Schedule 5930h-B - Credits For Current And Carry Forward To Subsequent Years - 2004

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2004
Economic Advancement Tax Incentive (EATI) Program
Vermont Department of Taxes
Credits for Current and Carry Forward to Subsequent Years
Fiscal Year:
Entity's Name:
VT Business Account Number:
FEIN:
Name of Shareholder #1:
SSN:
1. Has there been a period of 120 days or more in which the person that obtained the approval of these
credits did not employ at least 75% of the number of employees it employed in the years in which the
credit was first received?
Yes
No
(If you answer "yes" to this question you may not claim additional Vermont Economic Advancement Credits. You may also be required to repay
a portion of the credits taken pursuant to recapture provisions of 32 V.S.A. 5930h(c).)
1
2. Enter credits earned this year and prior year carry forward credits. (Attach schedules
for current tax year.)
a. Current credits earned this year:
Payroll
R&D
Workforce
Export
Cap Inv
High-Tech S-T R&D
S-T Export
$
$
$
$
$
$
$
$
Total current credits earned this year$
b. Carry forward credits, list earliest year first
(10) Year
th
$
(10
prior)
th
(9) Year
$
(9
prior)
th
(8) Year
$
(8
prior)
th
(7) Year
$
(7
prior)
th
(6) Year
$
(6
prior)
th
(5) Year
$
(5
prior)
th
(4) Year
$
(4
prior)
(3) Year
rd
$
(3
prior)
nd
(2) Year
$
(2
prior)
st
(1) Year
$
(1
prior)
Total credits carried forward $
c. Total available credit (Add total current earned credits and total credits carried forward)
$
Schedule 5930H-B (0703)

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