Form 80-205-99-8-1-000 - Non-Resident Or Part-Year Resident Individual Income Tax Return - 1999

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Mississippi
Non-Resident or Part-Year Resident
For Official Use Only
WII N
Individual Income Tax Return
1999
802059981000
Page 1
Photocopies NOT Acceptable
Form 80-205-99-8-1-000 (Rev.12/99)
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Last Name
Your First Name & Middle Initial
Spouse's Name & Middle Initial
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Your
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SSN
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Mailing Address (Number & Street, Including Rural Route)
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Residence
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Spouse
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County Code -
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SSN
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See Instructions
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State
ZIP
City or Town
Your Occupation
Spouse's Occupation
Mark an "X" in only one box.
Mark "X" ONLY if:
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Married - Combined or Joint Return - Enter $11,000 on Line 13.
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Taxpayer Age 65 or Over
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Taxpayer Blind
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Married - Spouse Died in 1999 - Enter $11,000 on Line 13.
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Spouse Age 65 or Over
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Spouse Blind
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Married - Filing Separate Returns - Enter $11,000 on Line 13.
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Number of Dependents Listed on Line 6
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Provide Spouse's Name and SSN in the Spaces below.
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9.
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Number of Boxes Marked "X" on Line 7
Name________________________________ SSN_________________________
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Head of Family - Enter $9,500 on Line 13.
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If You Checked Line 4, Enter a "1" Here
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Provide Name, SSN, and Relationship of the Dependent Living in the Home with You on Line 6.
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Single - Enter $6,000 on Line 13.
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Total of Line 8 plus Line 9 minus Line 10
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Dependents (Do NOT Claim Yourself or Your Spouse)
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$ 1,500 =
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Line 11 x
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(a) Name
(b) Dependent's SSN
(c) Relationship
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Enter Amount from
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Lines 1 - 5.
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14. Total (Line 12 plus 13.)
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If Filing MFS Returns,
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Enter 1/2 of Line 14.
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COMPLETE SCHEDULE OF INCOME ON PAGE 2 BEFORE PROCEEDING FURTHER. The Exemption and Deduction (Standard or Itemized) Must be Prorated
According to the Ratio of Mississippi Income to Total Income of Taxpayer and Spouse from all Sources.
16. Ratio Computation
17. Standard or Itemized Deduction Computation
18. Exemption Computation
a. MS Adjusted Gross Income
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a. Standard or Itemized Deduction
a. Total Exemption, Ln. 14 (Ln. 15 if Filing MFS)
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b. Total Adjusted Gross Income From All
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(N)
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b. MS Deduction, 17a Times 16c
b MS Exemption, 18a Times 16c
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c. Ratio, Line 16a Divided by 16b
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If loss,
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shade
If loss,
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minus
shade
Whole Dollars
If Filing Combined Return, Use Column A for
minus
below
Column A (Taxpayer)
Column B (Spouse)
Only
Taxpayer and Column B for Spouse, Otherwise Use
below
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Column A ONLY.
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Mississippi Adjusted Gross Income
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(P)
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(B)
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(From Line 55 or 56, Page 2)
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Standard or Itemized Deductions
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(H)
(F)
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20.
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(Line 17b)
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21.
21.
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Amount of Exemption (Line 18b)
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Mississippi Taxable Income (Line 19 minus Lines 20 &
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22.
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21) See Instructions. If Less Than 0, Enter 0.
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23.
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23.
Total Income Tax Due (From Page 9 of Instructions, Schedule of Tax Computation, Line 5)
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24.
24.
Mississippi Income Tax Withheld (Attach W-2s or W-2Gs.)
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(W)
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25.
25.
1999 Estimated Tax Payments and/or Amount Paid With Extension
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(E)
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26.
26.
Other Credit (See Instructions for Line 26.)
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27.
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27.
Total Credits (Add Lines 24 through 26.)
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28.
28.
If Line 27 is larger than Line 23, enter the amount of Overpayment.
OVERPAYMENT
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Amount Of Overpayment to be applied to your 2000 Estimated Tax Account
29.
(C)
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30.
REFUND
(R)
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30.
Amount of Overpayment to be Refunded to You
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31.
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31.
If Line 23 is Larger than Line 27, enter Balance Due.
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BALANCE DUE
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32.
32.
Interest on Underpayment of Estimated Tax Payments (Attach Form 80-320.)
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33.
33.
Interest and Penalty (See Instructions)
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TOTAL DUE (Add Lines 31, 32, and 33.) Attach Check or Money Order for Total
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34.
34.
TOTAL DUE
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(V)
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Due payable to: State Tax Commission > ENCLOSE PAYMENT VOUCHER <
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PLEASE SIGN THIS TAX RETURN IN THE SIGNATURE AREA PROVIDED ON THE BOTTOM OF PAGE 2.

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