The purpose of Form 3231 is to provide the Internal Revenue Service (IRS) with information about a partnership’s basis in its partnership interests and its distributive share of each item of gross income, gain, loss, deduction, and credit of the partnership. The form is used to make the determination of whether a partner has an economic interest in a partnership. The form is also used to calculate how much gain or loss a partner has on the sale or exchange of their partnership interest. A Form 3231 must be filed for every taxable year that a domestic limited liability company (LLC) or foreign disregarded entity (FDE) is treated as a partnerships for federal tax purposes. A Form 3231 must also be filed by any taxable year that an LLC elects to be taxed as a corporation under section 801(a). This election makes the LLC subject to corporate rules and restrictions. However, an LLC continues to enjoy flow-through taxation on its net income at the partner level. For more information on
Question | Answer |
---|---|
Form Name | Form 3231 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | ga form 3231 printable, ga form 3231, form 3231 pdf, form 3231 georgia |
Rev. 07/2014 |
Georgia Department of Public Health |
Form 3231 |
CERTIFICATE OF IMMUNIZATION
Child's Name (Last name first) |
Birthdate |
(Optional) Parent/Guardian Name (Last name first)
Date of Expiration
(Next required immunization or review of medical exemption due.)
(Fill in X)
Complete For K through 6th Grade
Child must be ≥ 4 years and have met all requirements for school attendance.
(Fill in X)
Complete For 7th Grade or higher
Fulfills requirements K through 6th grade AND must have Tdap and MCV4 documented
Unless specifically exempted by law, Georgia law (O.C.G.A. §
VACCINE
DATE |
DATE |
DATE |
DATE |
DATE |
MM DD YY MM DD YY MM DD YY MM DD YY MM DD YY MM
DATE
DD YY
Total Doses
Diagnosed
Serology +
History
Med. Exemption
Required Vaccines for School or Child Care Attendance
DTP,DTaP, DT,Td |
Polio |
Hepatitis B |
Tdap |
MCV4 |
HIB |
(Under Age 5) |
PCV |
(Under Age 5) |
Measles |
Mumps |
Rubella |
Hepatitis A |
(Born on/after 1/1/06) |
Varicella |
Recommended Vaccines (For Information Only)
Rotavirus
HPV (3 doses)
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Influenza |
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Td (booster) |
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Notes: |
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Printed, Typed or |
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A licensed Georgia physician, Advanced Practice Registered Nurse, Physician Assistant or |
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Stamped Name, |
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qualified employee of a local Board of Health or the State Immunization Office is responsible for the |
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content of this certificate. All dates must include month, day and year. In cases of natural immunity or |
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Address and |
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Medical Exemption, the 4 digit year of infection, test or exemption must be filled in the appropriate |
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box(es). The certificate is NOT valid without name and birthdate of the child, date of expiration |
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Telephone # of |
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OR "X" in Complete for School Attendance box, legible name and address of the physician, |
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Advanced Practice Registered Nurse, Physician Assistant or health department, certified by |
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Licensed |
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signature and a date of issue. A school or facility official is responsible for keeping a current valid |
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Physician |
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certificate on file for each child in attendance. A certificate must be replaced within 30 days after |
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or Health Dept. |
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expiration. When a child leaves or transfers to another facility, the Certificate of Immunization |
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should be given to a parent/guardian or sent to the new facility. |
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Certified by (Signature/Signature Stamp) |
Date of Issue |