INSTRUCTIONS: EXTENSION OF TIME TO FILE 2011 80-180

This form does not extend the payment of taxes in Mississippi. The form only extends the amount of time to file the taxes. You still need to make payments by April 15 of the tax year. This form is for 2011, but these instructions apply to extensions forms for later years in Mississippi. If the Department of Revenue approves this form, you’ll receive an extension on your returns up to October 15.

“Extension of Time to File 2011 80-180 Step 1”

Provide the last name, first name, and middle initial for the taxpayer on the Six Month Extension Request. If the taxpayer is married, they need to provide their spouse’s name as well.

“Extension of Time to File 2011 80-180 Step 2”

If the taxpayer(s) is filing for an extension for a fiduciary, state the name of the fiduciary below the taxpayer’s name. Then, provide the address of the taxpayers below the name of the fiduciary.

“Extension of Time to File 2011 80-180 Step 3”

The taxpayer has to provide their social security number and spouse’s social security number if they’re married. If the taxpayer is filing an extension for a fiduciary, provide the federal employer identification number (FEIN) below the social security numbers as well.

“Extension of Time to File 2011 80-180 Step 4”

Provide the total amount of payment in the appropriate box below the social security and FEIN number. Round the total amount to whole dollars. Make the check or money order payable to Department of Revenue. Make sure you print your social security number on the check and your spouse’s social security number if paying from a joint account.

“Extension of Time to File 2011 80-180 Step 5”

After you’ve completed the bottom section of this form, detach the section and keep a photocopy for your records. Do not submit a photocopy to the Department of Revenue. Mail the completed bottom section of this form and the check or money order to the following address:

Department of Revenue

P.O. Box 23075

Jackson, MS 39225-3075