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Mississippi Reservation Indian Exclusion
Extracted from PDF file 2023-mississippi-form-80-340.pdf, last modified October 2023Reservation Indian Exclusion
Reset Form Form 80-340-23-8-1-000 (Rev. 11/23) Print Form Mississippi Affidavit for Reservation Indian Income Exclusion From Mississippi State Income Taxes Taxpayer First Name Initial Last Name Spouse First Name Initial Last Name Tax Year SSN Mailing Address (Number and Street, Including Rural Route) City Spouse SSN State INDIAN STATUS Zip County Code (CHECK ONE) Yes (a) I am a Mississippi Choctaw Indian. No (b) I am a member or am eligible for membership in an Indian Tribe other than the Mississippi Band of Choctaws. Yes No Name of Tribe RESERVATION RESIDENCY (a) During I lived on the Mississippi Choctaw Indian Reservation for... (check one box ONLY below) The entire year Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec (Circle months lived on reservation) I did not live on the Choctaw Reservation during (b) My place(s) of residence on the Choctaw Reservation during was (were) located on (check one or more boxes below) A tribal housing site lease A Choctaw housing authority house site A BIA dormitory or house RESERVATION INCOME (a) During the months I lived on the Choctaw Reservation in (b) My employer(s) for my on-reservation work during , I earned the following income from work on the Choctaw Reservation was (were) the... (check one or more boxes below) Mississippi Band of Choctaw Indians Bureau of Indian Affairs Indian Health Service, USPHS Other Name of Employer Employer Phone Employer Address I do hereby claim that the above described earned income falls outside the taxing jurisdiction of the State of Mississippi on the basis of the legal principles established in McClanahan vs. Arizona Tax Commission , 411 U.S. 164 (1973). THIS FORM MUST BE SIGNED. If someone else completed this form, both of you must sign the form. Under penalties of perjury, I declare that I have examined this form and to the best of my knowledge and belief this form is true, correct, and complete. Signature Date Preparer Signature Date Mail this form to: P.O. Box 1033, Jackson, MS 39215
80340238
More about the Mississippi Form 80-340 Individual Income Tax TY 2023
We last updated the Reservation Indian Exclusion in February 2024, so this is the latest version of Form 80-340, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 80-340 directly from TaxFormFinder. You can print other Mississippi tax forms here.
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TaxFormFinder has an additional 36 Mississippi income tax forms that you may need, plus all federal income tax forms.
| Form Code | Form Name |
|---|---|
| Form 80-105 | Resident Tax Return |
| Form 80-107 | Income and Withholding Tax Schedule |
| Form 80-106 | Payment Voucher and Estimated Tax Voucher |
| Form 80-205 | Non-Resident and Part-Year Resident Return |
| Form 80-100 | Individual Income Tax Instructions |
View all 37 Mississippi Income Tax Forms
Form Sources:
Mississippi usually releases forms for the current tax year between January and April. We last updated Mississippi Form 80-340 from the Department of Revenue in February 2024.
About the Individual Income Tax
The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.
Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!
Historical Past-Year Versions of Mississippi Form 80-340
We have a total of three past-year versions of Form 80-340 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
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