Mississippi
Voucher 4
Estimated Tax Declaration for Individuals -
WIE
January 15, 2001
This Payment Due Date
Photocopies NOT Acceptable
803000091000
Form 80-300-00-9-1-000 (Rev. 4/99)
2000
Your Social Security Number
Spouse's Social Security Number
Check Box if Fiduciary Return
Last Name
Spouse's First Name and Middle Initial
First Name and Middle Initial
Whole Dollars Only
Mailing Address (Number and Street, including Rural Route)
Total amount of this installment
City
State
Zip
Print Social Security Number
on check - Spouse's
Mail to:
Return this voucher with
if JOINT ACCOUNT.
Office of Revenue
check or money order payable
P. O. Box 23075
to State Tax Commission.
Jackson, MS 39225-3075
Cut Along Line
Retain the Top Portion of this Form for your Records
Form 80-300-00-9-1-000 (Rev.4/99)
Mississippi
Estimated Individual Income Tax
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 2000
1. Total expected income of taxpayer for 2000.
$
2. Total expected income of spouse for 2000.
$
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.)
DATE INSTALLMENT
RECORD OF ESTIMATED TAX PAYMENTS
PAYMENTS ARE DUE
Calendar Year Taxpayers
Amount Paid
Accumulated Payments
Date Paid
Overpayment from last year
April 15, 2000
June 15, 2000
September 15, 2000
January 15, 2001
OFFICE OF REVENUE
Mail To:
P.O. BOX 23075
JACKSON, MS 39225-3075