PDF document
- 1 -
    Form 80-161-22-3-1-000 (Rev. 05/23)
    0606 0707 08009 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                                                                                                                                                                                                                                  0404
0505                                                                                                 Mississippi                                                                                                 Page 1               0505
0606             801612231000                                                   Tax Credit For Income Tax Paid                                                                                                                        0606
0707                                                                            By Electing Pass-Through Entity                                                                                                                       0707
0808                                                                                                                                                                                                                                  0808
0909                                                                                                                                                                                                                                  0909
1010                                                                                                                                                                                                                                  1010
1111 Name              XXXXXXXXXXXXXXXXXXX                                                                                                                                SSN         999999999                                       1111
1212                                                                                                                                                                                                                                  1212
1313 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 1313
1414 you received from electing pass-through entities must be attached to the return.                                                                                                                                                 1414
1515                                                                                                                                                                                                                                  1515
1616                             COLUMN A                                                      COLUMN B                                              COLUMN C                                           COLUMN D                      1616
1717                         NAME OF ENTITY                                                          FEIN                             MISSISSIPPI TAXABLE INCOME                               AMOUNT OF TAX PAID                     1717
1818                                                                                                                                                                                                                                  1818
1919     XXXXXXXXXXXXXXXXXXX                                                             999999999                                                9999999999                                         9999999999                       1919
2020                                                                                                                                                                                                                                  2020
2121     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2121
2222                                                                                                                                                                                                                                  2222
2323     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2323
2424                                                                                                                                                                                                                                  2424
2525     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2525
2626                                                                                                                                                                                                                                  2626
2727     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2727
2828                                                                                                                                                                                                                                  2828
2929     XXXXXXXXXXXXXXXXXXX                                                             999999999                                                9999999999                                         9999999999                       2929
3030                                                                                                                                                                                                                                  3030
3131     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3131
3232                                                                                                                                                                                                                                  3232
3333     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3333
3434                                                                                                                                                                                                                                  3434
3535     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3535
3636                                                                                                                                                                                                                                  3636
3737     XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3737
3838                                                                                                                                                                                                                                  3838
3939                                                                                                                                                                                                                                  3939
40401  Total column C and column D from page 1 above                                                                      1C             9999999999                                1D                9999999999                       4040
4141                                                                                                                                                                                                                                  4141
42422  Totals from page 2 (total of column C and column D from additional                                                                                                                                                             4242
    page(s) Form 80-161)                                                                                                  2C             9999999999                                2D                9999999999
4343                                                                                                                                                                                                                                  4343
44443  Total Mississippi taxable income (line 1C plus line 2C) and amount                                                                                                                                                             4444
4545    of taxes paid on pass-through entity returns (line 1D plus line 2D)                                               3C             9999999999                                3D                9999999999                       4545
4646                                                                                                                                                                                                                                  4646
4747                                                                                                                                                                                                                                  4747
48484  Income tax due (from From 80-105, line 1, line 17; or Form 80-205, page 1, line 20; or Form 81-110,                                                                                                                            4848
4949   page 1, line 2)                                                                                                                                                             4                 9999999999                       4949
5050                                                                                                                                                                                                                                  5050
51515  Credit for tax paid to another state and other credits (from Form 80-105, page 1, line 18 and line 20); or                                                                  5                 9999999999                       5151
      Form 80-205, page 1, line 22; or Form 81-110, page 1, line 3 and line 5)
5252                                                                                                                                                                                                                                  5252
53536  Net Income tax due before electing pass-through entity credits (line 4 minus line 5)                                                                                        6                 9999999999                       5353
5454                                                                                                                                                                                                                                  5454
55557  Amount of credit claimed for tax paid on an electing Pass-Through Entity Tax Return (the lesser of line 3D                                                                                                                     5555
      or line 6; enter amount on Form 80-105, page 1, line 19; or Form 80-205, page 1, line 21; or Form 81-110, 
5656   page 1, line 4); If credit for tax paid on an electing Pass-Through Entity Tax Return is not being claimed,                                                                 7                 9999999999                       5656
5757   enter zero.                                                                                                                                                                                                                    5757
5858                                                                                                                                                                                                                                  5858
59598  Excess credit for tax paid on an electing Pass-Through Entity Tax Return (line 3D minus line 7; include                                                                     8                                                  5959
      amount on Form 80-105, page 1, line 31; or Form 80-205, page 1, line 33; or Form 81-110, page 1, line 11)                                                                                      9999999999
6060                                                                                                                                                                                                                                  6060
6161                                                                                                                                                                                                                                  6161
6262                                                                                                                                                                                                                                  6262
6363                                                                                                                                                                                                                                  6363
    0606 0707 08009 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



- 2 -
  Form 80-161-22-3-2-000 (Rev. 05/23)
  0606 0707 08009 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 2            0505
                                                                              Tax Credit For Income Tax Paid 
0606           801612232000                                                                                                                                                                                                         0606
0707                                                                          By Electing Pass-Through Entity                                                                                                                       0707
0808                                                                                                                                                                                                                                0808
0909 SSN          999999999                                                                                                                                                                                                         0909
1010                                                                                                                                                                                                                                1010
1111                           COLUMN A                                                      COLUMN B                                              COLUMN C                                           COLUMN D                      1111
1212                       NAME OF ENTITY                                                          FEIN                             MISSISSIPPI TAXABLE INCOME                               AMOUNT OF TAX PAID                     1212
1313                                                                                                                                                                                                                                1313
1414   XXXXXXXXXXXXXXXXXXX                                                             999999999                                                9999999999                                         9999999999                       1414
1515                                                                                                                                                                                                                                1515
1616   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       1616
1717                                                                                                                                                                                                                                1717
1818   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       1818
1919                                                                                                                                                                                                                                1919
2020   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2020
2121                                                                                                                                                                                                                                2121
2222   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2222
2323                                                                                                                                                                                                                                2323
2424   XXXXXXXXXXXXXXXXXXX                                                             999999999                                                9999999999                                         9999999999                       2424
2525                                                                                                                                                                                                                                2525
2626   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2626
2727                                                                                                                                                                                                                                2727
2828   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       2828
2929                                                                                                                                                                                                                                2929
3030   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3030
3131                                                                                                                                                                                                                                3131
3232   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3232
3333                                                                                                                                                                                                                                3333
3434   XXXXXXXXXXXXXXXXXXX                                                             999999999                                                9999999999                                         9999999999                       3434
3535                                                                                                                                                                                                                                3535
3636   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3636
3737                                                                                                                                                                                                                                3737
3838   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       3838
3939                                                                                                                                                                                                                                3939
4040   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       4040
4141                                                                                                                                                                                                                                4141
4242   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       4242
4343                                                                                                                                                                                                                                4343
4444   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       4444
4545                                                                                                                                                                                                                                4545
4646   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       4646
4747                                                                                                                                                                                                                                4747
4848   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       4848
4949                                                                                                                                                                                                                                4949
5050   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       5050
5151                                                                                                                                                                                                                                5151
5252   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       5252
5353                                                                                                                                                                                                                                5353
5454   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       5454
5555                                                                                                                                                                                                                                5555
5656   XXXXXXXXXXXXXXXXXXX                                                                999999999                                             9999999999                                         9999999999                       5656
5757                                                                                                                                                                                                                                5757
5858                                                                                                                                                                                                                                5858
5959 Totals (total of column C and column D; enter here and on Form 80-161,                                                                     9999999999                                         9999999999                       5959
6060 page 1, line 2)                                                                                                                                                                                                                6060
6161                                                                                                                                                                                                                                6161
6262                                                                                                                                                                                                                                6262
6363                                                                                                                                                                                Supplemental Page             99      of  99    6363
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