommunity Based Faculty Preceptor Tax Credit Total Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $6,375) 3. Number of Rotations (enter no more than 7) 2. Number of Rotations (enter no more than 7) Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)Number of Rotations (enter no more than 7)

................................................

Form IND-CR 212 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24 v2) (Approved booklet version) Page 1 YOUR SOCIAL SECURITY NUMBER – Include with Form 500 or 500X, if this schedule is applicable. – Community Based Faculty Preceptor Tax Credit - Tax Credit 212 O.C.G.A. § 48-7-29.22 provides an income tax credit for a community based faculty preceptor that conducts a preceptorship

rotation

(s). This tax credit is applicable for taxable years beginning on or after January 1, 2019 and ending on or

before December 31, 2026. For a community based faculty preceptor who is a physician as defined in O.C.G.A. § 43-34-21, the credit shall accrue on a per preceptorship rotation basis in the amount of $500 for the first, second, or third preceptorship rotation and $1,000 for the fourth, fifth, sixth, seventh, eighth, ninth, or tenth preceptorship rotation completed in one calendar year. For a community based faculty preceptor who is an advanced practice registered nurse as defined in O.C.G.A. § 43-26-3 or a physician assistant as defined in O.C.G.A. § 43-34-102, the credit shall accrue on a per preceptorship rotation basis in the amount of $375 for the first, second, or third preceptorship

rotation and $750 for the fourth, fifth, sixth, seventh, eighth, ninth, or tenth preceptorship rotation completed in one calendar

year. An individual shall not accrue credit for more than ten preceptorship rotations in one calendar year. The credit cannot

be carried

forward and cannot be carried back. Certification from the Area Health Education Centers Program Office at Augusta University must

be enclosed with the return. By filing this form I certify that I did not receive payment during such tax year from any source for the training of a medical student, advanced practice registered nurse student, or physician assistant student. First through Third Rotation Number of Rotations (enter no more than 3) (not to exceed $1,500)................................................... ( Bla nk Box) X 500.00 1. , . 00 Fourth through Tenth Rotation (Blank box) X 1,000.0 0 2. (not to exceed $7,000) 3. Add Line 1 and Line 2, Current Year Credit Amount (cannot exceed $8,500) 3. , . 00 , . 00

First through Third Rotation (not to exceed $1,125)...................................................(Blank box) X 375.0 0 1. , . 00 Fourth through Tenth Rotation ( Bla nk box) X 750.00 2. , . 00 (not to exceed $5,250)................................................... ............. 3. , . 00 1.Credit used this year (enter no more than the total of Line A3 and Line B3)(enter here and include on IND-CR Summary Worksheet Line 10) 1. , . 00

.............................

1.

......................................................................................

......................................................................

4.

..................

Form IND-CR 213 Page 1 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable. – YOUR SOCIAL SECURITY NUMBER Adoption of a Foster Child Credit for Adoptions Occurring in Taxable Years Beginning on or After January 1, 2021- Tax Credit 213 O.C.G.A

. § 48-7-29.15 provides an income tax credit for the adoption of a qualified foster child. This credit applies to adoptions

occurring in taxable years beginning on or after January 1, 2021. The amount of the credit is $6,000 per qualified

foster child per taxable year, commencing with the year in which the adoption becomes final, for five taxable years and $2,000 per qualified foster child per taxable year thereafter, and ending in the year in which the adopted child attains the age of 18. This credit cannot be carried forward. Enter $6,000 per qualified foster child (if in first five taxable years of the adoption) 1. , . 00 2. Enter $2,000 per qualified foster child (for years after first five taxable years of adoption). 2. 3. Add Line 1 and Line 2, Current Year Credit Amount 3. , . 00 Credit used this year (enter no more than the amount on line 3)(enter here and include on IND-CR Summary Worksheet Line 11) 4. , . 00

Teacher Recruitment and Retention Credit – Tax Credit 214 Potential carryover

to

next tax year (Line 3 less Line 4) Total credit available (Line 1 + Line 2)

4. 1 Page

Form IND-CR 214 State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Rev. 08/01/24) (Approved booklet version) – Include with Form 500 or 500X, if this schedule is applicable.– YOUR SOCIAL SECURITY NUMBER A taxpayer who is designated

by the Department of Education as a participating teacher in the teacher recruitment and retention program provided for in Code Section 20-2-251 shall be allowed a credit against the tax imposed by Code Section 48-7-20 in an amount equal to $3,000.00 per school year for up to five school years, which must be consecutive. Only teachers who have been designated as qualifying by the Department of Education should complete this form. For more information about the designation: https://www.gadoe.org Please note: Each designated teacher may claim a credit amount of $3,000.00 per qualifying school year for no more than five school years, which must be consecutive, subject to conditions set forth in Code Section 20-2-251. The c redit taken on any year tax return cannot exceed your tax liability for the year. Any unused amounts of the credit can be carried forward for three years. For more information, see Georgia Code Sections 20-2-251 and 48-7-29.23. 1. Credit

remaining

from previous

year

................................................................................ 2. Credit

generated this tax year .......................................................................................... . 3. .............................................................................. . Credit used this tax year (enter here and include on IND-CR Summary Worksheet Line 12) .............................................................................................................................. 1. , . 00 2. , . 00 3. , . 00 4. , . 00 5. ...................................................... 5. , . 00

Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6)Eligible Single-Family Residence Credit (IND-CR 209, Line 6) ReservedReservedReservedReservedReservedReservedReservedReservedReservedReserved

............

........................

............

.................................. ............................................................................................................... Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6)Disaster Assistance Credit (IND-CR 206, line 6) ..................................................

......................................................

Eligible Single-Family Residence Credit (IND-CR 209, Line 6)

..................

...............................

.......................... Georgia Form IND-CR Summary Worksheet (Rev. 08/01/24) State of Georgia Individual Credit Form Georgia Department of Revenue 2024 (Approved booklet version) Page 1 YOUR SOCIAL SECURITY NUMBER IND-CR SUMMARY SCHEDULE WORKSHEET 1. Only Georgia Individual Tax Credits (series 200) are claimed on F orm IND-CR

s upporting sc hedules ( IND-CR 2 01 through 214). 2. Enter the amount of credit used for the current tax year from each appli

cable I ND-CR s chedules o n Lines

1-12

. 3. If there is a credit remaining from previous years eligible for carryover for t his t ax y ear, the s upporting I ND-CR schedule must be completed even if the credit is not used f or t his t ax y ear. 4. The total of Line 13 s hould be e ntered on F orm 500 or F orm 500X

, Page 3, Line 20. 5. All applicable IND-CR schedules must be attached to Form 500 or Form 500X for t he credit

(s) t o be allowed

on the return. Note: The other state(s) tax credit and low income credit are claimed directly on Form 500. Series 100 Georgia tax credits (except Schedule 2B refundable tax credits) are claimed on Form 500 Schedule 2 and returns that include the series 100 credits must be filed electronically. The total credit amount used from the low income credit

, the other s tate(s) t ax credit

, all

I ND-CR s chedules, and

a ll Schedule 2s cannot exceed the tax liability listed on Line

16 o f Form 500

or

500X

. 1. Disabled Person Home Purchase or Retrofit Credit (IND-CR 201, Line 3) 1. 2.2.Child and Dependent Care Expense Credit (IND-CR 202, Line 4) 2. . 00 . 00 , , . 00 , 3.3. Georgia National Guard /Air National Guard Credit (IND-CR 203, Line 3) 3.3. . 00 , 4.4. Qualified Caregiving Expense Credit (IND-CR 204, Line 6) 4.4. 5.5. 5.5. , 6. 6. 7.7. , 7. Rural Physicians Credit

(IND-CR 207, Line 7) . 00 . 00 8. Adoption of a Foster Child Credit for Adoptions

Occurring

in Taxable Years Beginning on or After January 1, 2008 and Before January 1, 2021 (IND-CR 208, Line 3)............................................................................................... 8. 9.9. ............................. 9. 10.10.Community Based Faculty Preceptor Credit (IND-CR 212, Line C1) 10. 11.11. Adoption of a Foster Child Credit for Adoptions

Occurring

in Taxable Years Beginning on or After January 1, 2021 (IND-CR 213, Line 4). 11. 12. Teacher Recruitment and Retention Credit (IND-CR 214, Line 4) 12. 13.13.Total of Lines 1 through 12 ( Enter here and on F orm 500/500X, Page 3 Line 20) 13. , , , , , , . 00 . 00 . 00 . 00 . 00 . 00 All applicable IND-CR Schedules (201, etc.) must be attached to Form 500 or Form 500X. Keep IND-CR Summary Worksheet for your records.

8.

2. 6. 7. 9.

13. Georgia Land Conservation Program (No gift less than $1.00)

Dog and Cat Sterilization Fund (No gift les than $1.00)

16. Saving the Cure Fund (No gift less than $1.00)

9

10.

11.

If Line 6 is larger than Line 7, subtract Line 7 from Line 6. THE AMOUNT OF TAX YOU OW E

15.

Please print your n umbers like this in blac k or blue ink : 9 8 7 6 5 4 3 21098765432 1 0 Georgia Form 500EZ (Rev. 07/25/24) Short Individual Income Tax Return Georgia Department of Revenue YOUR SSN# 2024 (Approved booklet version) SPOUSE’S SSN# Page 1 STATE ISSUED YOUR DRIVER’S LICENSE/STATE ID YOUR FIRST NAME MI LAST NAME (For Name Change See IT-511 Tax Booklet) SPOUSE’S FIRST NAME MI LAST NAME ADDRESS (NUMBER AND STREET or P.O. BOX) (Use 2nd address line for Apt, Suite or Building Number) CHECK IF ADDRESS CHANGED SUFFIX SUFFIX DEPARTMENT USE ONLY CITY (Please insert a space if the city has multiple names) STATE ZIP CODE (COUNTRY IF FOREIGN) Use Federal Adjusted Gross Income, NOT Federal Taxable Income, on Line 1 below 1. Adjusted Gross Income from Federal Form 1040 (Cannot exceed $99,999 for Line 1).......................... 1. , .00 , .00 If your filing status is Single, enter $12,000, Married filing jointly, enter $24,000 ...................................... 2. , .00 3. 3. Subtract Line 2 from Line 1. If Line 2 is larger than Line 1, enter zero ...........................................................

, .00 4. Enter the tax amount. (Line 3 multiplied by 5.39%. Round to the nearest dollar)................................... 4. 5c. .00 5. Low income tax credit. (Not allowed if you are claimed as a dependent on another return) 5a. 5b. Subtract Line 5c from Line 4. If zero or less than zero, enter zero........................................................... 6. , .00 , .00 , .00 Georgia income tax withheld (Enter tax withheld only and include W-2s and 1099s) ......................... 7. PLEASE COMPLETE INCOME STATEMENT DETAILS ON PAGE 3. ................. 8. If Line 7 is larger than L in e 6, subtract Line 6 f rom Line 7. THE AMOUNT OF YOUR OVERPAYMENT........... 9. , .00 Georgia Wildlife Conservation Fund (No gift less than $1.00)................................................................. 10. , .00 Georgia Fund for Children and Elderly (No gift less than $1.00)............................................................ 11. , .00 00. , 12. 12. Georgia Cancer Research Fund (No gift less than $1.00)Georgia Cancer Research Fund (No gift less than $1.00) Georgia Cancer Research Fund (No gift less than $1.00) Georgia Cancer Research Fund (No gift less than $1.00) Georgia Cancer Research Fund (No gift less than $1.00)Georgia Cancer Research Fund (No gift less than $1.00)Georgia Cancer Research Fund (No gift less than $1.00)Georgia Cancer Research Fund (No gift less than $1.00)Georgia Cancer Research Fund (No gift less than $1.00)Georgia Cancer Research Fund (No gift less than $1.00)....................................................................... ......................................................................... 13. , .00 14. Georgia National Guard Foundation (No gift less than $1.00)................................................................. 14. , .00 ........................................................................ 15. , .00 ..................................................................................... 16. , .00

Savings Type

If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check. If you do not enter Direct Deposit information or if you are a first time filer you will be issued a paper check.

: Checking Add Lines 10 thru Line 21, enter total here. Add Lines 10 thru Line 21, enter total here. Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here.Add Lines 10 thru Line 21, enter total here. Penalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingPenalty: Late Payment and/or Late FilingRealizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00)

Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00)

.23. 23.23. Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE.

22.

21.

20.

19.Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)Disabled Veterans’ Scholarship Fund (No gift less than $1.00)

18. Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00)Public Safety Memorial Grant (No gift less than $1.00) Realizing Educational Achievement Can Happen (REACH) Program (No gift less than $1.00) 17.

, . 00 , . 00 , .00

Georgia Form 500EZ Short Individual Income Tax Return YOUR SOCIAL SECURITY NUMBER Georgia Department of Revenue 2024 Page 2 ......... 17. ......................................................................... ............................................................. 19. , . 00 ............................................................................................... 20. Interest .................................................................................................................................................... 21. , . 00 18. , . 00 22. ............................................................................................... (If you owe) Add Line 8 and Line 22. Complete and mail 525-TV with return and payment Make check for this amount payable to the GEORGIA DEPARTMENT OF REVENUE ..................... Mail To: GEORGIA DEPARTMENT

OF REVENUE PROCESSING CENTER, PO BOX 740399 ATLANTA, GA 30374-0399 23. 24. 24. ( If you are due a refund) Subtract Line 22 from Line 9. THIS IS YOUR REFUND.............................. Mail To: GEORGIA DEPARTMENT

OF REVENUE PROCESSING CENTER, PO BOX 740392 ATLANTA, GA 30374-0392 24a. Direct Deposit (For U.S. Accounts Only) Routing Number

Account Number

, , .00 .00 I/We declare under penalties of perjury that I/we have examined this return (including accompanying schedules and statements) and to the best of my/our knowledge and belief, it is true, correct and complete. If prepared by a person other than the taxpayer(s), this declaration is based on all information of which the preparer has knowledge. Taxpayer’s Signature Taxpayer’s Date of Death (Check box if deceased) Spouse’s Signature Spouse’s Date of Death (Check box if deceased) Taxpayer’s Signature Date Taxpayer’s Phone Number Spouse’s Signature Date By providing my e-mail address I am authorizing the Georgia Department of Revenue to electronically notify me at the below e-ma il address regarding any updates to my account(s). Taxpayer’s E-mail Address I authorize DOR to discuss this return with the named preparer. Preparer’s Phone Number Signature of Preparer Name of Preparer Other Than Taxpayer Preparer ’s Firm Name Preparer’s FEIN Preparer’s SSN/PTIN/SIDN ALL PAGES (1-3) ARE REQUIRED FOR PROCESSING PLEASE COMPLETE INCOME STATEMENT DETAILS ON PAGE 3.

3. 4. 5.

5. 3. 4. 5. 5.

Checkbox

WITHHOLDING TYPE:

ALL PAGES (1-3) ARE REQUIRED FOR PROCESSING Georgia Form 500EZ Short Individual Income Tax Return YOUR SOCIAL SECURITY NUMBER Georgia Department of Revenue 2024 Page 3 INCOME STATEMENT DETAILS Only enter income on which Georgia tax was withheld. Enter information from W-2s and 1099s in the section below. . (INCOME STATEMENT A) (INCOME STATEMENT B) (INCOME STATEMENT C) 1099 WITHHOLDING TYPE: 1. 1099 1. WITHHOLDING TYPE: 1. W-2 W-2 W-2 WITHHOLDING TYPE: 1099 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSNCheckbox 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID GA WAGES / INCOME .00 , GA TAX WITHHELD .00 , (INCOME STATEMENT D) W-2 1. WITHHOLDING TYPE: 4. GA WAGES / INCOME .00 , GA TAX WITHHELD .00 , (INCOME STATEMENT E) W-2 1099 1. WITHHOLDING TYPE: 4. GA WAGES / INCOME .00 , 5. GA TAX WITHHELD .00 , (INCOME STATEMENT F) 1099 1. W-2 1099 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN 2. EMPLOYER/PAYER FEDERAL ID NUMBER (FEIN) SSN EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID 3. EMPLOYER/PAYER STATE WITHHOLDING ID GA WAGES / INCOME 4. GA WAGES / INCOME 4. GA WAGES / INCOME .00 .00 .00 , , , GA TAX WITHHELD GA TAX WITHHELD 5. GA TAX WITHHELD , .00 , .00 , .00 YOU MAY USE FORM 500EZ IF: You are not 65 or over. Your filing status is single or married filing jointly and you do not claim any exemptions other than yourself or yourself and your spouse. Your income does not exceed $99,999 and you do not itemize deductions. You are a full-year Georgia resident. You had wages, salaries, tips, dividends, and interest income only. Do not use this form if you paid or are claiming a credit of estimated tax or the timber tax credit. You do not have any adjustments to Federal Adjusted Gross Income. WHEN COMPLETING YOUR RETURN PLEASE REMEMBER TO: Print

or type name(s), address and social security number(s). Keep numbers inside boxes. Do not use dollar signs, commas or decimals. Round off figures for easier computations. These have been preprinted for your convenience. Sign and date your return. See IT-511 Tax Booklet for signature requirements.

STATE OF GEORGIA DEPARTMENT OF REVENUE TAXPAYER SERVICES DIVISION 2595 CENTURY PKWY. NE ATLANTA, GA 30345-3173 Page 45