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Get GA IT-QBR 2013-2021

Ment every 12 months as required by O.C.G.A. 48-7-40.30 (Qualified Investor Tax Credit). Name of the Qualified Business FEI Number Street Address Type of Business City, State and ZIP Code + Four Partnership/LLC Date Contact Person Telephone Number of Contact Person C Corporation S Corporation Street Address of Headquarters of Qualified Business (if different) City, State and ZIP Code of Headquarters of Qualified Business * Part 1. 1. Describe the type(s) of business in which the Qu.

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