Georgia QEE Tax Credit Application General InstructionsPlease complete this form to apply for Georgia QEE Tax Credits. Once the Submit button is clicked, AAA will be informed of your request and will work directly with the Georgia Department of Revenue to reserve your credits. Copy and paste this URL for more detailed instructions: https://www.aaascholarships.org/wp-content/uploads/2019/12/GA-Tax-Credit-Pre-Approval-Form-Instructions-rev2018.pdfContributor Type (select one):*C-Corp or electing S-Corp or PartnershipLLC or non-electing S-Corp or Partnership MemberIndividual Filing Married Joint ReturnIndividual Filing Married Separate ReturnIndividual filing Single or Head of HouseholdEntity Name (see below fields if filing as individual)C-Corp, LLC, S-Corp or Partnership name onlyEntity EINIndividual/Member Name First Last Taxpayer ID #xxx-xx-xxxxJoint Filer Name, if applicable First Last Joint Filer Taxpayer ID #, if applicablexxx-xx-xxxxAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Contribution InformationTax Year End of Contributor*MM/DD/YYYYCalendar Year in which Contribution will be made*2022, for exampleAmount of Contribution the taxpayer intends to make*Limits: (1) C-Corps, S-Corps, & Partnerships (electing to pay tax at the entity level) the lesser of the actual amount expended or 75 percent of the entity’s state income tax liability for the tax year, (2) Each member of an LLC, S-Corp or Partnership, the lesser of the actual amount expended or $10,000 per tax year (3) Single individual or a head of household, the actual amount expended or $1,000.00 per tax year, whichever is less (4) Married couple filing a joint return, the actual amount expended or $2,500.00 per tax year, whichever is less (5) Married couple filing a separate return, the actual amount expended or $1,250.00 per tax year, whichever is less. For an individual taxpayer the credit is further limited and may not exceed the taxpayer’s income tax liability. The amount of the credit that exceeds the taxpayer’s income tax liability can be used against the next succeeding five years’ tax liability.For C-Corps, and electing S-Corps & Partnerships, enter 75% of the entity's estimated GA income tax liabilityFor members of LLCs, and non-electing S-Corps & Partnerships, enter 5.75% of the entity's estimated GA net income.Certification by ApplicantApplicant certifies that all information above is true to the best of their knowledge and belief and is submitted for the purpose of obtaining preapproval of Georgia tax credits from the Commissioner.Name of Person Authorized to Apply for Credits* First Last Title, if Applying for EntityPhone*Date* Date Format: MM slash DD slash YYYY