Mississippi - dor.ms.gov

Form 80-106-17-8-1-000 (Rev. 10/17) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Cut Along the Dotted LineCity State Zip Taxpayer First Name AddressAmount Paid Form 80-106-17-8-1-000 (Rev. 10/17)Return PaymentQuarterly Estimate PaymentFiduciary IncomeTaxpayer SSN/ITINS pouse SSN/ITINT rust FEINLast Name Initial Spouse First Name Last Name Name of Estate / Trust (if fiduciary payment)Individual Income801061781000 Mississippi Individual / Fiduciary Income Tax Voucher Who Must Make Estimated Tax PaymentsEvery individual taxpayer who does not have at least eighty percent (80%) of his/her annual tax liability prepaid through withholding must make estimated tax payments if his/her annual tax liability exceeds two hundred dollars ($200).

Form 80-106-17-8-1-000 (Rev. 10/17)

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