12
11
804011981000
SSN
Form 80-401-19-8-1-000 (Rev. 09/19)
Mississippi
Tax Credit Summary Schedule
2019
(* Carryover Not Available)
3 If code 25 is selected, enter adoptee SSN(s) here
2 Total income tax credit available for next year (total column G)
Duplex and Photocopies NOT Acceptable
FEIN
CODE
1 Total income tax credit used this year (total column E; enter on Form 80-105, line 19
or Form 80-205, line 21)
1.00
2.00
CREDIT
EARNED THIS
YEAR
CREDIT
CARRYOVER
FROM PRIOR
YEAR
INCOME TAX CREDITS
CREDIT
CARRYOVER
AVAILABLE
FOR NEXT
YEAR
(B+C+D-E-F)
A B C D E F G
CREDIT USED
THIS YEAR
CREDIT EXPIRED
THIS YEAR
CREDIT RECEIVED
FROM
PASS-THROUGH
ENTITY
TAX CREDIT CODES
13
16
15
Wildlife Land Use
Veterans Employee Credit (Repealed December 31, 2018)
Insurance Guaranty
03
06
17
19
23
24
26
27
28
29
30
33
CREDITCODE
02 Premium Retaliatory
Jobs Tax
Finance Company Privilege
Research and Development Skills
National or Regional Headquarters
08
07
Gambling License Fee
Mississippi Revenue Bond Service
Financial Institution Jobs
10
14
Export Port Charges
Reforestation
Ad Valorem Inventory
Employer Child / Dependent Care
CREDIT
CODE
25
Import Credit
Child Adoption
Manufacturer's Investment Tax Credit
Historic Structure Rehabilitation (Attach Statement)
Alternative Energy Jobs
Long Term Care
New Markets
Check if requesting refund in lieu of 10-year carryforward
Biomass Energy Investment
05
Broadband Technology
22 Airport Cargo Charges
31 Prekindergarten Credit
32 Headquarters Relocation Credit
Bank Share
35
Land Donation 18
09 Basic Skills Training or Retraining (Repealed July 1, 2016)
Charitable Contribution Credit34
50
Foster Care Charitable Credit
4 If code 34, 35 or 36 is selected, enter name of charitable organization here
(attach statement if needed)
21 Brownfield Credit
Endowment Fund Charitable Credit37
36 Business Contributions to Eligible Charitable Organizations
Inland Water Transportation38