(Round to nearest dollar)
*NOTE: Any tax credits from Schedule 10 may be applied against income tax liability only not net worth tax liability
1 Georgia Taxable Income (See page 5 of instructions) 1
1 Total Capital stock issued 1
1 Total value of property owned (Total assets from Federal balance sheet)
10 Balance of tax interest and penalty due with return
11 Amount of Line 6 less Line 8 to be credited to 2014 estimated tax Refunded
2 Gross receipts from business
2 Paid in or Capital surplus 2
2 Tax 6% x Line 1 2
2013Income Tax Return
2014 Net Worth Tax Return
3 Less: Credits from Schedule 10 Line 6* 3
3 Total Retained earnings 3
3 Totals (Line 1 + 2)
4 Georgia ratio (Divide Line 3A by 3B)
4 Net Worth (Total of Lines 1 2 and 3) 4
4 Withholding Credits (G2 A G2 LP and/or G2 RP) 4
5 Balance of tax due (Line 1 less Lines 2 3 and 4 ) 5
5 Ratio (GA and Dom For Corp 100%) (Foreign Corp Line 4 Sch 2) 5
6 Amount of overpayment (Lines 2 3 and 4 less Line 1) 6
6 Net Worth Taxable by Georgia (Line 4 x Line 5) 6
7 Interest due (See Instructions) 7
7 Net Worth Tax (from table in instructions) 7
8 Form 600 UET (Estimated tax penalty) 8
9 Other penalty due (See Instructions) 9
A Federal Employer I D Number
A Income Tax B Net Worth Tax C Total
A Within Georgia B Total Everywhere C GA ratio (A/B)
Address Change
Amended due to IRS Audit
Amended Return
Amount of nonresident withholding tax paid:
B GA Withholding Tax Acct Number
Beginning
Business Address (Number and Street)
C Corp Last Year
C GA Sales Tax Reg Number
City or Town
Composite
COMPUTATION OF GEORGIA TAXABLE INCOME AND TAX (ROUND TO NEAREST DOLLAR) SCHEDULE 1
COMPUTATION OF NET WORTH RATIO (to be used by Foreign Corporations only) (ROUND TO NEAREST DOLLAR) SCHEDULE 2
COMPUTATION OF NET WORTH TAX (ROUND TO NEAREST DOLLAR) SCHEDULE 3
COMPUTATION OF TAX DUE OR OVERPAYMENT (ROUND TO NEAREST DOLLAR) SCHEDULE 4
Corporation Tax Return
D NAICS Code
DIRECT DEPOSIT OPTIONS SEE PAGE 2 SIGNATURE SECTION
Ending
Extension
F Incorporated under laws
Final Return (Attach explanation)
Georgia Department of Revenue (Approved web version)
Georgia Form 600S (Rev 7/13)
I Total Shareholders Total Nonresident Shareholders J Federal Ordinary Income
Initial Net Worth
K Indicate the latest taxable year adjusted by IRS And when reported to Georgia
Location of Books for Audit (City) & (State) Telephone Number H Kind of Business
Name (Corporate title) Please give former name if applicable E Date of Incorporation
Name Change
of what state
Original Return
Page 1
Payroll WH Number Nonresident WH Number
Return Filed
State ZIP Code G Date admitted into GA
UET Annualization Exception attached