Form 81-131-22-3-1-000 (Rev. 12/22)
0606 0707 080 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 808 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
0404 Mississippi 0404
0505 Page 1 0505
Fiduciary Schedule K
0606 811312231000 Beneficiaries Share of Income 0606
0707 0707
2022
0808 FEIN 999999999 0808
0909 0909
1010 Column A Column B Column C Column D 1010
1111 Ownership % Allocations to Beneficiaries 1111
Name, Address and SSN/FEIN
1212 of Each Beneficiary (Enter 25% as 25.00) Income Taxable to Mississippi Non-Mississippi Income 1212
1313 State of Residence (Resident and Non-Resident Beneficiaries) (Non-Resident Beneficiaries Only) 1313
1414Name XXXXXXXXXXXXXXXXXX 1414
1515Address X9X9X9X9X9X9X9X9X9 1515
1616 XXXXXXXXX XX 99999 999.9999 1616
1717 1717
1818 FEIN 999999999 1818
1919 SSN 999999999 State XX 9999999999 9999999999 1919
2020 2020
2121Name XXXXXXXXXXXXXXXXXX 2121
2222Address X9X9X9X9X9X9X9X9X9 2222
2323 XXXXXXXXX XX 99999 999.9999 2323
2424 2424
2525 FEIN 999999999 2525
2626 SSN 999999999 State XX 9999999999 9999999999 2626
2727 2727
2828Name XXXXXXXXXXXXXXXXXX 2828
2929Address X9X9X9X9X9X9X9X9X9 2929
3030 XXXXXXXXX XX 99999 999.9999 3030
3131 3131
3232 FEIN 999999999 3232
3333 SSN 999999999 State XX 9999999999 9999999999 3333
3434 3434
3535Name XXXXXXXXXXXXXXXXXX 3535
3636Address X9X9X9X9X9X9X9X9X9 3636
3737 XXXXXXXXX XX 99999 999.9999 3737
3838 3838
3939 FEIN 999999999 3939
4040 SSN 999999999 State XX 9999999999 9999999999 4040
4141 4141
4242Name XXXXXXXXXXXXXXXXXX 4242
4343Address X9X9X9X9X9X9X9X9X9 4343
4444 XXXXXXXXX XX 99999 999.9999 4444
4545 4545
4646 FEIN 999999999 4646
4747 SSN 999999999 State XX 9999999999 9999999999 4747
4848 4848
4949 4949
5050 Total amounts page 1 999.9999 9999999999 9999999999 5050
5151 5151
5252 Total amounts from supplemental pages 999.9999 9999999999 9999999999 5252
5353 5353
5454 Grand totals (columns B, C and D) 999.9999 9999999999 9999999999 5454
5555 5555
5656 5656
5757 Amount allocated to beneficiaries - (total of column C and column D) 9999999999 5757
5858 5858
5959 A Mississippi Fiduciary Schedule K-1, Form 81-132, should be prepared for each beneficiary. The amount taxable to each beneficiary 5959
6060 of the estate or trust must be reported by each beneficiary in their individual capacity as an element of income earned in Mississippi. Resident 6060
beneficiaries must report such income on Mississippi Resident Individual Income Tax Form 80-105. Non-Resident beneficiaries must report
6161 their distributive share on Mississippi Nonresident or Part-year Individual Income Tax Form 80-205. A copy of all Mississippi Schedule 6161
6262 K-1s should be attached to the fiduciary return. 6262
6363 6363
0606 0707 008 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33Duplex34 35 36 37and38 39Photocopies40 41 42 43 44 45 46NOT47 48Acceptable49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 808 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80