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Form 83-401-22-3-1-000 (Rev. 07/22)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 834012231000 06
07 2022 07
08FEIN 999999999 (*Carryover Not Available) 08
09 TAX CREDIT CODES 09
10 CODE CREDIT CODE CREDIT 10
11 02 Premium Retaliatory 24 Alternative Energy Jobs 11
12 03 Finance Company Privilege 25 Child Adoption 12
13 05 Jobs Tax 26 Historic Structure Rehabilitation (Attach Statement) 13
14 06 National or Regional Headquarters 27 Long Term Care 14
15 07 Research and Development Skills 28 New Markets 15
16 08 Employer Child / Dependent Care 29 Biomass Energy Investment 16
17 10 Reforestation 30 Wildlife Land Use 17
18 11 Gambling License Fee 31 Prekindergarten Credit 18
19 12 Financial Institution Jobs 32 Headquarters Relocation Credit 19
20 13 Mississippi Revenue Bond Service 34 Qualifying Charitable Contribution Credit Approved by DOR 20
21 14 Ad Valorem Inventory 35 Foster Care Charitable Credit 21
22 15 Export Port Charges 36 Business Contributions to Eligible Charitable Organizations 22
23 16 Insurance Guaranty 37 Endowment Fund Charitable Credit 23
24 17 Import Credit 38 Inland Water Transportation 24
25 18 Land Donation 39 Pregnancy Resource Charitable Contribution Credit 25
26 19 Broadband Technology 40 Railroad Infrastructure Tax Credit 26
27 21 Brownfield Credit 41 Blood Donation 27
28 22 Airport Cargo Charges 50 Bank Share 28
29 23 Manufacturing Investment Tax Credit 29
30 30
31 PART I: FRANCHISE TAX CREDITS (CODES 16, 19 AND 50) 31
32 A B C D E F G 32
33 CODE CREDIT CREDIT RECEIVED *CREDIT CREDIT USED CREDIT CREDIT 33
34 EARNED FROM PASS- CARRYOVER THIS YEAR EXPIRED THIS CARRYOVER 34
THIS THROUGH ENTITY FROM PRIOR YEAR AVAILABLE
35 YEAR YEAR FOR NEXT YEAR 35
36 (B+C+D-E-F) 36
37 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 37
38 99 9999999999 9999999999 9999999999 9999999999 9999999999 999999999938
39 99 9999999999 9999999999 9999999999 9999999999 9999999999 999999999939
40 40
411 Total franchise tax credit used this year (total column E; enter on Form 83-105, page 1, line 3) 1 99999999999 41
42 42
432 Total franchise tax credit available for next year (total amounts in column G) 2 99999999999 43
44 44
45 PART II: INCOME TAX CREDITS 45
46 A B C D E F G 46
47 CODE CREDIT CREDIT RECEIVED *CREDIT CREDIT USED CREDIT CREDIT 47
48 EARNED FROM PASS- CARRYOVER THIS YEAR EXPIRED THIS CARRYOVER 48
THIS THROUGH ENTITY FROM PRIOR YEAR AVAILABLE
49 YEAR YEAR FOR NEXT YEAR 49
50 (B+C+D-E-F) 50
51 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 51
52 99 9999999999 9999999999 9999999999 9999999999 9999999999 999999999952
53 99 9999999999 9999999999 9999999999 9999999999 9999999999 999999999953
54 54
553 Total income tax credit used this year (total column E; enter on Form 83-105, page 1, line 8 or 3 99999999999 55
Form 83-391, page 1, line 4 or Form 83-310, column B, line 5; if more than three income tax
56 credits taken, see instructions, Form 83-100) 56
57 57
584 Total income tax credit available for next year (total amounts in column G) 4 99999999999 58
59 59
605 If code 36 or code 39 is selected, enter the name of charitable organization X9X9X9X9X9X9X9X9X9X9X 60
61 (attach statement if needed) X9X9X9X9X9X9X9X9X9X9X 61
62 62
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
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