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Form 83-391-12-8-1-000 Rev. 05/12 MS Mississippi Insurance Company Income Tax Return 833911281000 Page 1 Tax Year Beginning m m FEIN d Tax Year Ending y Amended Return Check One Life Insurance Receipts Disbursements Basis Accrual Basis Final Return Accident and Health MS Secretary of State ID Business Name and DBA Address NAICS Code City Zip 4 State County Code COMPUTATION OF TAX Income Tax Retaliatory Taxes Paid to Other States Income Tax Cred...
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