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Form 83-401-23-3-1-000 (Rev. 10/23)06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
04 Mississippi 04
05 05
Tax Credit Summary Schedule
06 834012331000 06
07 2023 07
08FEIN 999999999 (*Carryover Not Available) 08
09 TAX CREDIT CODES 09
10 CODE CREDIT CODE CREDIT 10
11 02 Premium Retaliatory 26 Historic Structure Rehabilitation (Attach Statement) 11
12 03 Finance Company Privilege 27 Long Term Care 12
13 05 Jobs Tax 28 New Markets 13
14 06 National or Regional Headquarters 29 Biomass Energy Investment 14
15 07 Research and Development Skills 30 Wildlife Land Use 15
16 08 Employer Child / Dependent Care 31 Prekindergarten Credit 16
17 10 Reforestation 32 Headquarters Relocation Credit 17
18 11 Gambling License Fee 34 Qualifying Charitable Contribution Credit Approved by DOR 18
19 12 Financial Institution Jobs 35 Qualifying Foster Care Charitable Credit Approved by DOR 19
20 13 Mississippi Revenue Bond Service 36 Business Contributions to Eligible Charitable Organizations 20
21 14 Ad Valorem Inventory 37 Endowment Fund Charitable Credit 21
22 15 Export Port Charges 38 Inland Water Transportation 22
23 16 Insurance Guaranty 39 Pregnancy Resource Charitable Contribution Credit 23
24 17 Import Credit 40 Railroad Infrastructure Tax Credit 24
25 18 Land Donation 41 Blood Donation 25
26 19 Broadband Technology 42 Transitional Home Charitable Contribution Credit 26
27 21 Brownfield Credit 43 Low-Income Health Care Services Charitable Contribution Credit 27
28 22 Airport Cargo Charges 44 Dependent Care Credit 28
29 23 Manufacturing Investment Tax Credit 45 Food Bank Charitable Contribution Credit 29
30 24 Alternative Energy Jobs 50 Bank Share 30
31 25 Child Adoption 31
32 32
33 PART I: FRANCHISE TAX CREDITS (CODES 16, 19 AND 50) 33
34 A B C D E F G 34
35 CODE CREDIT CREDIT RECEIVED *CREDIT CREDIT USED CREDIT CREDIT 35
36 EARNED FROM PASS- CARRYOVER THIS YEAR EXPIRED THIS CARRYOVER 36
THIS THROUGH ENTITY FROM PRIOR YEAR AVAILABLE
37 YEAR YEAR FOR NEXT YEAR 37
38 (B+C+D-E-F) 38
39 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 39
40 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 40
41 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 41
42 42
431 Total franchise tax credit used this year (total column E; enter on Form 83-105, page 1, line 3) 1 99999999999 43
44 44
452 Total franchise tax credit available for next year (total amounts in column G) 2 99999999999 45
46 46
47 PART II: INCOME TAX CREDITS 47
48 A B C D E F G 48
49 CODE CREDIT CREDIT RECEIVED *CREDIT CREDIT USED CREDIT CREDIT 49
50 EARNED FROM PASS- CARRYOVER THIS YEAR EXPIRED THIS CARRYOVER 50
THIS THROUGH ENTITY FROM PRIOR YEAR AVAILABLE
51 YEAR YEAR FOR NEXT YEAR 51
52 (B+C+D-E-F) 52
53 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 53
54 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 54
55 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 55
56 56
3 Total income tax credit used this year (total column E; enter on Form 83-105, page 1, line 7 or
57 Form 83-391, page 1, line 4 or Form 83-310, column B, line 5; if more than three income tax 3 99999999999 57
58 credits taken, see instructions, Form 83-100) 58
594 Total income tax credit available for next year (total amounts in column G) 4 99999999999 59
60 60
615 If code 36 or code 39 is selected, enter the name of charitable organization X9X9X9X9X9X9X9X9X9X9X 61
62 (attach statement if needed) 62
X9X9X9X9X9X9X9X9X9X9X
63 63
06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80