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4 Vermont Department of Taxes 4
5 5
6 Schedule BA-404 *234041100* 6
7 7
Vermont Tax Credits Earned, Applied, *234041100*
8 8 Page 5
9 Expired, and Carried Forward 9
10 Include with Form CO-411 10
11 PRINT in BLUE or BLACK INK or Form BI-471 11
12 or Form BI-476 12
Enter all amounts in whole dollars.
13 13
14 Entity Name (same as on Form CO-411, Form BI-471, or Form BI-476) Fiscal Year Ending (YYYYMMDD) FEIN 14
15 15
12345678901234567890123456789012(36) 20231231 123456789
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17 17
18 18
(A) (B) (C) (D)
19 Amount Carried Amount Earned Amount Applied Amount Carried 19
20 Forward Current Year Current Year Forward to Future 20
21 from Prior Years Years 21
22 22
23 1. Research and Development 23
24 (32 V.S.A. § 5930ii) 123456789012 123456789012 123456789012 123456789012 24
25 25 FORM (Place at FIRST page)
26 2. Charitable Housing 26 Form pages
27 (32 V.S.A. § 5830c) 123456789012 123456789012 123456789012 123456789012 27
28 28
29 3. Affordable Housing 29
30 (32 V.S.A. § 5930u) 123456789012 123456789012 123456789012 123456789012 30
31 31
5 - 5
32 4. Qualified Sale of Mobile 32
33 Home Park 33
(32 V.S.A. § 5828) 123456789012 123456789012 123456789012 123456789012
34 34
35 5. Vermont Entrepreneurs’ 35
36 Seed Capital Fund 36
(32 V.S.A. § 5830b) 123456789012 123456789012 123456789012 123456789012
37 37
38 6. Code Improvement 38
39 (32 V.S.A. § 5930cc(c)) 123456789012 123456789012 123456789012 123456789012 39
40 40
41 7. Historic Rehabilitation 41
42 (32 V.S.A. § 5930cc(a)) 123456789012 123456789012 123456789012 123456789012 42
43 43
44 8. Facade Improvement 44
45 (32 V.S.A. § 5930cc(b)) 123456789012 123456789012 123456789012 123456789012 45
46 46
47 9. Investment Tax Credit - 47
48 Solar Energy 48
(32 V.S.A. § 5822(d)) 123456789012 123456789012 123456789012 123456789012
49 49
50 10. Investment Tax Credit - 50
51 Other 51
(32 V.S.A. § 5822(d)) 123456789012 123456789012 123456789012 123456789012
52 52 FORM (Place at LAST page)
53 11. TOTAL FOR ALL 53 Form pages
54 CREDITS (ADD 54
Lines 1 through 10) 123456789012 123456789012 123456789012 123456789012
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61 61
Schedule BA-404
62 Page 1 of 1 62
63 5454 Rev. 10/23 63
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