I Secretary of State ID NAICS Code Legal Name and DBA Partnership / LLC / LLP (Federal 1065) Address State City County Code S Corporation (Federal 1120-S) CHECK ALL THAT APPLY CHECK ONE Electing Pass-Through Entity 100% Mississippi Composite Return Multistate Apportioning Amended Return Multistate Direct Accounting Zip +4 Total Number of Mississippi K-1s Final Return If issuing 100 or more K-1s, this return must be filed electronically. (ROUND TO THE NEAREST DOLLAR) S CORPO.

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