Form Schedule BA-404 Fillable Tax Credits Earned, Applied, Expired, And Carried Forward
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

1 Total EATI Credits 10 Wood Products Manufacture 5930y 11 Historic Rehabilitation 5930cc(a) 12 Facade Improvement 5930cc(b) 13 Code Improvement 5930cc(c) 15 TOTAL FOR ALL CREDITS (Add Lines 1 14) 2 Charitable Housing 5830c 3 Research and Development 5930ii 4 Machinery and Equipment 5930ll 5 Affordable Housing 5930u 6 2011 Federally Declared Disaster 5930bb(d) 7 Recently Deployed Veteran 5930nn 8 Vermont Entrepreneur s Seed Capital Fund 5830b 9 Qualified Sale of Mobile Home Park 5828 *144041100* 14 Business Solar Energy 5930z Amount Applied Amount Carried Forward Amount Earned BA 404 Business Name Federal ID Number Current Year Enter all amounts in whole dollars EXPIRED AND CARRIED FORWARD from Prior Years NOT AVAILABLE NOT AVAILABLE NOT AVAILABLE Phone: (802) 828 5723 PLEASE PRINT CLEARLY in BLUE or BLACK INK ONLY Rev 10/14 Schedule BA 404 TAX CREDITS EARNED APPLIED to Future Years Vermont Department of Taxes 133 State Street Montpelier VT 05633 1401 VT Schedule