80-106 Form Mississippi Individual / Fiduciary Income Tax Voucher

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Form 80-106-16-8-1-000 (Rev. 4/16)
Mississippi
Individual / Fiduciary Income Tax Voucher
Instructions
Who Must Make Estimated Tax Payments
Every individual taxpayer who does not have at least eighty percent (80%) of his/her annual tax liability prepaid through withholding must make
estimated tax payments if his/her annual tax liability exceeds two hundred dollars ($200). For more information about the payment and calculation of
estimated income tax payments, please see the Individual Income Tax Return Instructions, Form 80-100.
Return Payments
This voucher may be used to make return payments for tax due on the Individual Income Tax Return (Form 80-105), Non-Resident Income Tax Return
(Form 80-205), EZ Individual Income Tax Return (Form 80-110) and the Fiduciary Income Tax Return (Form 81-110).
Extension Payments
This voucher may be used to make extension payments for tax due on the Individual Income Tax Return (Form 80-105), Non-Resident Income Tax
Return (Form 80-205), EZ Individual Income Tax Return (Form 80-110) and the Fiduciary Income Tax Return (Form 81-110). Extension payments
should be filed and paid on or before April 15th.
Payment Options
• To pay this amount online, go to , click on Taxpayer Access Point (TAP) and follow the instructions.
• To pay by check or money order, complete the payment coupon below:
- Make the check or money order payable to Department of Revenue
- Mail the payment coupon and check/money order with return to: P.O. Box 23050, Jackson, MS 39225-3050
- Mail the payment coupon and check/money order without return to: P.O. Box 23192, Jackson, MS 39225-3192
- Check the appropriate box on the voucher for the payment type you are remitting.
- Check the amended return box on the voucher if you are making a payment with an amended return.
- Write the identification number on the check or money order.
- Duplex forms or photocopies are NOT acceptable.
• To pay by credit card or electronic check go to
- There is a 2 ½ % fee for credit cards or a $3.00 fee for E-checks charged by Official Payments.
- Visa, MasterCard, Discover and American Express cards are accepted.
- Jurisdiction code for Mississippi is 3400.
• MoneyGram - to find a MoneyGram location, visit
- To make a payment using MoneyGram, you will need your 8 digit DOR account number and the tax code for Individual Income Tax is 15122.
- There is a small fee to use this service.
Reset Form
Cut Along the Dotted Line
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Print Form
Form 80-106-16-8-1-000 (Rev. 4/16)
Tax Year Beginning
Mississippi
m m
d d
y y y y
Individual / Fiduciary Income Tax
Tax Year Ending
801061681000
Payment Voucher
m m
d d
y y y y
Taxpayer SSN/ITIN
Trust FEIN
Spouse SSN/ITIN
Name of Estate / Trust
(if fiduciary payment)
Taxpayer First Name
Initial
Last Name
Payment Type
Account Type
(Check One)
(Check One)
Quarterly Estimate Payment
Spouse First Name
Initial
Last Name
Return Payment
Individual Income
Address
Extension Payment
Fiduciary Income
City
State
Zip
Amended Return Payment
Amount Paid
.
00
Mail with return to: Department of Revenue, P.O. Box 23050, Jackson, MS 39225-3050
Mail without return to: Department of Revenue, P.O. Box 23192, Jackson, MS 39225-3192

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