Form 83-105-14-8-1-000 - Mississippi Corporate Income And Franchise Tax Return - 2014 Page 2

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Form 83-105-14-8-2-000 (Rev. 05/14)
Mississippi
Corporate Income and Franchise Tax Return
831051482000
2014
Page 2
FEIN
17 Late filing penalty (minimum income tax penalty $100)
17
00
18
Total balance due (if line 9 is larger than line 12, add line 13 through line 17)
18
00
.
19 Total overpayment (if line 12 is larger than line 9, subtract line 9 from line 12)
19
00
.
20 Overpayment credited to next year (from line 19)
20
00
.
21 Overpayment to be refunded (line 19 minus line 20)
21
00
See instructions for electronic payment options or attach payment voucher, Form 83-300, with check or money order for balance due.
PART l: CORPORATE INFORMATION
1
Is this a publicly traded corporation?
Yes
If yes, under what symbol?
No
2
If final return, enter reason and date effective:
Date
3
If the corporation has been sold or merged, complete the following: Name, address and FEIN of the new existing corporation:
FEIN
Mississippi Correction
Federal Correction
Other
4
If amended return, check reason.
5
Check if the company has been audited by the IRS.
If the company has been audited, what year(s) are involved?
6
Principal business activity in Mississippi
6a
County location in Mississippi
7
Principal product or service in Mississippi
8
Contact person for this return
8a
Location and Phone number
PART lI: CORPORATE OFFICER INFORMATION
List the owners, officers, directors or partners who have a responsibility in the fiscal management of the organization.
SSN
ADDRESS
OFFICER NAME AND TITLE
OWNERSHIP
PERCENTAGE

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