Form 83-105-13-8-1-000 - Corporate Income And Franchise Tax Return - 2013 Page 2

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Form 83-105-13-8-2-000 (Rev. 09/13)
Mississippi
Corporate Income and Franchise Tax Return
831051382000
2013
Page 2
FEIN
.
17 Late filing penalty (minimum income tax penalty $100)
17
00
.
18 Total balance due (if line 9 is larger than line 12, add line 13 through line 17)
18
00
.
19 Total overpayment (if line 12 is larger than line 9, subtract line 9 from line 12)
19
00
.
20 Overpayment credited to next year (from line 19)
20
00
.
21
21 Overpayment to be refunded (line 19 minus line 20)
00
See instructions for electronic payment options or attach payment voucher, Form 83-300, with check or money order for balance due.
PART l: CORPORATE INFORMATION
1
Is this a publicly traded corporation?
Yes
If yes, under what symbol? __________________________________
No
2
If final return, enter reason and date effective: ______________________________________________
Date_________________________
3
If the corporation has been
sold,
merged, complete the following: Name, address and FEIN of the new existing corporation:
____________________________________________________________________________________
FEIN_________________________
4
If amended return, check reason.
Mississippi Correction
Federal Correction
Other
5
Check if the company has been audited by the IRS.
If the company has been audited, what year(s) are involved?
PART lI: CORPORATE OFFICER INFORMATION
List the owners, officers, directors or partners who have a responsibility in the fiscal management of the organization.
SSN
ADDRESS
OWNERSHIP
OFFICER NAME AND TITLE
PERCENTAGE

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