Form 80-106-20-8-1-000 (Rev. 08/20)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Cut Along the Dotted Line
City
State
Zip
Taxpayer First Name
Address
Amount Paid
Form 80-106-20-8-1-000 (Rev. 08/20)
Return Payment
Quarterly Estimate Payment
Fiduciary Income
Taxpayer SSN/ITIN
Spouse SSN/ITIN
Trust FEIN
Last Name
Initial
Spouse First Name
Last Name
Name of Estate / Trust
(if fiduciary payment)
Individual Income
801062081000
Mississippi
Individual / Fiduciary Income Tax Voucher
Who Must Make Estimated Tax Payments
Return Payments
Payment Options
Mississippi
Individual / Fiduciary Income Tax
Payment Voucher
Extension Payment
Extension Payments
Instructions
• To pay this amount online, go to www.dor.ms.gov, click on Taxpayer Access Point (TAP) and follow the instructions.
- Check the amended return box on the voucher if you are making a payment with an amended return.
- Write the identification number on the check or money order.
- Duplex forms or photocopies are NOT acceptable.
- Check the appropriate box on the voucher for the payment type you are remitting.
- Mail the payment coupon and check/money order without return to: P.O. Box 23192, Jackson, MS 39225-3192
- Make the check or money order payable to Department of Revenue
.00
Amended Return Payment
Account Type (Check One)Payment Type (Check One)
Tax Year Beginning
m
m
d
d
y
y
y
y
Tax Year Ending
m
m
d
d
y
y
y
y
Initial
Mail with return to: Department of Revenue, P.O. Box 23050, Jackson, MS 39225-3050
Mail without return to: Department of Revenue, P.O. Box 23192, Jackson, MS 39225-3192
- Mail the payment coupon and check/money order with return to: P.O. Box 23050, Jackson, MS 39225-3050
Every individual taxpayer who does not have at least eighty percent (80%) of his/her annual tax liability prepaid through withholding must make
estimated income tax payments, please see the Individual Income Tax Return Instructions, Form 80-100.
estimated tax payments if his/her annual tax liability exceeds two hundred dollars ($200). For more information about the payment and calculation of
(Form 80-205) and the Fiduciary Income Tax Return (Form 81-110).
This voucher may be used to make return payments for tax due on the Individual Income Tax Return (Form 80-105), Non-Resident Income Tax Return
This voucher may be used to make extension payments for tax due on the Individual Income Tax Return (Form 80-105), Non-Resident Income Tax
Return (Form 80-205) and the Fiduciary Income Tax Return (Form 81-110). Extension payments should be filed and paid on or before April 15th.
• To pay by check or money order, complete the payment coupon below:
