Form 80-115-19-8-1-000 (MS8453-IIT) "Mississippi Individual Income Tax Declaration for Electronic Filing" - Mississippi

What Is Form 80-115-19-8-1-000 (MS8453-IIT)?

This is a legal form that was released by the Mississippi Department of Revenue - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Mississippi Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 80-115-19-8-1-000 (MS8453-IIT) by clicking the link below or browse more documents and templates provided by the Mississippi Department of Revenue.

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Download Form 80-115-19-8-1-000 (MS8453-IIT) "Mississippi Individual Income Tax Declaration for Electronic Filing" - Mississippi

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RESET FORM
Form 80-115-19-8-1-000 (Rev. 06/19)
PRINT FORM
Mississippi
MS8453-IIT
Individual Income Tax Declaration
Submission Number
For Electronic Filing
2019
Last Name
Taxpayer First Name
Initial
YOU MUST ENTER SSN
Last Name
Initial
Spouse First Name
Taxpayer SSN
Mailing Address (Number and Street, Including Rural Route)
Spouse SSN
City
State
Zip
County Code
(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 27; 80-205, line 29)
3
.00
4
Refund (Form 80-105, line 33; 80-205, line 34)
4
.00
5
Amount you owe (Form 80-105, line 36; 80-205, line 37)
5
.00
PART II: DIRECT DEPOSIT/DIRECT DEBIT
3
Type of account:
1
Routing number
2
Account number
Checking
Savings
My request for direct deposit/direct debit of my refund/payment includes my authorization for the Mississippi Department of Revenue to furnish my financial institution with my
routing number, account number, account type, and social security number to insure my refund/payment is properly processed.
PART III: DECLARATION OF TAXPAYER
Under penalties of perjury, I declare that I have compared the information contained on my income tax return with the information I have provided to my electronic return
originator and that the amounts described in Part I above agree with the amounts shown on the corresponding lines of my Mississippi income tax return. To the best of my
knowledge and belief, my return is true, correct and complete. This declaration is to be maintained by the electronic return originator and provided to Mississippi Department of
Revenue on request.
Taxpayer Signature
Date
Spouse Signature
Date
PART IV: DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER
Under penalties of perjury, I declare that I have reviewed the above taxpayer's return and that the entries on this form are complete and correctly represented to the best of my
knowledge. I have obtained the taxpayer's signature and will maintain this return for the Mississippi Department of Revenue as part of my permanent records. Upon written
request, I will furnish this return to the Mississippi Department of Revenue. I have provided the taxpayer with a copy of all forms and information to be filed electronically with
the Mississippi Department of Revenue and have followed all other requirements described in the Mississippi Handbook for Electronic Filers and any additional requirements
specified by the Mississippi Department of Revenue. If I am the paid preparer, under penalties of perjury, I declare that I have examined this return and accompanying
schedules and statements and to the best of my knowledge and belief, they are true, correct and complete. Declaration of preparer is based on all information of which
preparer has any knowledge.
ERO
ERO Signature
Date
Check if Also
Check if Self-
ERO SSN or PTIN
Paid Preparer
Employed
Use
Only
EIN
Firm Name (or yours if self-
employed), address and ZIP code
Phone No.
Under penalties of perjury, I declare that I have examined the above taxpayer's return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. This declaration is based on all information of which I have any knowledge.
Preparer Signature
Date
Check if Also
Check if Self-
Preparer SSN or PTIN
Paid
Paid Preparer
Employed
Preparer
Use Only
EIN
Firm Name (or yours if self-
employed), address and ZIP code
Phone No.
DO NOT Mail this Document to the Mississippi Department of Revenue
RESET FORM
Form 80-115-19-8-1-000 (Rev. 06/19)
PRINT FORM
Mississippi
MS8453-IIT
Individual Income Tax Declaration
Submission Number
For Electronic Filing
2019
Last Name
Taxpayer First Name
Initial
YOU MUST ENTER SSN
Last Name
Initial
Spouse First Name
Taxpayer SSN
Mailing Address (Number and Street, Including Rural Route)
Spouse SSN
City
State
Zip
County Code
(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 27; 80-205, line 29)
3
.00
4
Refund (Form 80-105, line 33; 80-205, line 34)
4
.00
5
Amount you owe (Form 80-105, line 36; 80-205, line 37)
5
.00
PART II: DIRECT DEPOSIT/DIRECT DEBIT
3
Type of account:
1
Routing number
2
Account number
Checking
Savings
My request for direct deposit/direct debit of my refund/payment includes my authorization for the Mississippi Department of Revenue to furnish my financial institution with my
routing number, account number, account type, and social security number to insure my refund/payment is properly processed.
PART III: DECLARATION OF TAXPAYER
Under penalties of perjury, I declare that I have compared the information contained on my income tax return with the information I have provided to my electronic return
originator and that the amounts described in Part I above agree with the amounts shown on the corresponding lines of my Mississippi income tax return. To the best of my
knowledge and belief, my return is true, correct and complete. This declaration is to be maintained by the electronic return originator and provided to Mississippi Department of
Revenue on request.
Taxpayer Signature
Date
Spouse Signature
Date
PART IV: DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER
Under penalties of perjury, I declare that I have reviewed the above taxpayer's return and that the entries on this form are complete and correctly represented to the best of my
knowledge. I have obtained the taxpayer's signature and will maintain this return for the Mississippi Department of Revenue as part of my permanent records. Upon written
request, I will furnish this return to the Mississippi Department of Revenue. I have provided the taxpayer with a copy of all forms and information to be filed electronically with
the Mississippi Department of Revenue and have followed all other requirements described in the Mississippi Handbook for Electronic Filers and any additional requirements
specified by the Mississippi Department of Revenue. If I am the paid preparer, under penalties of perjury, I declare that I have examined this return and accompanying
schedules and statements and to the best of my knowledge and belief, they are true, correct and complete. Declaration of preparer is based on all information of which
preparer has any knowledge.
ERO
ERO Signature
Date
Check if Also
Check if Self-
ERO SSN or PTIN
Paid Preparer
Employed
Use
Only
EIN
Firm Name (or yours if self-
employed), address and ZIP code
Phone No.
Under penalties of perjury, I declare that I have examined the above taxpayer's return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. This declaration is based on all information of which I have any knowledge.
Preparer Signature
Date
Check if Also
Check if Self-
Preparer SSN or PTIN
Paid
Paid Preparer
Employed
Preparer
Use Only
EIN
Firm Name (or yours if self-
employed), address and ZIP code
Phone No.
DO NOT Mail this Document to the Mississippi Department of Revenue