Form 80-105 - Mississippi Resident Individual Income Tax Return - 2017
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Mississippi
Form 80-105-17-8-1-000 (Rev. 10/17)
Print Form
Resident Individual Income Tax Return
2017
801051781000
Amended
Taxpayer First Name
Initial
Last Name
SSN
Spouse SSN
Initial
Last Name
Spouse First Name
1
Married - Combined or Joint Return ($12,000)
Mailing Address (Number and Street, Including Rural Route)
2
Married - Spouse Died in Tax Year ($12,000)
3
Married - Filing Separate Returns ($12,000)
City
State
Zip
County Code
4
Head of Family ($8,000)
5
Single ($6,000)
EXEMPTIONS
Dependents
8
Taxpayer Age 65 or Over
Spouse Age 65 or Over
(in column B, enter "C" for child, "P" for parent or "R" for relative)
6
(A) Name
(B)
(C) Dependent SSN
Taxpayer Blind
Spouse Blind
9
Total dependents line 7 plus number of boxes checked line 8
.
10 Line 9 x $1,500
10
00
.
11 Enter filing status exemption
11
00
.
7
Total number of dependents (from line 6 and Form 80-491)
12 Total (line 10 plus line 11)
12
00
MISSISSIPPI INCOME TAX
Column A (Taxpayer)
Column B (Spouse)
.
.
13
Mississippi adjusted gross income (from page 2, line 62)
13A
13B
00
00
.
.
14
Standard or itemized deductions (if itemized, attach Form 80-108)
14A
14B
00
00
.
.
15
Exemptions (from line 12; if married filing separately use 1/2 amount)
15A
15B
00
00
.
.
16
Mississippi taxable income (line 13 minus line 14 and line 15)
16A
16B
00
00
.
17
Income tax due (from Schedule of Tax Computation, see instructions)
17
00
.
18
Credit for tax paid to another state (from Form 80-160, line 13; attach other state return)
18
00
.
19
Other credits (from Form 80-401, line 1)
19
00
.
20
Net income tax due (line 17 minus line 18 and line 19)
20
00
.
21
Consumer use tax (see instructions)
21
00
.
22
Catastrophe savings tax (from Form 80-360, line 11)
22
00
.
23
Total Mississippi income tax due (line 20 plus line 21 and line 22)
23
00
PAYMENTS
.
24
Mississippi income tax withheld (complete Form 80-107)
24
00
.
25
Estimated tax payments, extension payments and/or amount paid on original return
25
00
.
26
Refund received and/or amount carried forward from original return (amended return only)
26
00
.
27
Total payments (line 24 plus line 25 minus line 26)
27
00
REFUND OR BALANCE DUE
(If no overpayment is due on line 28, skip to line 34)
.
28
Overpayment (if line 27 is more than line 23, subtract line 23 from line 27)
28
00
.
29
Interest on underestimated tax (from Form 80-320, line 11)
Farmers or Fishermen
29
00
(see instructions)
.
30
Adjusted overpayment (line 28 minus line 29)
30
00
.
31
Overpayment to be applied to next year estimated tax account
31
00
.
32
Voluntary contribution (from Form 80-108, part III)
32
00
.
33
Overpayment refund (line 30 minus line 31 and line 32)
REFUND
33
00
.
34
Balance due (if line 23 is more than line 27, subtract line 27 from line 23)
BALANCE DUE
34
00
.
35
Interest, penalty and interest on underestimated tax (from Form 80-320, line 18)
35
00
.
36
Total due (line 34 plus line 35)
AMOUNT YOU OWE
36
00
Installment Agreement Request
(see instructions for eligibility; attach Form 71-661)
PLEASE SIGN THIS TAX RETURN ON THE BOTTOM OF PAGE 2
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