Form 94-103-02-1 - Mississippi Estate Tax Return

ADVERTISEMENT

Mississippi
Form 94-103-02-1(Rev. 9/02)
Estate Tax Return
For Decedents Dying On or After January 1, 2000
This return must be typed. Round to the nearest whole dollar. This return is
Instructions
Copies or reproductions of the official form are not acceptable.
for decedents dying on or after January 1, 2000.
The executor or
Failure to submit your return on the original form may result in a penalty.
administrator must complete the following for the entire estate. Attach a copy
This return must be filed within 9 months from the date of death of
of the Federal Form 706 with all accompanying schedules, a copy of the
Due Date
the decedent when the gross value of the estate exceeds the
death certificate and a certified copy of the will if the decedent died testate. If
specific exemption, unless an approved extension has been
decedent died testate, enter an X in the box labeled TESTATE.
granted. Attach a copy of the approved IRS and MS extensions.
/
/
Decedent's First Name, Middle, and Maiden
Date of Death
Decedent's Last Name
Amended
Testate
Domicile City, County and State
Decedent's Social Security Number
Executor's Last Name, First Name
Address
Phone
Executor's Last Name, First Name
Address
Phone
Attorney of Record
Address
Phone
Accountant of Record
Address
Phone
TAX COMPUTATION
1. Gross Estate per the Federal Form 706
2. Mississippi Gross Estate
3. Percentage of Estate in Mississippi (Line 2 divided by Line 1)
%
4. State Death Tax Credit Allowable
5. Mississippi Proration of State Death Tax Credit (Line 3 * Line 4)
6. Less Tax Previously Paid
7. Tax Due with this Return
8. Interest (1/2% per month from original due date of return until paid)
9. 10 % Penalty if applicable (Multiply Line 7 by 10%)
10. TOTAL DUE
Section 6166 Installment Election
I declare, under the penalties of perjury, that this return (including any
Make check payable to
State Tax Commission
accompanying schedules) has been examined by me and to the best of my
Mail return to
Post Office Box 1033
knowledge
and
belief
is
a
true,
correct
and
complete
return.
Jackson, MS 39215
Signature of Executor or Co-Executors
Signature of Preparer
Date
Telephone of Preparer

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2