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Georgia Tax Credit Intake

Please review the prefilled details, correct anything that's out of date, and complete the remaining fields. Everything is saved securely to your TaxCredible record.

Client's Information

Company name

Street address

Address line 2

City

State

ZIP

County

Phone

Website

Filing Information

Federal Tax ID (EIN)

GA income tax form

Year start in Georgia

NAICS (per GA return)

Fiscal year end

Tax year end

GA tax return filing date — current year (planned)

Type of business / nature of operations

Employee training & new technologies (ERP, EHR, accounting, or other)

Company Point of Contact

Name

Job title

Phone

Email

Company Chief Executive (signs tax credit forms)

Name

Title

Email

CPA Information

First name

Last name

Email

Phone

Firm name