Form 80-401-17-8-1-000 - Mississippi Tax Credit Summary Schedule - 2017

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Form 80-401-17-8-1-000 (Rev. 10/17)
Mississippi
Print Form
Tax Credit Summary Schedule
804011781000
2017
(* Carryover Not Available)
SSN
FEIN
TAX CREDIT CODES
CODE
CREDIT
CODE
CREDIT
02
Premium Retaliatory
19
Broadband Technology
03
Finance Company Privilege
21
Brownfield Credit
04
Advanced Technology/Enterprise Zone
22
Airport Cargo Charges
05
Jobs Tax
23
Manufacturer's Investment Tax Credit
06
National or Regional Headquarters
24
Alternative Energy Jobs
07
25
Child Adoption
Research and Development Skills
08
Employer Child / Dependent Care
26
Historic Structure Rehabilitation (Attach Statement)
09
Basic Skills Training or Retraining
Check if requesting refund in lieu of 10-year carryforward
10
Reforestation
27
Long Term Care
Gambling License Fee
28
New Markets
11
Financial Institution Jobs
29
Biomass Energy Investment
12
Mississippi Revenue Bond Service
30
Wildlife Land Use
13
Ad Valorem Inventory
31
Prekindergarten Credit
14
Export Port Charges
32
Headquarters Relocation Credit
15
33
Veterans Employee Credit
16
Insurance Guaranty
17
Import Credit
50
Bank Share
18
Land Donation
INCOME TAX CREDITS
A
B
C
D
E
F
G
CREDIT
CODE
CREDIT
CREDIT RECEIVED
CREDIT
CREDIT USED
CARRYOVER
CREDIT EXPIRED
FROM
CARRYOVER
AVAILABLE
EARNED THIS
THIS YEAR
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

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