Form 84-401 Fillable Tax Credit Summary Schedule
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(*Carryover Not Available) (B+C+D E F) (checkbox) Unchecked (County Code) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) * 12 Financial Institution Jobs 28 New Markets *11 Gambling License Fee * 27 Long Term Care *CREDIT 02* Premium Retaliatory 18 Land Donation 03* Finance Company Privilege 19 Broadband Technology 04* Advanced Technology / Enterprise Zone 21 Brownfield Credit 05 Jobs Tax 22 Airport Cargo Charges 06 National or Regional Headquarters 23 Manufacturer's Investment Tax Credit 07 Research and Development Skills 24 Alternative Energy Jobs 08 Employer Child / Dependent Care 25 Child Adoption 09 Basic Skills Training or Retraining 26 Historic Structure Rehabilitation (Attach Statement) 10 Reforestation Check if requesting refund in lieu of 10 year carryforward 13 Mississippi Revenue Bond Service 29 Biomass Energy Investment 14 Ad Valorem Inventory 30 Wildlife Land Use 15Export Port Charges 31 Prekindergarten Credit 16 Insurance Guaranty 32 Headquarters Relocation Credit 17 Import Credit * 50 Bank Share 3 Total income tax credit used this year (composite only; total column E); enter 844011481000 A B C D E F G AVAILABLE CARRYOVER CARRYOVER CODE CREDIT CODE CREDIT CODE CREDIT CREDIT CREDIT CREDIT RECEIVED CREDIT USED EARNED EXPIRED THIS FOR NEXT YEAR Form 84 401 14 8 1 000 (Rev 05/14) FROM PASS FROM PRIOR Mississippi on Form 84 105 page 1 line 7; if more than three income tax credits taken page 1 line 3) PART I: FRANCHISE TAX CREDITS (CODES 16 19 AND 50) PART II: INCOME TAX CREDITS see instructions Form 84 100) TAX CREDIT CODES Tax Credit Summary Schedule THIS YEAR THROUGH ENTITY Total franchise tax credit available for next year (total amounts in column G) 2 Total franchise tax credit used this year (total column E; enter on Form 84 105 1 Total income tax credit available for next year (total amounts in column G)