Form 83-391-14-8-1-000 - Mississippi Insurance Company Income Tax Return - 2014

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Form 83-391-14-8-1-000 (Rev. 05/14)
Mississippi
Insurance Company Income Tax Return
833911481000
2014
Tax Year Beginning
Tax Year Ending
m m d d y y y y
m m d d y y y y
FEIN
Mississippi Secretary of State ID
Legal Name and DBA
CHECK ALL THAT APPLY
Address
Amended Return
Accident and Health
Final Return
Fire and Casualty
City
State
Life Insurance
Zip +4
Accrual Basis
Receipts and
County Code
NAICS Code
Disbursements Basis
(ROUND TO THE NEAREST DOLLAR)
COMPUTATION OF TAX
Combined income tax return (enter FEIN of reporting company)
1
Mississippi net taxable income (from page 2, line 17A or Form 83-310, page 1, line 5, column C)
1
.
00
2
Income tax
2
.
00
3
Retaliatory taxes paid to other states (Mississippi corporations only; from
3
.
00
page 4, part V, line 1)
4
Income tax credits (from Form 83-401, line 3 or Form 83-310, page 1, line 5, column B)
4
.
00
5
Net income tax due (line 2 minus line 3 and line 4)
5
.
00
PAYMENTS AND TAX DUE
6
Overpayment from prior year
6
.
00
7
Estimated tax payments and payment with extension
7
.
00
8
Total payments (line 6 plus line 7)
8
.
00
9
Net total income tax due (line 5 minus line 8)
9
.
00
10 Interest and penalty on underestimated income tax payments (from Form
83-305, line 17)
10
.
00
11 Late payment interest
11
.
00
12 Late payment penalty
12
.
00
13
13 Late filing penalty (minimum $100)
.
00
14
14 Total balance due (if line 5 is larger than line 8, add lines 9 through 13)
.
00
15 Total overpayment (if line 8 is larger than line 5, subtract line 5 from line 8)
15
.
00
16
16
Total overpayment credited to next year (from line 15)
.
00
17 Total overpayment refunded (line 15 minus line 16)
17
.
00
See instructions for electronic payment options or attach check or money order for balance due.

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