Form 89-140-11-8-1-000 - Annual W-2 Information Return Calendar Year 2011 - Mississippi Department Of Revenue

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MISSISSIPPI
Form 89-140-11-8-1-000 Rev. 11/11
ANNUAL W-2 INFORMATION RETURN
MS
CALENDAR YEAR 2011
891401181000
Duplex and Photocopies NOT Acceptable
Must be completed
Name
FEIN
Address
The FEIN above must match the State's account
number into which the payments have been made. If
not, see instructions on the back of this form or on our
website.
STATE
City
State
Zip
EIN
Leave empty if same as FEIN
W-2C
W-2
See instructions on back
Wage Returns:
It must contain the RS record
Select Method of Filing:
EFW2 - SSA Format -
EFW2c - SSA Format
The Mississippi state code is "28"
(See Pub 89-145)
EFW2 - submitting a corrected
W2REPORT-11.xls - Located on website shown below
EFW2 file (replacement file)
QuickBooks - Excel File - See website for Details
Paper W-2C's
Paper W-2's - 49 or fewer - mailed by January 31, 2012 (
Otherwise, see Penalty line 5.)
Paying Late Filing Penalty - Previously Filed Returns (No attached W-2's)
All informational returns, except W-2's, are to be filed using Form 89-142.
Electronic upload of these files is available. Visit for instructions on using our
secure portal. If you upload a file, this paper Form 89-140 is not required. In addition to electronic upload, employers with 49 or
fewer W-2's can directly input W-2's online using the W-2 keying process and receive an automated email response.
If filing 50 or more W-2's or filing past January 31st, you are REQUIRED to file Electronically using the
Internet or by attaching a 3.5 inch Disk or CD to this form.
1.
Number of accompanying returns. (Actual Number of W-2's) .....................
.
00
2. Total Mississippi compensation for the calendar year...........................................
.
3.
Total Mississippi income tax withheld by category checked above ...........
00
.
4. Total tax remitted for 2011 tax year by category checked
.....................................
00
above
Do not include interest and penalty in this amount.
.
Penalty due to late filing or incorrect filing method
5.
. .................
00
The greater of $250 or $5 per W-2 issued (line 1 multiplied by $5)
Failure to submit electronically will subject the employer to a penalty. All W-2's are required to be submitted by
February 28. Failure to submit the W-2's timely will subject the employer to a penalty. This penalty is provided on line 5
above.
Only Penalty payments are permitted to accompany this form. Do not send a tax payment with this form.
Credit will not be applied to your account if payment is submitted with this form. Amended or additional paper Form
89-105 returns must be filed for any underpayment or overpayment. To request a PDF of the Form 89-105, send an
email request to withholding@dor.ms.gov.
Signature
Phone + Extension
Date Signed
(
)
Ext
Submitting Company (If different from above)
Submitting Company Phone + Extension
Date Mailed
(
)
Ext
Address
Contact Person (Please Print)
Mail to:
Department of Revenue
Withholding Tax Division
P. O. Box 960
Jackson, MS 39205-0960

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