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Mississippi Resident
                                                                                                                          Form 80-170-08-8-1-000 (Rev. 05/08)

                                                                                                                                                                                                                                      AMENDED Individual Income Tax Return
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           WII A
                                                                                                                                                                                                                                                                                                                                                                                  Page 1
                                                                                                                                                                                                                                                     2008
                                                                                                                                                                                                                                                                                                                                                             Duplex or Photocopies NOT Acceptable
                                                                                                                                                                      801700881000

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                                                                                                                                                               Mailing Address (Number & Street, Including Rural Route)                                                                                                                                                                                             .                     .                                                                                                                                                                                                                                                                                                                                                                                                                                .                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ....
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Complete the return as it should have been originally completed. Mark the circle by the line number for each line that was changed from the original return.




                                                                                                                                                                                                                                                                                                                                                                                                       YOU MUST ENTER SSN
                                                                                                                                                                                                                                                                                           State                   Zip
                                                                                                                                                               City                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         . . . . .. . . . . .
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Amended Resident Income Tax Return

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ftb.ca.gov forms 1015B
 

Amended Resident Income Tax Return

  • 1. Mississippi Resident Form 80-170-08-8-1-000 (Rev. 05/08) AMENDED Individual Income Tax Return WII A Page 1 2008 Duplex or Photocopies NOT Acceptable 801700881000 Middle Initial .. ..... . . .. . . . . .. .... .. .... . . . .. . . . . . . . . .. . . . .. Taxpayer Last Name . First Name . . . . . . . . . . . . . . . SSN . . . . . . - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . .. . Middle Initial . Spouse Last Name Spouse First Name . .... . ..... .... .... ... .. .... . . . .. .. . . . .. . . . .. . . . .. . . . . .. .... .. . . . .. . . . .. . . . . . . . . . . . . . Spouse . . . . - . - . . . . . . . . . . . SSN . . . . . . . . Mailing Address (Number & Street, Including Rural Route) . . . .... . . . .. . . . .. ... .. . .. . . . .. .. . . . . .. . . . .. . . . . .. . . . .. Complete the return as it should have been originally completed. Mark the circle by the line number for each line that was changed from the original return. YOU MUST ENTER SSN State Zip City . . . . .. . . . . . . . .