Fiduciary Income Tax Return (For Estates And Trusts) 2012 printable pdf download

Form 81-110-12-8-1-000 (Rev. 5/12)

Mississippi

Fiduciary Income Tax Return

Page 1

(For Estates and Trusts)

811101281000

2012

Tax Year Ending

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Tax Year Beginning

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Decedent / Debtor SSN

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Estate / Trust FEIN

Name of Estate or Trust

Check All That Apply:

ype of Entity:

2. T

Title of Fiduciary

Initial Return

Simple Trust

Amended Return

Complex Trust

Name of Fiduciary

Final Return

Grantor Trust

Mailing Address

Short Period Return

Bankruptcy Estate

Estate

State

Zip +4

City

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3a. Number of MS K-1 Schedules Attached:

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3b. Date of decedent death or date trust established:

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3c. Enter County Code (See Instructions)

A COMPLETE COPY OF FEDERAL FORM 1041 MUST BE ATTACHED TO THIS RETURN

Round All Amounts to the Nearest Dollar

4. Total Income Tax Due (See Instructions Form 80-100 for Tax Computation Table)

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5. Other Credits (See Instructions Form 80-100) Must Attach Form 80-401

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6. Net Income Tax Due (Line 4 minus Line 5)

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7. Overpayments From Prior Year, Estimated Tax Payments, & Amount Paid With Extension.

8. Enter Amount of Overpayment (If Line 7 is Larger than Line 6)

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9. Overpayment (Line 8) to be Applied to next year Estimate Tax Account

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10. Overpayment (Line 8 minus 9) to be REFUNDED

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11. Balance Due (Line 6 minus Line7)

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12. Interest and Penalty (See Instructions)

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13.

Total Due (Line 11 plus Line 12

)

Yes

This Return may be discussed with the preparer.

I 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,

this is a true, correct and complete return. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

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Date

Phone Number

Signature of Fiduciary or Officer Representing Fiduciary

Paid Preparer PTIN

FEIN of Fiduciary

Paid Preparer Phone Number

Date

Paid Preparer Signature

Paid Preparer Address

City

State