Form 80-108-14-8-1-000 - Mississippi Adjustments And Contributions - 2014

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Form 80-108-14-8-1-000 Rev. (6/14)
Mississippi
Page 1
Adjustments And Contributions
801081481000
2014
Taxpayer Name
SSN
PART I: SCHEDULE A - ITEMIZED DEDUCTIONS
(ATTACH FEDERAL FORM 1040 SCHEDULE A)
In the event you filed using the standard deduction on your federal return and wish to itemize for Mississippi purposes, use Federal Form 1040 Schedule A as a worksheet
and transfer the information from the specific lines indicated to this Schedule A.
1
.
00
1
Federal AGI from Federal Form 1040, line 38
.
2
a
Medical and dental expenses
2a
00
2b
.
b
Multiply line 1 by 10% (.10). But if either you or your spouse was
00
born before January 2,1950, multiply line 1 by 7.5% (.075) instead
.
c
Medical and dental expense deduction (line 2a minus line 2b)
2c
00
3
a
Total taxes paid
3a
.
00
b
Less state income taxes (or other taxes in lieu of)
.
3b
00
.
c
Total taxes paid deduction (line 3a minus line 3b)
3c
00
4
Total interest paid
4
.
00
5
Charitable contributions
5
.
00
.
6
Total casualty or theft loss (attach Federal Form 4684)
6
00
.
7
a
Employee business expenses (attach Federal Form 2106)
7a
00
b
Miscellaneous itemized deductions
7b
.
00
.
c
Multiply line 1 by 2% (.02)
7c
00
.
d
Line 7a plus line 7b minus line 7c
7d
00
8
a
Other miscellaneous deductions
8a
.
00
.
b
Less Mississippi gambling losses
8b
00
.
c
Other miscellaneous deduction (line 8a minus line 8b)
8c
00
9
Mississippi itemized deductions (add lines 2c, 3c, 4, 5, 6, 7d, and 8c; enter here and on Resident Form 80-105,
page 1, line 14 or Non-Resident Form 80-205, page 1, line 14a
.
9
00
10 Mississippi itemized deductions (Federal AGI over $152,525); see worksheet in the instructions to figure
amount. Enter here and on Form 80-105, Page 1, Line 14 or Form 80-205, Page 1, Line 14a
.
10
00
PART II: SCHEDULE B - INTEREST AND DIVIDEND INCOME
(FROM FEDERAL FORM 1040, SCHEDULE B)
.
1
Interest income from all sources
1
00
2
Amount of Mississippi nontaxable interest in line 1
2
.
00
.
3
Total Mississippi interest (line 1 minus line 2, enter here and on Form 80-105, line 41 or Form 80-205, line 42)
3
00
.
4
Total dividends from all sources
4
00
.
5
Amount of Mississippi nontaxable distributions reported in line 4
5
00
6
Total Mississippi dividends (line 4 minus line 5, enter here and on Form 80-105, line 42 or Form 80-205, line 43)
6
.
00
PART III: VOLUNTARY CONTRIBUTION CHECK-OFFS
(RESIDENTS ONLY)
You may elect to voluntarily contribute all or part (at least $1) of your income tax refund to one or more of the funds listed below. Refer to the instruction booklet 80-100 (may
be downloaded from our website ) for an explanation of the purpose of each of these funds and how the refund donations will be used.
.
.
Military Family Relief Fund
Bicentennial Celebration Fund
00
00
.
.
Burn Care Fund
Wildlife Fisheries and Parks Foundation
00
00
Wildlife Heritage Fund
.
.
Commission for Volunteer Service Fund
.
00
00
00
.
Educational Trust Fund
00
.
Enter total of check-offs here and on Form 80-105, page 1, line 31
00
Duplex and Photocopies NOT acceptable

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