80-491: Additional Dependents (2025)

Mississippi · Mississippi DOR · Used for tax years 2025

Mississippi Form 80-491 is the Additional Dependents statement for individual income tax for 2025. It lists each dependent's name, relationship to the taxpayer, and Social Security number.

Who files this form

Form 80-491 is Mississippi’s Additional Dependents statement for tax year 2025. The form defines a dependent as a relative or other person who qualifies as your dependent for federal income tax purposes. It does not state who is required to file this statement.

What you'll need

Have the following information ready to complete the form:

  • Each dependent’s name, relationship to you, and Social Security number.
  • Your name and Social Security number, and your spouse’s name and Social Security number, as applicable.
  • Your mailing address, including city, state, ZIP code, and county code.

The form does not list supporting documents to attach.

Common mistakes

The form warns that duplex (double-sided) copies and photocopies are not acceptable.

Questions people ask

Who counts as a dependent on this form?

A dependent is a relative or other person who qualifies as your dependent for federal income tax purposes.

What do I enter for each dependent?

Enter the dependent’s name in Column A, relationship to you in Column B, and Social Security number in Column C.

Which relationship codes should I use?

Enter “C” for child, “P” for parent, or “R” for relative.

How many dependent entries are on the form?

The form has 15 numbered spaces for dependents.

Official sources

All versions of 80-491