Transcription of Mississippi
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Example: bankruptcy
Mississippi
form 89-140-16-8-1-000 (Rev. 10/16) Name Address City State Zip MS Account ID FEINFORM TYPE(CHECK ONE)W-2 W-2C 1099-R Other 1099 Number of Forms MS Taxable Wages MS Tax Withheld MS Tax Remitted Signature Submitting Company (If different than above) Contact Person (Please Print) Phone + ExtensionSubmitting Company Phone + Extension Address Date Signed Date Mailed GENERAL INSTRUCTIONSE mployers that issue 25 or more W-2s, 1099s or other information returns are required to electronically submit those in the required formats to the Department of Revenue (DOR)
Form 89-140-16-8-1-000 (Rev. 10/16) Name Address City State Zip FEIN MS Account ID FORM TYPE (CHECK ONE) W-2 W-2C 1099-R Other 1099 Number of Forms MS Taxable Wages MS Tax Withheld MS Tax Remitted
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