Vermont Department of Taxes 

             Schedule BA-404                                                          *234041100*

 Vermont Tax Credits Earned, Applied,                                                 *234041100*
                                                                                                                            Page 5
      Expired, and Carried Forward
                                                                                          Include with Form CO-411 
PRINT in BLUE or BLACK INK                                                                                or Form BI-471 
                                                                                                          or Form BI-476
Enter all amounts in whole dollars.
      Entity Name (same as on Form CO-411, Form BI-471, or Form BI-476)     Fiscal Year Ending (YYYYMMDD) FEIN

                                   (A)                                  (B)           (C)                 (D)
                               Amount Carried                           Amount Earned Amount Applied      Amount Carried 
                                   Forward                              Current Year  Current Year        Forward to Future 
                               from Prior Years                                                           Years

  1.  Research and Development 
      (32 V.S.A. § 5930ii)
                                                                                                                            FORM  (Place at FIRST page)
  2.  Charitable Housing                                                                                                    Form pages 
      (32 V.S.A. § 5830c)

  3.  Affordable Housing  
      (32 V.S.A. § 5930u)

  4.  Qualified Sale of Mobile                                                                                              5 - 5
      Home Park  
      (32 V.S.A. § 5828)
  5.  Vermont Entrepreneurs’ 
      Seed Capital Fund  
      (32 V.S.A. § 5830b)

  6.  Code Improvement  
      (32 V.S.A. § 5930cc(c))

  7.  Historic Rehabilitation  
      (32 V.S.A. § 5930cc(a))

  8.  Facade Improvement  
      (32 V.S.A. § 5930cc(b))

  9.  Investment Tax Credit - 
      Solar Energy  
      (32 V.S.A. § 5822(d))
  10. Investment Tax Credit - 
      Other  
      (32 V.S.A. § 5822(d))
                                                                                                                            FORM  (Place at LAST page)
  11.  TOTAL FOR ALL                                                                                                        Form pages 
      CREDITS (ADD 
      Lines 1 through 10)

                                                                                                                            5 - 5

                                                                                                          Schedule BA-404
                                                                                                          Page 1 of 1
5454                                                                                                      Rev. 10/23