Enlarge image
Form 84-387-23-3-1-000 (Rev. 10/23)06 07 08 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
04 Mississippi Page 1 04
05 05
Partnership Income Tax Estimate Voucher
06 843872331000 2023 06
07 07
08 Tax Year Beginning 99999999 Tax Year Ending 99999999 08
09 09
10 Estimate Due Date 99999999 10
11FEIN 999999999 11
12 12
13 Business Name and DBA 13
14X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9 Total number of owners/partners 14
15 Address filed on estimate form(s) 15
16X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9 999 16
17 City State Zip +4 17
18X9X9X9X9X9X9X9X9X9X9X9X9X9 XX 999999999 18
19 19
20 1 Total partnership net gain or profit 1 9999999999 20
21 21
22 2 5% of net gain or profit remitted by the partnership for the owners/partners listed below 2 9999999999 22
23 23
24 OWNER/PARTNER NAME FEIN SSN IDENTIFICATION NUMBER OWNERSHIP PERCENTAGE AMOUNT OF PAYMENT 24
25 25
26 3 X9X9X9X9X9X9X9X9 X X 999999999 999.9999 9999999999 26
27 27
28 4 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 28
29 29
30 5 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 30
31 31
32 6 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 32
33 33
34 7 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 34
35 35
36 8 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 36
37 37
38 9 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 38
39 39
4010 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 40
41 41
4211 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 42
43 43
4412 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 44
45 45
4613 X9X9X9X9X9X9X9X9 X X 999999999 99.9999 9999999999 46
47 47
4814 Total of amounts entered on line 3 through line 13 14 9999999999 48
49 49
5015 Total amounts from all supplemental pages (Form 84-387, page 2) 15 9999999999 50
51 51
5216 Total estimate payment (add line 14 and line 15; should equal amount of payment/gain entered on line 2) 16 9999999999 52
53 53
54I 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, 54
this is a true, correct and complete return.
55 55
56 56
57 Officer/ Agent Signature Title Date 57
58 58
59 Print FEIN on check 59
60 Make check or money order payable to Department of Revenue 60
or see instructions for electronic payment options
61 61
62 Mail To: Department of Revenue P.O. Box 23191 Jackson, MS 39225-3191 62
63 63
06 07 08 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
