Form 84-105-14-8-1-000 - Mississippi Pass-Through Entity Tax Return - 2014 Page 2

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Form 84-105-14-8-2-000 (Rev. 05/14)
Mississippi
Pass-Through Entity Tax Return
841051482000
2014
Page 2
FEIN
17
17 Late filing penalty (minimum income tax penalty $100)
.
00
18 Total balance due (if line 9 is larger than line 12, add line 13 through line 17)
18
.
00
19
19 Total overpayment (if line 12 is larger than line 9, subtract line 9 from line 12)
.
00
20 Overpayment credited to next year (from line 19)
20
.
00
21
21 Overpayment to be refunded (line 19 minus line 20)
.
00
See instructions for electronic payment options or attach payment voucher, Form 84-300, with check or money order for balance due.
PART l: ENTITY INFORMATION
1
If final return, enter reason and date effective:
Date
If the entity has been sold or merged or incorporated, complete the following: Name, address and FEIN of the new existing corporation:
FEIN
2
If amended return, check reason.
Mississippi Correction
Federal Correction
Other
3
If a partnership or LLC, has a federal election been made to file as a corporation?
Yes
No
4
Check if the company has been audited by the IRS.
If the company has been audited, what year(s) are involved?
5
Principal business activity in Mississippi
5a
County location in Mississippi
6
Principal product or service in Mississippi
7
Contact person for this return
7a
Location and Phone number
PART lI: PASS-THROUGH ENTITY SCHEDULE
List all pass-through entities in Mississippi that the S corporation / Partnership invested in during the tax year. Attach additional schedule(s),
Form 84-105, page 4, if needed.
ENTITY NAME
FEIN
ADDRESS
ENTITY TYPE

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