Form 80-401-22-8-1-000 (Rev. 10/22)
                                                                                                                        Reset Form
                                                       Mississippi
                                             Tax Credit Summary Schedule                                                Print Form
          804012281000
                                                                       2022
                                                                                                                    (* Carryover Not Available)
 SSN

FEIN 

                                                       TAX CREDIT CODES
CODE                                 CREDIT                            CODE                                CREDIT
02        Premium Retaliatory                                                    24 Alternative Energy Jobs
03        Finance Company Privilege                                              25 Child Adoption
05        Jobs Tax                                                               26 Historic Structure Rehabilitation (Attach Statement)
06        National or Regional Headquarters                                      27 Long Term Care
07        Research and Development Skills                                        28 New Markets
08        Employer Child / Dependent Care                                        29 Biomass Energy Investment
10        Reforestation                                                          30 Wildlife Land Use
11        Gambling License Fee                                                   31 Prekindergarten Credit
12        Financial Institution Jobs                                             32 Headquarters Relocation Credit
13        Mississippi Revenue Bond Service                                       34 Qualifying Charitable Contribution Credit Approved by DOR
14        Ad Valorem Inventory                                                   35 Qualifying Foster Care Charitable Credit Approved by DOR
15        Export Port Charges                                                    36 Business Contributions to Eligible Charitable Organizations
16        Insurance Guaranty                                                     37 Endowment Fund Charitable Credit
17        Import Credit                                                          38 Inland Water Transportation
18        Land Donation                                                          39 Pregnancy Resource Charitable Contribution Credit
19        Broadband Technology                                                   40 Railroad Infrastructure Tax Credit
21           Brownfield Credit                                                   41 Blood Donation
22        Airport Cargo Charges                                                  50 Bank Share
23        Manufacturing Investment Tax Credit

INCOME TAX CREDITS
        A    B                        C                D                                      E             F                 G   
                                                                                                                          CREDIT 
CODE      CREDIT                   CREDIT RECEIVED     CREDIT                       CREDIT USED            CREDIT EXPIRED CARRYOVER 
          EARNED THIS                FROM              CARRYOVER                    THIS YEAR              THIS YEAR      AVAILABLE  
           YEAR                    PASS-THROUGH        FROM PRIOR                                                         FOR NEXT 
                                     ENTITY            YEAR                                                               YEAR  
                                                                                                                          (B+C+D-E-F)

1     Total income tax credit used this year (total column E; enter on Form 80-105, line 20                1.00
       or Form 80-205, line 22)

2     Total income tax credit available for next year (total column G)                                     2.00

3     If code 25 is selected, enter adoptee SSN(s) here

4     If code 34, 35, 36 or 39 is selected, enter name of charitable organization
       (attach statement if needed)

                                                       Duplex and Photocopies NOT Acceptable