Form 83-124-22-8-1-000 (Rev. 04/22)                                              Reset Form
                                                             Mississippi 
                                                                                 Print FormPage 1
                                               Direct Accounting Income Statement
    831242281000                                              2022

FEIN

Producers of mineral or natural resource products should complete lines 1 through 31.  Multistate construction contractors complete lines 32 through 46.

   INCOME                                                                        (ROUND TO THE NEAREST DOLLAR)

1     Gross receipts or sales                                     .00

       Less:  returns and allowances                              .00       1                    .00

2     Cost of goods sold and/or operations (attach schedule)                2                    .00

3     Gross profit (line 1 minus line 2)                                    3                    .00

4     Dividends (attach schedule)                                           4                    .00

5     Interest                                                              5                    .00

6     Gross rents                                                           6                    .00

7     Gross royalties                                                       7                    .00

8     Allocable capital gain (attach schedule)                              8                    .00

9     Allocable net gain (loss) (attach schedule)                           9                    .00

10   Other income (loss) (attach schedule)                                  10                   .00

11   Total income (add line 3 through line 10)                              11                   .00

DEDUCTIONS

12   Compensation of officers                                               12                   .00

13   Salaries and wages                                                     13                   .00

14   Repairs                                                                14                   .00

15   Bad debts                                                              15                   .00

16   Rents                                                                  16                   .00

17   Taxes (attach schedule)                                                17                   .00

18   Interest                                                               18                   .00

19   Contributions                                                          19                   .00

20a   Total depreciation                 20a                             .00

20b   Depreciation claimed on return     20b                             .00

21   Depreciation balance claimed (line 20a minus 20b)                      21                   .00

Form 83-124-22-8-2-000 (Rev. 04/22)

                                                                     Mississippi              Page 2
                                                Direct Accounting Income Statement
     831242282000                                                    2022

FEIN

22   Depletion                                                                             22       .00

23   Advertising                                                                           23       .00

24   Pension, profit-sharing, plans, etc.                                                  24       .00

25   Employee benefit programs                                                             25       .00

26   Other deductions (attach schedule)                                                    26       .00

27   Total deductions (add line 12 through line 19 and line 21 through line 26)            27       .00

  NET INCOME

28   Net direct income (loss) (line 11 minus line 27)                                      28       .00

29   Non-allocable business income (loss) (including ordinary/capital gains apportioned  
       to Mississippi using a sales to sales ratio; attach schedule)                       29       .00

30   Non-allocable general and administrative expenses (apportioned to Mississippi using  
       a sales to sales ratio; attach schedule)                                            30       .00

31   Net income (loss) (line 28 plus line 29 minus line 30; enter on Form 83-122, line 23) 31       .00

   GROSS PROFIT

Only multistate construction contractors complete lines 32 through 46 

32   Gross receipts or gross sales from jobs in Mississippi                                32       .00

33   Adjustments (attach schedule)                                                         33       .00

34   Direct cost from jobs in Mississippi                                                  34       .00

35   Mississippi gross profit  (line 32 plus line 33 minus line 34)                        35       .00

  ADD:  NON-ALLOCABLE BUSINESS INCOME

36   Total company non-allocable business income (attach schedule)                         36       .00

37   Total Mississippi sales (line 32 plus other Mississippi business income)              37       .00

38   Total company sales (total sales from jobs and other business income)                 38       .00

39   Ratio (divide line 37 by line 38)                                                     39 .     %

40   Mississippi non-allocable business income (multiply line 36 by line 39)               40       .00

Form 83-124-22-8-3-000 (Rev. 04/22)

                                       Mississippi                                                  Page 3
                                       Direct Accounting Income Statement
     831242283000                       2022

FEIN

  DEDUCT:  NON-ALLOCABLE GENERAL AND ADMINISTRATIVE EXPENSES

41   Total company non-allocable general and administrative expenses (attach schedule)           41       .00

42   Mississippi direct cost                                                                     42       .00

43   Total company direct cost                                                                   43       .00

44   Ratio (divide line 42 by line 43)                                                           44 .     %

45   Mississippi non-allocable general and administrative expenses (multiply line 41 by line 44) 45       .00

46   Net income (loss) (line 35 plus line 40 minus line 45; enter on Form 83-122, line 23)       46       .00