Form 85-105-05-8-1-000 - Mississippi S-Corporation Income And Franchise Tax Return - 2005 Page 2

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Form 85-105-05-8-2-000 (Rev. 07/05)
Mississippi
S-Corporation Income and Franchise Tax Return
Page 2
2005
Corporate Information
1. DBA
2. County locations in Mississippi.
3. Principal business activity in Mississippi.
4. Principal business activity everywhere.
5. Principal product or service in Mississippi.
6. Principal product or service everywhere.
7. Contact person for this return.
8. Contact person location and phone.
(
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9. If final return, check reason and enter date effective:
Date
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Dissolving Mississippi Corporation
Withdrawing Non-Mississippi Corporation from State
Sold MS Assets
Merged
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S-Status Terminated
Other :
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If you checked Sold or Merged, provide the following:
New company or owner's name and address.
FEIN
Phone
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Former owner's forwarding address
Phone
(
)
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Yes
No
10.
Is this corporation a partner/member in a partnership, LLP or LLC doing business in Mississippi?
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If Yes, Must attach Mississippi Form K-1(s).
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Yes
No
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11.
Has the corporation filed amended federal returns in the last three years?
If Yes, list years
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Yes
No
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12.
Has the IRS made any changes to your taxable income in the last three years?
If Yes, list years
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Yes
No
13.
If Line 11 and/or Line 12 was checked "Yes", has the corporation filed Mississippi amended returns for all
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years for which amended Federal return(s) were filed or changes to taxable income were made by the IRS?
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Did this corporation file any prior year return in which it claimed 30% or 50% special federal depreciation allowance,
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Yes
No
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14.
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but did not make the appropriate adjustments to back out such depreciation in determining its income to this state?
List of Officers - This schedule MUST be completed
President: Name and Home Address
Social Security Number
Ownership%
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Salary
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Vice President: Name and Home Address
Social Security Number
Ownership%
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Salary
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Treasurer: Name and Home Address
Social Security Number
Ownership%
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Salary
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Secretary: Name and Home Address
Social Security Number
Ownership%
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Mail Return To: Office of Revenue P.O. Box 23050 Jackson, MS 39225-3050

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