Form 80-300-99-3-1-000 - Estimated Tax Declaration For Individuals - Voucher 4 - 1999 Page 13

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Mississippi
MS
IE
Voucher 1
Estimated Tax Declaration for Individuals -
April 15, 1999
This Payment Due Date
Form 80-300-99-3-1-000 (Rev. 4/987)
803009931000
Your Social Security Number
Spouse's Social Security Number
Check Box if Fiduciary Return
1999
N
Total amount of this installment
A
C
Mail to:
Bureau of Revenue
Return this voucher with check
Print Social Security Number
or money order payable to
P. O. Box 23075
on check - Spouse's
State Tax Commission
if JOINT ACCOUNT
Jackson, MS 39225-3075
CUT HERE
Retain the Bottom Portion of this Form for your Records
Mississippi
Estimated Individual Income Tax
1999
Form 80-300-99-3-1-000 (Rev. 4/98)
IMPORTANT NOTICE
DO NOT MAIL ESTIMATED TAX VOUCHER WITH YOUR INCOME TAX RETURN.
DO NOT COMBINE PAYMENTS ON A SINGLE CHECK.
TAXPAYER'S SCHEDULE FOR ESTIMATING MISSISSIPPI INCOME TAX FOR 1998
1.
Total expected income of taxpayer for 1999.....................................................
$
2.
Total expected income of spouse for 1999........................................................
$
3.
Total income (add Lines 1 & 2)......................................................................................................................
$
4.
Itemized deductions or standard deduction (see Instruction No. 4)..................
$
5.
Personal and additional exemptions (see Instruction No. 3).............................
$
6.
Total exemptions and deductions...................................................................................................................
$
7.
Estimated taxable income. Subtract Line 6 from Line 3. Enter the difference here.....................................
$
8.
Tax on amount on Line 7. Use Tax Rate Schedule (see Instruction No. 5)....
$
9.
Deduct - Estimated income tax to be withheld during the entire year...............
$
10.
ESTIMATED TAX (Line 8 less Line 9) (if less than $200, no declaration is required)...................................
$
RECORD OF ESTIMATED TAX PAYMENTS
DATE INSTALLMENT
PAYMENTS ARE DUE
Date Paid
Amount Paid
Accumulated Payments
Calendar Year Taxpayers
Overpayment from last year
April 15, 1999
June 15, 1999
September 15, 1999
January 15, 2000
Mail To:
BUREAU OF REVENUE
P.O. BOX 23075
JACKSON, MS 39225-3075

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