Form It-540b - Louisiana Nonresident And Part-Year Resident Income Tax Return - 2011 Page 8

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ATTACH TO RETURN IF COMPLETED.
Enter your Social Security Number.
SCHEDULE F - NR 2011 REFUNDABLE TAX CREDITS
1
Credit for amounts paid by certain military servicemembers for obtaining Louisiana Hunting and Fishing Licenses.
1A
Yourself
Date of Birth (MM/DD/YYYY)
Driver’s License number
State of issue
or State Identifi cation
State of issue
1B
Spouse
Date of Birth (MM/DD/YYYY)
Driver’s License number
State of issue
or State Identifi cation
State of issue
1C
Dependents: List dependent names.
Dependent name
Date of Birth (MM/DD/YYYY)
Dependent name
Date of Birth (MM/DD/YYYY)
Dependent name
Date of Birth (MM/DD/YYYY)
Dependent name
Date of Birth (MM/DD/YYYY)
1D
Enter the total amount of fees paid for Louisiana hunting and fi shing licenses purchased for the listed individuals.
1D
ADDITIONAL REFUNDABLE CREDITS
Enter description and associated code, along with the dollar amount. See instructions beginning on page 19.
Code
Amount of Credit Claimed
Credit Description
2
2
3
3
4
4
5
5
6
6
OTHER REFUNDABLE TAX CREDITS - Add Lines 1D, and 2 through 6. Also, enter this amount
7
7
on Form IT-540B, Line 23.
Description
Code
Description
Code
Description
Code
Description
Code
Wind and Solar Energy
Inventory Tax
50F
Mentor-Protégé
Sugarcane Trailer Conversion
57F
69F
64F
Systems
School Readiness Child Care
Ad Valorem Natural Gas
51F
Milk Producers
Retention and Modernization
58F
70F
65F
Provider
Conversion of Vehicle to
Ad Valorem Offshore Vessels
52F
Technology Commercialization
59F
School Readiness Child Care
71F
Alternative Fuel
66F
Directors and Staff
Telephone Company Property
54F
Historic Residential
60F
Research and Development
72F
School Readiness Business –
67F
Supported Child Care
Prison Industry Enhancement
55F
Angel Investor
Other Refundable Credit
61F
80F
School Readiness Fees and
Grants to Resource and Referral
68F
Musical and Theatrical
Urban Revitalization
56F
62F
Agencies
Productions
SCHEDULE H - NR 2011 MODIFIED FEDERAL INCOME TAX DEDUCTION
1
1
Enter the amount of your federal income tax liability found on Federal Form 1040, Line 55.
2
2
Enter the amount of federal disaster credits allowed by IRS.
Add Line 1 and Line 2. Also, enter this amount on Form IT-540B, Line 10D, and mark the box on Line 10D to indi-
3
3
cate that your income tax deduction has been increased.
6288
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