Form 86-105-10-8-1-000 - Partnership Income Tax Return - 2010 Page 2

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Form 86-105-10-8-2-000 (Rev.05/10)
Mississippi
Partnership Income Tax Return
2010
Page 2
861051082000
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Name
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FEIN:
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Federal Return Data Schedule
Round All Amounts to the Nearest Dollar
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1. Total assets, beginning of year (From Federal Form 1065, Schedule L)
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2. Total assets, end of year (From Federal Form 1065, Schedule L)
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3. Total depreciable assets, beginning of year (From Federal Form 1065, Schedule L)
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4. Total depreciable assets, end of year (From Federal Form 1065, Schedule L)
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5. Federal gross receipts or sales less returns and allowances (From Federal Form 1065)
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Mississippi Data
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6. Mississippi gross receipts or sales less returns and allowances
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7. Assets placed in service in Mississippi during the tax year
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Entity Information
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IRS Business Activity Code number per Federal Form 1065, Page 1, Line C.
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9. DBA
10. County codes for locations in Mississippi (See instructions)
11. Principal business activity in Mississippi
12. Principal business activity everywhere
13. Principal product or service in Mississippi
14. Principal product or service everywhere
15. Contact person for this return
16. Contact person's location and phone
(
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17. If amended return, check reason:
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Mississippi
Amended Federal Form 1065
Federal RAR (Must
Other :
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correction only
(Must Attach Copy)
Attach Applicable
Copies)
18. If final return, check reason and enter date effective:
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Dissolving Mississippi Partnership
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Withdrawing from State
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Incorporated
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Other :
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Date
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19. If you checked "Incorporated" on line 18, provide the following:
New company or owner's name and address
FEIN
Phone
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20a. Is this partnership a partner/member in a partnership, LLP, or LLC doing business in Mississippi?
Yes
No
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If Yes, must attach Mississippi Form K-1(s).
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20b. Is this partnership the owner/member of a single member LLC doing business in Mississippi?
Yes
No
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(If Yes, must attach schedule)
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21. Has the partnership/LLP/LLC filed amended federal returns in the last three years?
Yes
No
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If Yes, list years
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Yes
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No
22. Has the IRS made any changes to your taxable income in the last three years?
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If Yes, list years
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Yes
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No
If Line 21 and/or Line 22 was checked "Yes", has the partnership/LLP/LLC filed Mississippi amended returns for all
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23.
years for which amended Federal return(s) were filed or changes to taxable income were made by the IRS?

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