Enlarge image | Form 81-110-22-3-1-000 (Rev. 04/23) 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 0404 Mississippi 0404 Amended 0505 Fiduciary Income Tax Return X 0505 0606 811102231000 0606 (For Estates and Trusts) 0707 0707 2022 0808 Tax Year Beginning 99 99 9999 Tax Year Ending 99 99 9999 0808 0909 0909 1010 1010 1111 Date entity created Date of decedent's death Entity FEIN 999999999 1111 1212 Decedent / Debtor SSN 999999999 1212 1313 99 99 9999 99 99 9999 1313 1414 Check All That Apply Type of Entity 1414 1515 Name of Estate or Trust 1515 1616X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X X Initial Return X Decedent's Estate 1616 1717 Name and Title of Fiduciary X Short Period Return X Bankruptcy Estate-Ch. 7 1717 1818X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X X Final Return X Bankruptcy Estate-Ch. 11 1818 1919 Mailing Address Simple Trust 1919 X 2020X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X Date of confirmation X Complex Trust 2020 2121 City State Zip County Code Grantor Type Trust 2121 99 99 9999 X 2222XXXXXXXXXXXXXXXXXXXXX XX 99999 99 X Qualified Disability Trust 2222 2323 Date of closure X ESBT (S Portion Only) 2323 Number of Mississippi K-1 2424 schedules attached 999 99 99 9999 X Pooled Income Fund 2424 2525 2525 2626 MISSISSIPPI INCOME TAX 2626 2727 2727 28281 Mississippi taxable income (loss) (from page 2, line 26) 1 9999999999 2828 2929 2 Total income tax due (see instructions) 2 9999999999 2929 30303 Credit from tax paid to another state (from Form 80-160, line 14; attach other state return) 3 9999999999 3030 31314 Credit for tax paid on an electing Pass-Through Entity Tax Return (from Form 80-161, line 7) 4 9999999999 3131 3232 5 Other credits (attach Form 80-401) 5 9999999999 3232 3333 6 Net income tax due (line 2 minus line 3, line 4 and line 5) 6 9999999999 3333 3434 3434 3535 PAYMENTS 3535 3636 3636 37377 Mississippi income tax withheld (complete Form 80-107) 7 9999999999 3737 3838 8 Estimated tax payments, extension payments and/or amount paid on original return 8 9999999999 3838 39399 Refund received and/or amount carried forward from original return (amended return only) 9 3939 9999999999 404010 Total payments (line 7 plus line 8 minus line 9) 10 4040 9999999999 4141 REFUND OR BALANCE DUE 4141 4242 4242 4343 11 Enter amount of overpayment (if line 10 is more than line 6, subtract line 6 from line 10 and add 4343 4444 amount from Form 80-161, line 8) 11 9999999999 4444 454512 Overpayment to be applied to next year estimate tax account 12 9999999999 4545 464613 Overpayment refund (line 11 minus line 12) REFUND 13 9999999999 4646 474714 Balance due (if line 6 is more than line 10, subtract line 10 from line 6) BALANCE DUE 14 9999999999 4747 484815 Interest and penalty (see instructions) 15 9999999999 4848 494916 Total due (line 14 plus line 15) AMOUNT YOU OWE 16 9999999999 4949 5050 5050 5151 This return may be discussed with the preparer X Yes X No 5151 5252 5252 5353I declare, under penalties of perjury, that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, 5353 5454this is a true, correct and complete return. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. 5454 5555 999999999 5555 5656 Signature of Fiduciary or Officer Representing Fiduciary Date Phone Number FEIN of Fiduciary 5656 5757 X99999999 5757 5858 Paid Preparer Signature Date Paid Preparer Phone Number Paid Preparer PTIN 5858 5959 5959 6060 Paid Preparer Address City State Zip Code 6060 6161 Mail REFUND To: Department of Revenue, P.O. Box 23058, Jackson, MS 39225-3058 6161 6262 Mail All Other Returns To: Department of Revenue, P.O. Box 23050, Jackson, MS 39225-3050 6262 6363 Duplex and Photocopies are NOT Acceptable 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 |
Enlarge image | Form 81-110-22-3-2-000 (Rev. 04/23) 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 0404 Mississippi 0404 0505 Fiduciary Net Taxable Income Schedule Page 2 0505 0606 811102232000 2022 0606 0707 0707 0808 0808 0909 Entity FEIN 999999999 0909 1010 1010 1111 COMPUTATION OF TAXABLE INCOME 1111 1212 1212 131317 Federal adjusted total income (loss) from federal Form 1041 line 17 17 9999999999 1313 1414 1414 1515 ADDITIONS 1515 1616 1616 171718 a State, local and foreign government taxes based on income 18a 9999999999 1717 1818 b Depletion in excess of cost basis 18b 9999999999 1818 1919 c Interest on obligations of other states or political subdivisions 18c 9999999999 1919 2020 d Expenses applicable to earning interest on U.S. Government obligations (see instructions) 18d 9999999999 2020 2121 e Itemized deductions claimed on federal Form 1041 (add if claimed standard deduction on 2121 2222 line 21e) 18e 9999999999 2222 2323 f Mississippi source QSST income 18f 9999999999 2323 2424 g Other additions (itemize each item) 18g 9999999999 2424 2525 h 18h 9999999999 2525 2626 i 18i 9999999999 2626 2727 2727 282819 Total additions (add lines 18a through line 18i) 19 9999999999 2828 2929 2929 303020 Total income (line 17 plus line 19) 20 9999999999 3030 3131 3131 3232 DEDUCTIONS 3232 3333 3333 343421 a Interest on U.S. government obligations 21a 9999999999 3434 3535 b Wages reduced by federal employment tax credits 21b 9999999999 3535 3636 c Miss. Code Ann. 27-7-9(f)(10) included in line 4, page 1, federal Form 1041 (see instructions)S S 21c 9999999999 3636 3737 d Expenses applicable to earning interest income on line 18c above (see instructions) 21d 9999999999 3737 3838 e Standard deduction (see line 18e above if standard deduction is claimed) 21e 9999999999 3838 3939 f Non-Mississippi income (net of expenses) (non-resident fiduciary returns only) 21f 9999999999 3939 4040 g Other deductions (itemize each item) 21g 9999999999 4040 4141 h 21h 9999999999 4141 4242 i 21i 9999999999 4242 4343 4343 444422 Total deductions (add lines 21a through 21i) 22 9999999999 4444 4545 4545 4646 TAXABLE INCOME 4646 4747 4747 484823 Adjusted net income (loss) for Mississippi purposes (line 20 minus line 22) 23 9999999999 4848 4949 4949 505024 Amount allocated to beneficiaries (attach Schedule K, Form 81-131) 24 9999999999 5050 5151 5151 525225 Exemption (see instructions) 25 9999999999 5252 5353 5353 545426 Taxable income (loss) for Mississippi purposes (line 23 minus line 24 and line 25; enter here 26 9999999999 5454 5555 and on page 1, line 1) 5555 5656 5656 5757 5757 5858 5858 5959 5959 6060 6060 6161 6161 6262 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 |