Form IT-QI "Qualified Investor Tax Credit" - Georgia (United States)

What Is Form IT-QI?

This is a legal form that was released by the Georgia Department of Revenue - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 12, 2016;
  • The latest edition provided by the Georgia Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IT-QI by clicking the link below or browse more documents and templates provided by the Georgia Department of Revenue.

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Download Form IT-QI "Qualified Investor Tax Credit" - Georgia (United States)

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CLEAR
STATE OF GEORGIA
Department of Revenue
Qualified Investor Tax Credit
(The Georgia Angel Investor Tax Credit)
IT-QI (Rev. 01/12/16)
Tax Year End _____________________
A. Business or Individual Information
Name and address of Qualified Investor
FEI Number _______________________
Social Security Number (if individual)
___________________________________
Contact Person, Title
Telephone Number of Contact Person
___________________________________
B.
Total Qualified Investor Tax Credit Allowed*
1) Current Tax Liability Without
any Credits
$____________________________________
2) Value of all other Credits Claimed
$_____________________________________
3) Subtract line (2) from line (1), this is the
Remaining tax liability
$_____________________________________
4) Preapproved Qualified Investor Tax
Credit for Current Tax Year**
$______________________________________
5) Credit Carried Forward from Prior Years***
$______________________________________
6) Total Credit Available in the Current Year,
Line 4 & 5
$______________________________________
7) If Line 6 exceeds Line 3, Unused Credit
or Carried Forward
$______________________________________
1
PRINT
CLEAR
STATE OF GEORGIA
Department of Revenue
Qualified Investor Tax Credit
(The Georgia Angel Investor Tax Credit)
IT-QI (Rev. 01/12/16)
Tax Year End _____________________
A. Business or Individual Information
Name and address of Qualified Investor
FEI Number _______________________
Social Security Number (if individual)
___________________________________
Contact Person, Title
Telephone Number of Contact Person
___________________________________
B.
Total Qualified Investor Tax Credit Allowed*
1) Current Tax Liability Without
any Credits
$____________________________________
2) Value of all other Credits Claimed
$_____________________________________
3) Subtract line (2) from line (1), this is the
Remaining tax liability
$_____________________________________
4) Preapproved Qualified Investor Tax
Credit for Current Tax Year**
$______________________________________
5) Credit Carried Forward from Prior Years***
$______________________________________
6) Total Credit Available in the Current Year,
Line 4 & 5
$______________________________________
7) If Line 6 exceeds Line 3, Unused Credit
or Carried Forward
$______________________________________
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CLEAR
* If the Qualified Investor is a pass-through entity, Section B of this form must be calculated per individual
shareholder, partner or member on the individual shareholder, partner or member’s tax return.
** The aggregate amount of credit allowed an individual, for one or more qualified investments whether made
directly or by a pass-through entity, for a taxable year shall not exceed $50,000.00
A qualified investment by a qualified investor in a qualified business under O.C.G.A. § 48-7-40.30 in calendar
year 2011, 2012, 2013, 2014, 2015, 2016, 2017, or 2018 that has been preapproved by the Department can
be claimed on the qualified investor’s 2013, 2014, 2015, 2016, 2017, 2018, 2019, or 2020 tax return respectively.
The qualified investor’s approved preapproval form states in which tax year the credit can be claimed.
*** The credit carryforward shall not exceed five years from the close of the taxable year in which the qualified
investment is made. (O.C.G.A. § 48-7-40.30 (f)(3)). Therefore the credit carry forward is for 3 years from the
year in which the credit can be claimed.
This form and an approved Form IT-QI-AP must be attached to the Qualified Investor’s tax return to claim the
Qualified Investor Tax Credit.
Electronic Filing-Electronic filing is available for taxpayers claiming this credit.
Individual taxpayers that
electronically file their tax return do not have to submit an approved Form IT-QI-AP. The approved Form
IT-QI-AP shall be maintained by the taxpayer and made available upon request by the Commissioner.
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