Form Clt-4 - Corporation License Tax Return - 2004
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4MONTANA
2004 Corporation License Tax Return
Form CLT-4
Rev. 9-04
For calendar year 2004 or tax year beginning_____________, 2004; ending_____________,20_____
FEIN_________________
Check if
Corporation Name
Federal Business Code
applicable:
_____________________
Initial Return
Incorporated in State of
Final Return
Address
_____________________
Amended Return
If new address check here
Date _________________
Date Qualified in Montana
City
State
Zip + 4
____________
Check box if you do not need the Montana corporation license tax return and instructions sent to you next year
Copy of signed Federal Form 1120 as filed with the Internal Revenue Service must be attached
Part I - Filing Method - Check applicable filing method - see instructions
a.
a.
Separate Company Apportionment..........................................................................................................................................................................
b.
b.
Separate Accounting....................................................................................................................................................................................................
c.
c.
Worldwide Combination.............................................................................................................................................................................................
d.
d.
Domestic Combination................................................................................................................................................................................................
e.
e.
Limited Combination....................................................................................................................................................................................................
f.
f.
Water’s Edge (must have a valid election and Schedule WE must be attached).........................................................................................
g.
Exempt from tax under provisions of Public Law 86-272 (Schedule K must still be completed)...............................................................
g.
Part II - Amended Return Only - Check all that apply
a.
Federal Revenue Agent Report, a complete copy of this report is required...................................................................................................
a.
b.
NOL carryback/carryforward; year of loss________________.........................................................................................................................
b.
c.
Apportionment factor changes (attach a statement explaining all adjustments in detail)............................................................................
c.
d.
Amended federal return (Form 1120X); a complete copy of this return is required........................................................................................
d.
e.
Application and/or change in tax credit; type of credit being claimed________________.........................................................................
e.
f.
Other - Attach a statement explaining all adjustments in detail..........................................................................................................................
f.
Part III - General Questions - All questions must be answered
a.
Describe in detail, the nature and location(s) of your Montana activities (if necessary, provide the description on an additional page)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
b.
Is this the corporation’s first Montana return?......................................................................................................................................................
Yes
No
If successor to previously existing business, enter name and FEIN of previous business:
_________________________________________________________________________________________________
c.
Is this the corporation’s final Montana return?.....................................................................................................................................................
Yes
No
If so, indicate whether:
Withdrawal
Merged (please attach detailed statement)
Dissolved (please attach detailed statement)
Reorganized (please attach detailed statement)
Date of withdrawal, dissolution, merger, or reorganization_____________________________________________________
d.
Has the Internal Revenue Service issued an official notice of change or correction to any tax periods that have not
been filed with the Montana Department of Revenue? If “yes”, indicate the most recent taxable year for which an
official notice has been issued by the Internal Revenue Service.______________________________________........................
Yes
No
e.
Are any statute of limitation waivers currently in force which have been executed with the Internal Revenue Service?....................
Yes
No
If “yes”, which taxable years are covered and what are the expiration dates of the waivers?____________________________
_________________________________________________________________________________________________
f.
Has an amended federal return been filed for any of the last five (5) taxable periods? If “yes”, which taxable
year(s) were amended? __________________________ If “yes”, for which years have amended Montana
returns been filed. _______________________................................................................................................................................................
Yes
No
g.
Was this corporation included as a member of a consolidated group for Internal Revenue Service filing purposes?.......................
Yes
No
If “yes”, you must attach pages 1 through 4 of the signed consolidated U.S. Corporation Income Tax Return (Form 1120)
as filed with the Internal Revenue Service and a schedule of gross income and deductions, by company, supporting the
consolidated taxable income.
What is the ultimate U.S. parent’s FEIN?____________________________________
What is the ultimate U.S. parent’s name?______________________________________
h.
Did an individual, partnership, corporation, estate or trust at the end of the taxable year own, directly or indirectly, 50%
Yes
No
or more of the voting stock of this corporation?....................................................................................................................................................
i.
If the answer to question (h) is “yes”, did the same individual, partnership, corporation, estate or trust at the end of the
taxable year also own, directly or indirectly, 50% or more of the voting stock of another (brother-sister) corporation?.......................
Yes
No
j.
Did this corporation or any member of the consolidated group own, directly or indirectly, 50% or more of the outstanding
voting stock of a domestic corporation that is not included in the consolidated group referenced in (g) above?................................
Yes
No
k.
Did this corporation or any member of the consolidated group own, directly or indirectly, 50% or more of the outstanding
Yes
No
voting stock of a controlled foreign corporation?..................................................................................................................................................
If you answered “yes” to any of the above questions (g-k), you must complete Schedule M.
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