Get GA DoR IT-WH 2012
Ompany Address City State Federal Employer I.D. Georgia Withholding I.D. (s) Tax Year of Income Tax Return on which credit claimed: ZIP Code Anticipated Date of Filing Qualifying Tax Credit: ( ) Headquarters Job Tax Credit ( ) Job Tax Credit* ( ) Film Tax Credit ( ) Research Tax Credit** ( ) Quality Jobs Tax Credit ( ) Clean Energy Property Tax Credit*** For Headquarters Job Tax Credit, Job Tax Credit OR Quality Jobs Tax Credit only: Year Jobs Created County / Tier Jobs Created In o.
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