Form 81-110-14-8-1-000 (Rev. 6/14)
Mississippi
Fiduciary Income Tax Return
Amended
(For Estates and Trusts)
811101481000
2014
Tax Year Beginning
Tax Year Ending
m m
d d
y y y y
m m
d d
y y y y
Date estate/trust created
Date of decedent's death
Estate / Trust FEIN
Decedent / Debtor SSN
m m
d d
y y y y
m m
d d
y y y y
Check All That Apply
Type of Entity
Name of Estate or Trust
Initial Return
Estate
Name of Fiduciary
Short Period Return
Bankruptcy Estate-Ch. 7
Final Return
Bankruptcy Estate-Ch. 11
Title of Fiduciary
Date of confirmation
Simple Trust
Complex Trust
m m
d d
y y y y
Mailing Address
Grantor Trust
Date of closure
City
State
Zip
County Code
Number of Mississippi
m m
d d
y y y y
K-1 schedules attached
MISSISSIPPI INCOME TAX
.
1
Mississippi taxable income (loss) (from page 2, line 25)
1
00
.
2
Total income tax due (see instructions)
2
00
.
3
Credit to tax paid to another state (attach Form 80-160)
3
00
4
Other credits (attach Form 80-401)
.
4
00
5
Net income tax due (line 2 minus line 3 and line 4)
.
5
00
PAYMENTS
.
6
Mississippi income tax withheld (complete Form 80-107)
6
00
7
Estimated tax payments, extension payments and/or amount Paid on original return
.
7
00
.
8
Refund received and/or amount carried forward from original return (amended return only)
8
00
.
9
Total payments (line 6 plus line 7 minus line 8)
9
00
REFUND OR BALANCE DUE
10 Enter amount of overpayment (if line 9 is more than line 5, subtract line 5 from line 9)
.
10
00
.
11 Overpayment to be applied to next year estimate tax account
11
00
.
12 Overpayment refund (line 10 minus line 11)
REFUND
12
00
.
13 Balance due (if line 5 is more than line 9, subtract line 9 from line 5)
BALANCE DUE
13
00
.
14 Interest and penalty (see instructions)
14
00
15
AMOUNT YOU OWE
.
Total due (line 13 plus line 14
)
15
00
Yes
No
This return may be discussed with the preparer
I declare, under penalties of perjury, that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
this is a true, correct and complete return. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Signature of Fiduciary or Officer Representing Fiduciary
Date
Phone Number
FEIN of Fiduciary
Date
Paid Preparer Signature
Paid Preparer PTIN
Paid Preparer Phone Number
Paid Preparer Address
City
State
Zip Code
Mail REFUND To: Department of Revenue, P.O. Box 23058, Jackson, MS 39225-3058
Mail All Other Returns To: Department of Revenue, P.O. Box 23050, Jackson, MS 39225-3050
Duplex and Photocopies are NOT Acceptable