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Form 80-161-22-8-1-000 (Rev. 10/22)                                                          Reset Form
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                                                               Mississippi                                 Page 1 
801612281000                        Tax Credit For Income Tax Paid 
                                    By Electing Pass-Through Entity

Name                                                                                     SSN

Enter the name, FEIN, Mississippi taxable income and the amount of taxes paid on your behalf by electing pass-through entities.  The Mississippi K-1s
you received from electing pass-through entities must be attached to the return.

      COLUMN A                                    COLUMN B                      COLUMN C                   COLUMN D
     NAME OF ENTITY                               FEIN                          MISSISSIPPI TAXABLE INCOME AMOUNT OF TAX PAID 

                                                                                          .00                      .00

                                                                                          .00                      .00

                                                                                          .00                      .00

                                                                                          .00                      .00

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1  Total column C and column D from page 1 above                        1C               .00 1D                    .00

2  Totals from page 2 (total of column C and column D from additional
    page(s) Form 80-161)                                                2C               .00 2D                    .00

3  Total Mississippi taxable income and amount of taxes paid on
    pass-through entity returns (enter here and on Form 80-105, page 1, 3C               .00 3D                    .00
    line 19; or Form 80-205, page 1, line 21; or on Form 81-110, page 1, line 4)



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Form 80-161-22-8-2-000 (Rev. 10/22)

                                   Mississippi                                                        Page 2 
                                   Tax Credit For Income Tax Paid 
   801612282000
                                   By Electing Pass-Through Entity

SSN

                 COLUMN A          COLUMN B                           COLUMN C                   COLUMN D
   NAME OF ENTITY                  FEIN                               MISSISSIPPI TAXABLE INCOME AMOUNT OF TAX PAID 

                                                                               .00                            .00

                                                                               .00                            .00

                                                                               .00                            .00

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Totals (total of column C and column D; enter here and on Form 80-161,
page 1, line 2)                                                                .00                            .00

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