T Name YOU MUST ENTER SSN Initial Last Name Spouse First Name Taxpayer SSN Mailing Address (Number and Street, Including Rural Route) Spouse SSN City State County Code Zip (ROUND TO THE NEAREST DOLLAR) PART I: TAX RETURN INFORMATION 1 Mississippi taxable income (Form 80-105, line 16; 80-205, line 19) 1 .00 2 Total Mississippi tax (Form 80-105, line 23; 80-205, line 25) 2 .00 3 Mississippi tax payments (Form 80-105, line 28; 80-205, line 30) 3 .00 4 Refund (Form 80-105, line.

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Mississippi Department of Revenue

Form 80-115-25-8-1-000 (Rev. 09/25). Taxpayer Signature. Mississippi. Individual Income...

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