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Form 83-115-22-8-1-000 (Rev. 06/22) Reset Form
Mississippi Print Form
MS8453-C Corporate Income Declaration for Electronic Filing
2022
Tax Year Beginning Tax Year Ending
mm dd yyyy DO NOT MAIL THIS DOCUMENT mm dd yyyy
FEIN TO THE DEPARTMENT OF REVENUE
Legal Name and DBA
Address City State Zip +4 County Code
PART I: TAX RETURN INFORMATION (ROUND TO THE NEAREST DOLLAR)
1 Mississippi taxable income (Form 83-105, line 5) 1 .00
2 Total income tax (Form 83-105, line 6) 2 .00
3 Total credits and payments (Form 83-105, line 8 and line 13) 3 .00
4 Amount you owe (Form 83-105, line 19) 4 .00
5 Overpayment (Form 83-105, line 20) 5 .00
6 Refund (Form 83-105, line 22) 6 .00
7 Amount of payment remitted electronically 7 .00
* If the corporation is filing a balance due return and the Department of Revenue does not receive full and timely payment of its tax liability,
the corporation will be liable for the tax liability and all applicable interest and penalties.
PART II: DECLARATION OF OFFICER
Under the penalties of perjury, I declare that I am an officer of the above corporation and that the information I have given my electronic return originator (ERO), transmitter,
and/or intermediate service provider (ISP) and the amounts in Part I above agree with the amounts on the corresponding lines of the corporation's Mississippi Corporate
Income and Franchise Tax Return. To the best of my knowledge and belief, the corporation's return is true, correct and complete. I consent to my ERO, transmitter, and/or ISP
sending the corporation's return, this declaration, and accompanying schedules and statements to the Department of Revenue (DOR). I also consent to the DOR my ERO,
transmitter, and/or ISP an acknowledgement of receipt of transmission and an indication of whether or not the corporation's return is accepted, and, if rejected, the reason(s)
for the rejection. This declaration is to be maintained by the ERO and provided to DOR on request.
Sign Signature of Officer Date Title
Here
PART lll: DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER
I declare that I have reviewed the above corporation's return and that the entries on Form MS8453-C are complete and correct to the best of my knowledge. If I am only a
collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The corporate officer will have signed this form
before I submit the return. I will give the officer a copy of all forms and information to be filed with the Department of Revenue (DOR), and have followed all other requirements
in Pub. 3112, IRS e-file Application and Participation and Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers. If I am also the Paid Preparer,
under penalties of perjury, I declare that I have examined the above corporation's return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. This Paid Preparer declaration is based on all information of which I have any knowledge.
ERO ERO Signature Date Check if Also Check if Self- ERO SSN or PTIN
Use Paid Preparer Employed
Only
Firm Name (or yours if EIN
self-employed), address
and ZIP code
Phone No.
Under penalties of perjury, I declare that I have examined the above taxpayer's return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. This declaration is based on all information of which I have any knowledge.
Paid Preparer Signature Date Check if Also Check if Self- Preparer SSN or PTIN
Paid Preparer Employed
Preparer
Use Only Firm Name (or yours if EIN
self-employed), address
and ZIP code
Phone No.
DO NOT Mail this Document to the Mississippi Department of Revenue