Form 84-401-23-3-1-000 (Rev. 12/23)0606 0707 008 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 808 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
0404 Mississippi 0404
0505 0505
Tax Credit Summary Schedule
0606 844012331000 0606
0707 2023 0707
0808FEIN 999999999 (*Carryover Not Available) 0808
0909 TAX CREDIT CODES 0909
1010 CODE CREDIT CODE CREDIT 1010
1111 02 Premium Retaliatory 26 Historic Structure Rehabilitation (Attach Statement) 1111
1212 03 Finance Company Privilege 27 Long Term Care 1212
1313 05 Jobs Tax 28 New Markets 1313
1414 06 National or Regional Headquarters 29 Biomass Energy Investment 1414
1515 07 Research and Development Skills 30 Wildlife Land Use 1515
1616 08 Employer Child / Dependent Care 31 Prekindergarten Credit 1616
1717 10 Reforestation 32 Headquarters Relocation Credit 1717
1818 11 Gambling License Fee 34 Qualifying Charitable Contribution Credit Approved by DOR 1818
1919 12 Financial Institution Jobs 35 Qualifying Foster Care Charitable Credit Approved by DOR 1919
2020 13 Mississippi Revenue Bond Service 36 Business Contributions to Eligible Charitable Organizations 2020
2121 14 Ad Valorem Inventory 37 Endowment Fund Charitable Credit 2121
2222 15 Export Port Charges 38 Inland Water Transportation 2222
2323 16 Insurance Guaranty 39 Pregnancy Resource Charitable Contribution Credit 2323
2424 17 Import Credit 40 Railroad Infrastructure Tax Credit 2424
2525 18 Land Donation 41 Blood Donation 2525
2626 19 Broadband Technology 42 Transitional Home Charitable Contribution Credit 2626
2727 21 Brownfield Credit 43 Low-Income Health Care Services Charitable Contribution Credit 2727
2828 22 Airport Cargo Charges 44 Dependent Care Credit 2828
2929 23 Manufacturing Investment Tax Credit 45 Food Bank Charitable Contribution Credit 2929
3030 24 Alternative Energy Jobs 50 Bank Share 3030
3131 25 Child Adoption 3131
3232 3232
3333 PART I: FRANCHISE TAX CREDITS (CODES 16, 19 AND 50) 3333
3434 A B C D E F G 3434
3535 CODE CREDIT CREDIT RECEIVED *CREDIT CREDIT USED CREDIT CREDIT 3535
3636 EARNED FROM PASS- CARRYOVER THIS YEAR EXPIRED THIS CARRYOVER 3636
THIS THROUGH ENTITY FROM PRIOR YEAR AVAILABLE
3737 YEAR YEAR FOR NEXT YEAR 3737
3838 (B+C+D-E-F) 3838
3939 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 3939
4040 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 4040
4141 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 4141
4242 4242
43431 Total franchise tax credit used this year (total column E; enter on Form 84-105, page 1, line 3) 1 9999999999 4343
4444 4444
45452 Total franchise tax credit available for next year (total amounts in column G) 2 9999999999 4545
4646 4646
4747 PART II: INCOME TAX CREDITS 4747
4848 A B C D E F G 4848
4949 CODE CREDIT CREDIT RECEIVED *CREDIT CREDIT USED CREDIT CREDIT 4949
5050 EARNED FROM PASS- CARRYOVER THIS YEAR EXPIRED THIS CARRYOVER 5050
THIS THROUGH ENTITY FROM PRIOR YEAR AVAILABLE
5151 YEAR YEAR FOR NEXT YEAR 5151
5252 (B+C+D-E-F) 5252
5353 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 5353
5454 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 5454
5555 99 9999999999 9999999999 9999999999 9999999999 9999999999 9999999999 5555
5656 5656
57573 Total income tax credit used this year (enter total amount of credit from column E used by and passed 3 5757
through to all partners; composite and electing pass-through entities enter total amount on Form 84-105, 9999999999
5858 page 1, line 7; if more than three income tax credits are taken, see instructions, Form 84-100) 5858
59594 Total income tax credit available for next year (total amounts in column G) 4 9999999999 5959
6060 6060
61615 If code 36, 39, 42, 43, or 45 is selected, enter the name of charitable X9X9X9X9X9X9X9X9X9X9X 6161
organization (attach statement if needed)
6262 X9X9X9X9X9X9X9X9X9X9X 6262
6363 6363
0606 0707 08009 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 808 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80