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Vermont Department of Taxes
Schedule BA-406 *234061100*
Vermont Credit Allocation *234061100*
Page 2
Include with Form BI-471
or Form BI-476
PRINT in BLUE or BLACK INK
Entity Name (same as on Form BI-471 or Form BI-476) Fiscal Year Ending (YYYYMMDD) FEIN
12345678901234567890123456789012(36) 20231231 123456789
Individual Last Name (Shareholder, Partner, or Member) First Name MI Social Security NumberEntity TYPE
1234567890123(17) 1234567890123(17) 1 123456789 Enter
(see instructions)
XOR Entity Name (Shareholder, Partner, or Member) OR FEIN I, C, S, L, P, or T
12345678901234567890123456789012(36) 123456789
Name of Credit Enter all amounts in WHOLE DOLLARS
FORM (Place at FIRST page)
1234567890123451. Research and Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. . ______________________.00 Form pages
123456789012345 2. Charitable Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. ______________________.00
123456789012345 3. Affordable Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. . ______________________.00
2 - 2
123456789012345 4. Qualified Sale of Mobile Home Park . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. . ______________________.00
123456789012345 5. Vermont Entrepreneurs’ Seed Capital Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. . ______________________.00
123456789012345 6. Code Improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . ______________________.00
123456789012345 7. Historic Rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. . ______________________.00
123456789012345 8. Facade Improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. . ______________________.00
123456789012345 9. Investment Tax Credit - Solar Energy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. . ______________________.00
123456789012345 10. Investment Tax Credit - Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. . ______________________.00
123456789012345 11. Total credits for this shareholder, partner, or member(ADD Lines 1 through 10) . . . . . . . . 11. . ______________________.00
FORM (Place at LAST page)
Form pages
2 - 2
Schedule BA-406
Page 1 of 1
5454 Rev. 10/23