Form 80-205-17-8-1-000 - Mississipi Non-Resident/part-Year Resident Individual Income Tax Return - 2017 Page 2

Download a blank fillable Form 80-205-17-8-1-000 - Mississipi Non-Resident/part-Year Resident Individual Income Tax Return - 2017 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 80-205-17-8-1-000 - Mississipi Non-Resident/part-Year Resident Individual Income Tax Return - 2017 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Mississippi
Form 80-205-17-8-2-000 (Rev. 10/17)
Page 2
Non-Resident / Part-Year Resident
Individual Income Tax Return
SSN
802051782000
2017
INCOME
Total Income From All Sources
Mississippi Income ONLY
.
.
38
Wages, salaries, tips, etc. (complete Form 80-107)
38
38
00
00
.
.
39
Business income (loss) (attach Federal Schedule C or C-EZ)
39
39
00
00
.
.
40
Capital gain (loss) (attach Federal Schedule D, if applicable)
40
40
00
00
.
.
41
Rent, royalties, partnerships, S corporation, trusts, etc.
41
41
00
00
(from Form 80-108, part IV)
.
.
42
Farm income (loss) (attach Federal Schedule F)
42
42
00
00
.
.
43
Interest income (from Form 80-108, part II)
43
43
00
00
.
.
44
Dividend income (from Form 80-108, part II)
44
44
00
00
.
.
45
Alimony received
45
45
00
00
.
.
46
Taxable pensions and annuities (complete Form 80-107)
46
46
00
00
.
.
47
Unemployment compensation (complete Form 80-107)
47
47
00
00
.
.
48
Other income (loss) (from Form 80-108, part V)
48
48
00
00
.
.
49
Total income (add lines 38 through 48)
49
49
00
00
ADJUSTMENTS
Total Income From All Sources
Mississippi Income ONLY
.
.
50
Payments to IRA
50
50
00
00
.
.
51
Payments to self-employed SEP, SIMPLE and qualified retirement plans
51
51
00
00
.
.
.
52
Interest penalty on early withdrawal of savings
52
52
00
00
00
.
.
53
Alimony paid (complete below)
53
53
00
00
Name
SSN
State
Name
SSN
State
.
.
54
Moving expense (attach Federal Form 3903)
54
54
00
00
.
.
55
National Guard or Reserve pay (enter the lesser of amount or $15,000)
55
55
00
00
.
.
56
Mississippi Prepaid Affordable College Tuition (MPACT)
56
56
00
00
.
.
57
Mississippi Affordable College Savings (MACS)
57
57
00
00
.
.
58
Self-employed health insurance deduction
58
58
00
00
.
.
59
Health savings account deduction
59
59
00
00
.
.
60
Catastrophe savings account deduction
60
60
00
00
.
.
61
Self-employment tax deduction
61
61
00
00
.
.
62
Total adjustments (add lines 50 through 61)
62
62
00
00
.
.
63
Adjusted gross income (line 49 minus line 62; enter total AGI
63
63
00
00
on page 1, line 13b and Mississippi AGI line 13a)
.
.
64
Split Mississippi AGI on line 63 between taxpayer and spouse
S
T
64
64
00
00
AMENDED RETURN - EXPLANATION OF CHANGES TO ORIGINAL RETURN (attach additional statement if needed)
Yes
No
This return may be discussed with the preparer
I declare, under penalties of perjury, that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
this is a true, correct and complete return. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Date
Taxpayer Signature
Taxpayer Phone Number
Paid Preparer PTIN
Spouse Signature
Date
Paid Preparer Email Address
Paid Preparer Phone Number
Date
Paid Preparer Signature
Paid Preparer Address
City
State
Zip Code
Mail REFUND returns to: Department of Revenue, P.O. Box 23058, Jackson, MS 39225-3058
Mail all other returns to: Department of Revenue, P.O. Box 23050, Jackson, MS 39225-3050
Duplex and Photocopies NOT Acceptable

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 80-205-12-8-1-000 - Mississippi Non-resident / Part-year Resident Individual Income Tax Return - 2012 Form 80-205-12-8-1-000 - Mississippi Non-resident / Part-year Resident Individual Income Tax Return - 2012 Financial
Form 80-205-14-8-1-000 - Mississippi Non-resident / Part-year Resident Individual Income Tax Return - 2014 Form 80-205-14-8-1-000 - Mississippi Non-resident / Part-year Resident Individual Income Tax Return - 2014 Financial
Form 80-270-04-8-1-000 - Mississippi Non-resident / Part-year Resident Amended Individual Income Tax Return Form - Office Of Revenue Form 80-270-04-8-1-000 - Mississippi Non-resident / Part-year Resident Amended Individual Income Tax Return Form - Office Of Revenue Financial
Form 80-270-11-8-1-000 - Mississippi Non-resident / Part-year Resident Individual Income Tax Return - 2011 Form 80-270-11-8-1-000 - Mississippi Non-resident / Part-year Resident Individual Income Tax Return - 2011 Financial
Form 80-205-12-8-1-000 Non-resident / Part-year Resident Individual Income Tax Return 2012 Form 80-205-12-8-1-000 Non-resident / Part-year Resident Individual Income Tax Return 2012 Financial
Form 80-205-99-8-1-000 - Non-resident Or Part-year Resident Individual Income Tax Return - 1999 Form 80-205-99-8-1-000 - Non-resident Or Part-year Resident Individual Income Tax Return - 1999 Financial
Form 80-110-17-8-1-000 - Mississippi Ez Individual Income Tax Return - 2017 Form 80-110-17-8-1-000 - Mississippi Ez Individual Income Tax Return - 2017 Financial
Form 80-491-17-8-1-000 - Mississippi Individual Income Tax Statement Of Additional Dependents - 2017 Form 80-491-17-8-1-000 - Mississippi Individual Income Tax Statement Of Additional Dependents - 2017 Financial
Form 80-320-17-8-1-000 - Mississippi Individual Income Tax Interest And Penalty Worksheet Form 80-320-17-8-1-000 - Mississippi Individual Income Tax Interest And Penalty Worksheet Financial
Form 80-401-17-8-1-000 - Mississippi Tax Credit Summary Schedule - 2017 Form 80-401-17-8-1-000 - Mississippi Tax Credit Summary Schedule - 2017 Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2