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   Form 83-110-22-3-1-000 (Rev. 04/22)06 07 08 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
04                                                                                                                                                                                                                                                                    04
                                                                     Mississippi
05                                                                                                                                                                                                                                                                    05
06                                            Corporate Franchise Tax Schedule                                                                                                                                                                                        06
07     831102231000                                                 2022                                                                                                                                                                                              07

08FEIN 999999999                                                                                                                                                                                                                                                      08
09                                                                                                                                                                                                                                                                    09
10   CAPITAL BASE                                                                                      (ROUND TO THE NEAREST DOLLAR)                                                                                                                                  10
11                                                                                                                                                                                                                                                                    11
121     Capital stock                                                                              1   9999999999                                                                                                                                                     12
13                                                                                                                                                                                                                                                                    13
142     Paid in capital                                                                            2   9999999999                                                                                                                                                     14
15                                                                                                                                                                                                                                                                    15
163     Surplus and retained earnings                                                              3   9999999999                                                                                                                                                     16
17                                                                                                                                                                                                                                                                    17
184     Loans from shareholders or affiliates                                                      4   9999999999                                                                                                                                                     18
19                                                                                                                                                                                                                                                                    19
205     Deferred taxes, contingent liabilities, all true reserves,                                 5   9999999999                                                                                                                                                     20
21       and other elements (attach schedule)                                                                                                                                                                                                                         21
226     Less treasury stock                                                                        6   99999999999                                                                                                                                                    22
23                                                                                                                                                                                                                                                                    23
247     Holding company exclusion (attach schedule)                                                7   99999999999                                                                                                                                                    24
25                                                                                                                                                                                                                                                                    25
268     Total capital base (add line 1 through line 7)                                             8   99999999999                                                                                                                                                    26
27                                                                                                                                                                                                                                                                    27
28   APPORTIONMENT RATIO                                            A   MISSISSIPPI                     B   EVERYWHERE                                                                                                                                                28
29                                                                                                                                                                                                                                                                    29
30 9    Real and tangible personal property   9A                    9999999999                     9B  9999999999                                                                                                                                                     30
31       owned at year end (net book value)                                                                                                                                                                                                                           31
3210   Gross receipts                         10A                   9999999999                     10B 9999999999                                                                                                                                                     32
33                                                                                                                                                                                                                                                                    33
3411   Total (line 9 plus line 10)            11A                   9999999999                     11B 9999999999                                                                                                                                                     34
35                                                                                                                                                                                                                                                                    35
3612   Mississippi ratio (line 11A divided by line 11B)                                            12  999.9999                                                                                                                                                       36
37                                                                                                                                                                                                                                                                    37
3813   Taxable capital apportioned to Mississippi (line 8 multiplied by line 12.                   13  99999999999                                                                                                                                                    38
39       If 100% Mississippi, enter amount from line 8)                                                                                                                                                                                                               39
40                                                                                                                                                                                                                                                                    40
41   ASSESSED VALUE OF MISSISSIPPI PROPERTY                                                                                                                                                                                                                           41
42                                                                  Mississippi Assessed Value of      Mississippi Assessed Value of                                                                                                                                  42
       Mississippi County
43                                                                    Real Property                       Personal Property                                                                                                                                           43
44 XXXXXXXXXXXXXXXXXXXXXXX                                                          9999999999         9999999999                                                                                                                                                     44
45 XXXXXXXXXXXXXXXXXXXXXXX                                                          9999999999         9999999999                                                                                                                                                     45
46 XXXXXXXXXXXXXXXXXXXXXXX                                                          9999999999         9999999999                                                                                                                                                     46
47 XXXXXXXXXXXXXXXXXXXXXXX                                                          9999999999         9999999999                                                                                                                                                     47
48                                                                                                                                                                                                                                                                    48
49 TAXABLE CAPITAL                                                                                                                                                                                                                                                    49
50                                                                                                                                                                                                                                                                    50
5114   Total assessed value of Mississippi property (attach additional schedule if needed)         14  9999999999                                                                                                                                                     51
52                                                                                                                                                                                                                                                                    52
5315   Taxable capital (enter the larger of line 13 or line 14)                                    15  99999999999                                                                                                                                                    53
54                                                                                                                                                                                                                                                                    54
5516   Prorate (except for initial return; if period is less than twelve months, multiply line 15  16  99999999999                                                                                                                                                    55
56       by the number of months covered by the return and divide by twelve)                                                                                                                                                                                          56
                                                                                                   17 
5717   Capital exemption (attach schedule)                                                             99999999999                                                                                                                                                    57
58                                                                                                                                                                                                                                                                    58
5918   Final taxable capital (line 15 or line 16 minus line 17.  Round amount up to the next       18  99999999999                                                                                                                                                    59
         highest $1,000 and enter amount on Form 83-105, line 1.  If negative, enter zero on Form  
60 83-105, line 1)                                                                                                                                                                                                                                                    60
61                                                                                                                                                                                                                                                                    61
62                                                                                                                                                                                                                                                                    62
63                                                                                                                                                                                                                                                                    63
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