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4 Vermont Department of Taxes 4
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6 Schedule BA-406 *234061100* 6
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Vermont Credit Allocation *234061100*
8 8 Page 2
9 Include with Form BI-471 9
10 or Form BI-476 10
11 PRINT in BLUE or BLACK INK 11
12 Entity Name (same as on Form BI-471 or Form BI-476) Fiscal Year Ending (YYYYMMDD) FEIN 12
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12345678901234567890123456789012(36) 20231231 123456789
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16 Individual Last Name (Shareholder, Partner, or Member) First Name MI Social Security Number Entity TYPE 16
17 1234567890123(17) 1234567890123(17) 1 123456789 Enter 17
(see instructions)
18 XOR Entity Name (Shareholder, Partner, or Member) OR FEIN I, C, S, L, P, or T 18
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12345678901234567890123456789012(36) 123456789
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24 Name of Credit Enter all amounts in WHOLE DOLLARS 24
25 25 FORM (Place at FIRST page)
26 1234567890123451. Research and Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. . ______________________.00 26 Form pages
27 27
28 2. 123456789012345Charitable Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. ______________________.00 28
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30 3. 123456789012345Affordable Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. . ______________________.00 30
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32 4. 123456789012345Qualified Sale of Mobile Home Park . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. . ______________________.00 32
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34 5. 123456789012345Vermont Entrepreneurs’ Seed Capital Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. . ______________________.00 34
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36 6. 123456789012345Code Improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . ______________________.00 36
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38 7. 123456789012345Historic Rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. . ______________________.00 38
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40 8. 123456789012345Facade Improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. . ______________________.00 40
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42 9. 123456789012345Investment Tax Credit - Solar Energy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. . ______________________.00 42
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44 10. 123456789012345Investment Tax Credit - Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. . ______________________.00 44
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46 11. 123456789012345Total credits for this shareholder, partner, or member(ADD Lines 1 through 10) . . . . . . . . 11. . ______________________.00 46
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54 54 FORM (Place at LAST page)
55 55 Form pages
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Schedule BA-406
62 Page 1 of 1 62
63 5454 Rev. 10/23 63
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