Form 80-401-14-8-1-000 (Rev. 6/14)
Mississippi
Tax Credit Summary Schedule
804011481000
2014
(* Carryover Not Available)
SSN
FEIN
TAX CREDIT CODES
CODE
CREDIT
CODE
CREDIT
02
Premium Retaliatory
18
Land Donation
03
Finance Company Privilege
19
Broadband Technology
04
Advanced Technology/enterprise Zone
21
Brownfield Credit
05
22
Airport Cargo Charges
Jobs Tax
06
National or Regional Headquarters
23
Manufacturer's Investment Tax Credit
07
24
Alternative Energy Jobs
Research and Development Skills
08
Employer Child / Dependent Care
25
Child Adoption
09
Basic Skills Training or Retraining
26
Historic Structure Rehabilitation (Attach Statement)
10
Reforestation
Check if requesting refund in lieu of 10-year carryforward
Gambling License Fee
27
Long Term Care
11
Financial Institution Jobs
28
New Markets
12
Mississippi Revenue Bond Service
29
Biomass Energy Investment
13
Ad Valorem Inventory
30
Wildlife Land Use
14
Export Port Charges
31
Prekindergarten Credit
15
32
Headquarters Relocation Credit
16
Insurance Guaranty
17
50
Bank Share
Import Credit
INCOME TAX CREDITS
A
B
C
D
E
F
G
CREDIT
CODE
CREDIT RECEIVED
CREDIT
CARRYOVER
CREDIT
CREDIT USED
CREDIT EXPIRED
FROM
CARRYOVER
THIS YEAR
AVAILABLE
EARNED THIS
THIS YEAR
PASS-THROUGH
FROM PRIOR
FOR NEXT
YEAR
ENTITY
YEAR
YEAR
(B+C+D-E-F)
1
.00
1
Total income tax credit used this year (total column E; enter on Form 80-105, line 19
or Form 80-205, line 21 or Form 81-110, line 4)
2
Total income tax credit available for next year (total column G)
2
.00
3
If code 25 is selected, enter adoptee SSN(s) here
Duplex and Photocopies NOT Acceptable