Form 84-105-12-8-1-000 - Mississippi Pass-Through Entity Tax Return - 2012 Page 3

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Mississippi
Form 84-105-12-8-3-000 (Rev. 05/12)
MS
Supplemental Pass-Through Entity Schedule
2012
841051283000
Page 3
-
FEIN
__ __
__ __ __ __ __ __ __
PASS-THROUGH ENTITY SCHEDULE
List All pass-through entities in Mississippi that the S-Corporation / Partnership invested in during the tax year. Continued from page 2, part II.
Entity Name
FEIN
Address
Entity Type
Q-SUB / DISREGARDED ENTITY SCHEDULE
List all Qualified Subchapter S Subsidiaries (Q-Sub) / Disregarded Entities. Continued from page 2, part III.
Entity Name
FEIN
Address
Mississippi Operations
Additional Page ____ of ____

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