Transcription of Form 80-401-17-8-1-000 (Rev. 10/17) Mississippi …
1 1211804011781000 SSNForm 80-401-17-8-1-000 (Rev. 10/17) MississippiTax Credit Summary Schedule2017 (* Carryover Not Available)3 If code 25 is selected, enter adoptee SSN(s) here2 Total income tax credit available for next year (total column G)Duplex and Photocopies NOT AcceptableFEIN CODE1 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) EARNED THIS YEARCREDIT CARRYOVER FROM PRIOR YEAR INCOME TAX CREDITSCREDIT CARRYOVER AVAILABLE FOR NEXT YEAR (B+C+D-E-F)
2 A B C D E F G CREDIT USED THIS YEAR CREDIT EXPIRED THIS YEARCREDIT RECEIVED FROM PASS-THROUGH ENTITYTAX CREDIT CODES131615 Wildlife Land UseVeterans Employee CreditInsurance Guaranty 030617192324262728293033 CREDITCODE02 Premium Retaliatory Jobs TaxAdvanced Technology/Enterprise ZoneFinance Company Privilege Research and Development SkillsNational or Regional Headquarters0807 Gambling License FeeMississippi Revenue Bond ServiceFinancial Institution Jobs1014 Export Port ChargesReforestation Ad Valorem InventoryEmployer Child / Dependent CareCREDITCODE25 Import CreditChild AdoptionManufacturer's Investment Tax CreditHistoric Structure Rehabilitation (Attach Statement)
3 Alternative Energy JobsLong Term CareNew MarketsCheck if requesting refund in lieu of 10-year carryforwardBiomass Energy Investment0405 Broadband TechnologyBrownfield Credit2221 Airport Cargo Charges31 Prekindergarten Credit32 Headquarters Relocation CreditBank Share50 Land Donation 1809 Basic Skills Training or Retraining
