
YOUR SOCIAL SECURITY NUMBER
Schedule 3
Page 1
Georgia Form500
(Rev. 08/02/21)
Schedule 3
Part-Year Nonresident
2021 (Approved web2 version)
Income earned in another state as a Georgia resident is taxable but other state(s)
3. BUSINESS INCOME OR (LOSS)
3. BUSINESS INCOME OR (LOSS)
2. INTEREST AND DIVIDENDS
7. TOTAL ADJUSTMENTS FROM FORM 500,
2. INTEREST AND DIVIDENDS
(COLUMN B)
3. BUSINESS INCOME OR (LOSS)
1. WAGES, SALARIES, TIPS, etc
7. TOTAL ADJUSTMENTS FROM FORM 500,
6. TOTAL ADJUSTMENTS FROM FORM 1040
2. INTEREST AND DIVIDENDS
7. TOTAL ADJUSTMENTS FROM FORM 500,
6. TOTAL ADJUSTMENTS FROM FORM 1040
6. TOTAL ADJUSTMENTS FROM FORM 1040
5. TOTAL INCOME: TOTAL LINES 1 THRU 4
1. WAGES, SALARIES, TIPS, etc
SCHEDULE 1
4. OTHER INCOME OR (LOSS)
SCHEDULE
1
4. OTHER INCOME OR (LOSS)
5. TOTAL INCOME: TOTAL LINES 1 THRU 4
1. WAGES, SALARIES, TIPS, etc
4. OTHER INCOME OR (LOSS)
FEDERAL INCOME AFTER GEORGIA ADJUSTMENT
5. TOTAL INCOME: TOTAL LINES 1 THRU 4
SCHEDULE 1
RESIDENTS AND NONRESIDENTS.SCHEDULE 3 COMPUTATION OF GEORGIA TAXABLE INCOME FOR ONLY PART-YEAR
INCOME NOT TAXABLE TO GEORGIA GEORGIA INCOME
(COLUMN C)
tax credit may apply. See IT-511 Tax Booklet.
(COLUMN A)
DO NOT USE LINES 9 THRU 14 OF PAGES 2 AND 3 FORM 500 or 500X
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8. ADJUSTED GROSS INCOME:
LINE 5 PLUS OR MINUS LINES 6 AND 7
8. ADJUSTED GROSS INCOME:
8. ADJUSTED GROSS INCOME:
LINE 5 PLUS OR MINUS LINES 6 AND 7
LINE 5 PLUS OR MINUS LINES 6 AND 7
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% Not to exceed 100%
10a. Itemized or Standard Deduction (See IT-511 Tax Booklet)........................................................ 10a.
9.
RATIO: Divide Line 8, Column C by Line 8, Column A enter percentage ....... 9.
14. Income before GA NOL: Subtract Line 13 from Line 8, Column C
Enter here and on Line 15a, Page 3 of Form 500 or Form 500X........................ 14.
13. Multiply Line 12 by Ratio on Line 9 and enter result............................................ 13.
11a. Enter the number on Line 6c from Form 500 or Form 500X multiply by $2,700 for
filing status A or D or multiply by $3,700 for filing status B or C..................................... 11a.
11b. Enter the number on Line 7a from Form 500 or Form 500X multiply by $3,000 .. 11b.
12. Total Deductions and Exemptions: Add Lines 10a, 10b, 11a, and 11b ............ 12.
10b. Additional Standard Deduction
Self: 65 or over? Blind? Spouse: 65 or over? Blind? Total X 1,300= 10b.
11. Personal Exemptions from Form 500 or Form 500X (See IT-511 Tax Booklet)