Form 80-205-14-8-1-000 - Mississippi Non-Resident / Part-Year Resident Individual Income Tax Return - 2014

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Mississippi
Form 80-205-14-8-1-000 (Rev. 6/14)
Non-Resident / Part-Year Resident
Individual Income Tax Return
802051481000
Amended
2014
Non-Resident
Part-Year, Tax Year Beginning ________________ and Ending ________________
Taxpayer First Name
Initial
Last Name
SSN
Spouse SSN
Spouse First Name
Initial
Last 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
(in column B, enter "C" for child, "P" for parent or "R" for relative)
8
Taxpayer Age 65 or Over
Spouse Age 65 or Over
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
.
12 Total (line 10 plus line 11)
12
00
7
Total number of dependents (from line 6 and Form 80-491)
PRORATION
(COMPLETE PAGE 2 BEFORE PROCEEDING FURTHER)
Income
Deductions
Exemptions
13a Mississippi adjusted gross income
14a Standard or itemized deductions
15a Exemptions (from line 12; if married
filing separate, use 1/2 amount)
.
.
00
00
.
b Adjusted gross income from all sources
b Mississippi deductions
00
(line 14a multiplied by line 13c)
.
b Mississippi exemption
00
(line 15a multiplied by line 13c)
.
c Line 13a divided by line 13b
00
.
.
________
______ %
00
MISSISSIPPI INCOME TAX
Column A (Taxpayer)
Column B (Spouse)
.
.
16
Mississippi adjusted gross income (from page 2, line 60 or line 61)
16A
16B
00
00
17
Standard or itemized deductions (from line 14b; if itemized,
attach Form 80-108)
.
.
17A
17B
00
00
.
.
18
Exemption (from line 15b)
18A
18B
00
00
19
Mississippi taxable income (line 16 minus line 17 and line 18)
.
.
19A
19B
00
00
.
20
Income tax due (from Schedule of Tax Computation, see instructions)
20
00
.
.
21
Other credits (from Form 80-401, line 1)
21
00
00
22
Net income tax due (line 20 minus line 21)
.
22
00
.
23
Consumer use tax (see instructions)
23
00
24
Total Mississippi income tax due (line 22 plus line 23)
.
24
00
.
25
Mississippi income tax withheld (complete Form 80-107)
25
00
.
26
Estimated tax payments, extension payments and/or amount paid on original return
26
00
27
Refund received and/or amount carried forward from original return (amended return only)
.
27
00
.
28
Total payments (line 25 plus line 26 minus line 27)
28
00
29
Overpayment (if line 28 is more than line 24, subtract line 24 from line 28)
.
Farmers or Fishermen
29
00
(see instructions)
.
30
Interest on underestimated tax (from Form 80-320, line 12)
30
00
.
31
Adjusted overpayment (line 29 minus line 30)
31
00
32
Overpayment to be applied to next year estimated tax account
.
32
00
.
33
Overpayment refund (line 31 minus line 32)
REFUND
33
00
34
Balance due (if line 24 is more than line 28, subtract line 28 from line 24)
BALANCE DUE
.
34
00
.
35
Interest, penalty and interest on underestimated tax (from Form 80-320, line 19)
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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