Form 80-401-12-8-1-000 - Mississippi Tax Credit Summary Schedule - 2012

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Form 80-401-12-8-1-000 (Rev. 05/12)
MS
Mississippi
Tax Credit Summary Schedule
804011281000
2012
SSN
__ __ __ - __ __ - __ __ __ __
FEIN
__ __ - __ __ __ __ __ __ __
(* Carryover not Available)
OR
TAX CREDIT CODES
CREDIT
CODE
CREDIT
CODE
02
Premium Retaliatory
17
Import Credit
03
Finance Company Privilege
18
Land Donation
04
Advanced Technology / Enterprise Zone
19
Broadband Technology
05
Jobs Tax
21
Brownfield Credit
06
National or Regional Headquarters
22
Airport Cargo Charges
07
Research and Development Skills
23
Manufacturer's Investment Tax Credit
08
Employer Child / Dependent Care
24
Alternative Energy Jobs
09
Basic Skills Training or Retraining
25
Child Adoption
Historic Structure Rehabilitation
10
Reforestation
26
(Attach Statement)
11
Gambling License Fee
Check if requesting refund in lieu of 10-year carryforward
12
Financial Institution Jobs
27
Long Term Care
13
Mississippi Revenue Bond Service
28
New Markets
14
Ad Valorem Inventory
29
Biomass Energy Investment
15
Export Port Charges
30
Wildlife Land Use
16
Insurance Guaranty
50
Bank Share
INCOME TAX CREDITS
A
B
C
D
E
F
G
CREDIT
CREDIT
CREDIT
CREDIT EXPIRED
CARRYOVER
CREDIT
CREDIT USED
RECEIVED
CODE
CARRYOVER
THIS YEAR
AVAILABLE
EARNED THIS
THIS YEAR
FROM PASS-
FROM PRIOR
FOR NEXT
YEAR
THROUGH
YEAR
YEAR
ENTITY
(B+C+D-E-F)
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__ , __ __ __ , __ __ __ , __ __ __
1.
Total Income Tax Credit Used This Year (Total Column E)
(Enter on Form 80-105, Line 24 or Form 80-205, Line 24 or Form 81-110, Line 5 )
__ , __ __ __ , __ __ __ , __ __ __
2.
Total Income Tax Credit Available for Next Year (Total Column G)
__ __ __- __ __- __ __ __ __
3.
If Code 25 is Selected, Enter Adoptee SSN(s) Here
(Cannot be claimed as credit in year of adoption, but can be claimed as a dependent)
__ __ __- __ __- __ __ __ __
__ __ __- __ __- __ __ __ __
Duplex and Photocopies NOT Acceptable

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