Form 81-131-12-8-1-000 - Fiduciary Schedule K - Mississippi Beneficiaries Share Of Income - 2012 Page 2

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Form 81-131-12-8-2-000 (Rev. 05/12)
MS
Mississippi
Fiduciary Schedule K
Page
__ __
811311282000
Beneficiaries Share of Income
2012
FEIN
__ __ - __ __ __ __ __ __ __
Column B
Column C
Column D
Column A
Allocations to Beneficiaries
Ownership %
Name, Address & SSN/ FEIN
Enter 25% as 25.00
Income Taxable to Mississippi
(D) Non-Mississippi Income
of Each Beneficiary
(Resident & Non-Resident Beneficiaries)
State of Residence
(Non-Resident Beneficiaries Only)
Name
.
Address
__ __
__ __
%
__ __ - __ __ __ __ __ __ __
FEIN
State
__ __
__, __ __ __, __ __ __.
00
__, __ __ __, __ __ __.
00
SSN
__ __ __ - __ __ - __ __ __ __
Name
.
Address
__ __
__ __
%
__ __ - __ __ __ __ __ __ __
FEIN
State
__ __
__, __ __ __, __ __ __.
00
__, __ __ __, __ __ __.
00
SSN
__ __ __ - __ __ - __ __ __ __
Name
.
Address
__ __
__ __
%
__ __ - __ __ __ __ __ __ __
FEIN
SSN
State
__ __
__, __ __ __, __ __ __.
00
__ __ __ - __ __ - __ __ __ __
__, __ __ __, __ __ __.
00
Name
.
Address
__ __
__ __
%
__ __ - __ __ __ __ __ __ __
FEIN
__ __
State
__, __ __ __, __ __ __.
00
__, __ __ __, __ __ __.
00
SSN
__ __ __ - __ __ - __ __ __ __
Name
.
Address
__ __
__ __
%
__ __ - __ __ __ __ __ __ __
FEIN
State
__ __
__, __ __ __, __ __ __.
00
__, __ __ __, __ __ __.
00
SSN
__ __ __ - __ __ - __ __ __ __
.
Total Amounts from this Supplemental Page
__, __ __ __, __ __ __.
00
__, __ __ __, __ __ __.
00
__ __
__ __
%
Schedule K Supplemental Page ____ of ____

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