Registration Application Forms And Instructions - Mississippi (Page 2 of 2) in pdf

Mississippi Registration Application Forms and Instructions, p. 2

Meridian District Service Office

Section E: Withholding Tax

Clarke, Jasper, Kemper,

P.O. Box 5794

23. Date Mississippi Taxable Wages First Paid

Lauderdale, Leake,

Meridian, MS 39302

Neshoba, Newton,

Enter the date Mississippi taxable wages were first paid to employees.

Noxubee, Scott, Smith,

900 Highway 19 South Meridian, MS 39301

24. Estimated Monthly Liability

Wayne and Winston

Ph: (601) 483-2273 Fax:(601) 693-2473

Enter the amount of estimated monthly withholding tax liability that you

Senatobia District Service Office

Benton, Coahoma,

anticipate. This is the amount that employers are required to deduct and

P.O. Box 127

DeSoto, Lafayette,

withhold, regardless of whether the amounts were in fact deducted or

Senatobia, MS 38668

Marshall, Panola,

withheld.

Quitman, Tate, Tunica,

25. Number of Mississippi Employees

Yalobusha, and the

2778 HWY 51 South

following cities in

Enter the number of employees from which you withhold Mississippi

Ph: (662) 562-4489 Fax: (662) 562-7392

Tennessee: Memphis

taxes.

Collierville, Germantown,

26. Employee Leasing Company

Bartlett, Arlington and

Place an “X” in the appropriate box to indicate whether or not your

Millington.

company is in the business of leasing employees to other companies.

Tupelo District Service Office

Alcorn, Calhoun,

Taxpayers applying for Withholding Tax (Employee Leasing) must give a

P.O. Box 3000

Chickasaw, Clay,

bond in an amount sufficient to cover twice the estimated tax liability for a

Tupelo, MS 38803

Itawamba, Lee, Lowndes,

period of three (3) months. The bond must be filed with the Commissioner

Monroe, Oktibbeha,

2610 Traceland Dr.

prior to beginning business in Mississippi. More information can be obtained

Pontotoc, Prentiss,

Ph: (662) 842-4316 Fax: (662) 842-5041

by contacting your District Service Office.

Tippah, Tishomingo, and

27. Location of Records

Union

Place an “X” in the appropriate box indicating where the records that

Collections Division

Out of State, except for

support the taxpayer’s withholding tax returns will be maintained, either the

P.O. Box 23338

the following cities in TN:

Jackson, MS 39225

headquarters or the physical address listed on the first page. If neither,

Memphis, Collierville,

check “Other” and fill in the space with the other address.

Germantown, Bartlett,

1577 Springridge Rd. Raymond, MS 39154

Arlington and Millington.

Section F: Applicant Signature

Ph: (601) 923-7390 Fax:(601) 923-7334

The Registration Application must be signed and dated by an authorized

individual; that is, one of the following:

REMINDERS

•

A corporate officer, if the taxpayer is a Corporation or S Corporation.

•

A managing partner, if the taxpayer is a Limited Partnership.

Prior to doing business in Mississippi, you should check with the

•

ALL general partners, if the taxpayer is a General Partnership.

Department of Revenue to determine if you need to register for taxes. If you

•

The owner if the taxpayer is a Sole Proprietor.

need to register for taxes other than those that appear on this application,

If you submit a Registration Application without an authorized

please contact the Department of Revenue at the District Service Office in

signature, the application will not be processed and will be

the county where your business is located. You can find the locations and

returned. After you have completed the Registration Application,

the numbers of the offices above.

mail it to the appropriate address listed below.

Before you mail your registration application, check to be sure you do

County of Business &

Mail to:

all the following:

Out of State Location

Department of Revenue

•

Make sure the name and address portion is complete and legible. This

Brookhaven District Service Office

is important in order to send all notices, forms and other

Adams, Amite, Claiborne,

P.O. Box 3999

correspondence to the correct business.

Copiah, Franklin,

Brookhaven, MS 39603-7999

Jefferson, Jefferson

•

Davis, Lawrence, Lincoln,

A Driver’s License or other picture ID will be required, if you are

Pike, Simpson, Walthall,

registering as a sole proprietor and for each partner in a Limited or

1385 Johnny Johnson Dr. 39601

and Wilkinson

Ph: (601) 833-4761 Fax:(601) 833-3096

General Partnership.

Attala, Bolivar, Carroll,

Greenwood District Service Office

•

P.O. Drawer D

Make sure your Social Security Number (SSN) or your Federal

Choctaw

Grenada,

Greenwood, MS 38935

the appropriate place on the application. Employer Identification

Holmes, Humphreys,

Number (FEIN) is correct and is entered in If you have applied for

Issaquena, Leflore,

Montgomery, Sharkey,

an FEIN, please write “applied for” in the appropriate space. Please

117B Grand Bvld.

Sunflower, Tallahatchie,

contact the Department of Revenue with the FEIN when you receive it

Ph: (662) 453-1742 Fax: (662) 453-7981

Washington, Webster

so we can complete your account registration.

and Yazoo

Gulf Coast District Service Office

•

Do not forget to include any additional applications (such as a

Hancock, Harrison, and

1141 Bayview Ave., Ste. 400

Petroleum application, Direct Pay Permit application, etc.) or

Jackson

Biloxi, MS 39530-1601

schedules, if needed.

Ph: (228) 436-0554 Fax: (228) 436-0964

•

Make sure you fully complete the sections for the taxes you are

Hattiesburg District Service Office

Covington, Forrest,

registering. This information is needed to establish your account

P.O. Box 1709

George, Greene, Jones,

Hattiesburg, MS 39403-1709

properly.

Lamar, Marion, Pearl

River, Perry, and Stone

•

17 JM Tatum Industrial Dr, Ste. 2

Sign and date the application. An authorized person must have their

Ph: (601) 545-1261 Fax: (601) 584-4051

signature on the application in order for it to be processed.

Jackson District Service Office

Hinds, Madison, Rankin,

P.O. Box 1033

•

Please allow two to three weeks time to process your application. If

and Warren

Jackson, MS 39215-1033

you have any questions, please contact your District Service Office.

1577 Springridge Rd. Raymond, MS 39154

•

Make a copy of the application for your records.

Ph: (601) 923-7300 Fax:(601) 923-7318

Registration Application Forms And Instructions - Mississippi Page 2

Related Articles

Related forms

Related Categories