INSTRUCTIONS: MISSISSIPPI CERTIFICATE OF PRIME CONTRACT AMOUNT (Form 72-340-10-8-000)

When drawing up a Mississippi prime contract, the form discussed in this article is used to certify the amount. This document can be obtained from the website maintained by the Mississippi Department of Revenue.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 1: Enter your sales tax account number on the first blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 2: The first section is to be completed by the contractor. Enter your name on the first blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 3: Enter your doing business as (DBA) name on the second blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 4: Enter your primary street address on the third blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 5: Enter your city on the fourth blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 6: Enter your state on the fifth blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 7: Enter your county on the sixth blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 8: Enter your zip code on the seventh blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 9: Enter your phone number, including the area code, on the eighth blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 10: Enter your extension on the ninth blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 11: Enter your fax number, including the area code, on the ninth blank line.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 12: If different, enter your mailing address in the remainder of this section.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 13: The next section is to be completed by the owner. Enter your name, mailing address, city, state, county and zip code on the first six blank lines.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 14: Enter your phone number, extension and fax number on the next three blank lines.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 15: Provide all information requested in the rest of this section.

Mississippi Certificate Of Prime Contract Amount 72-340-10-8-000 Step 16: The owner or their representative should sign and date the form in the presence of a notary public, who will affix their seal.