Contractors Gross Receipts Gross Receipts Withholding Return Form - Montana Department Of Revenue

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MONTANA
Clear Form
CGR-2
Rev. 6/06
Contractors Gross Receipts
Gross Receipts Withholding Return
1.
Contract Awarded by:
Agency
Prime Contractor
Federal Identification Number (FEIN):
Name:
Address:
City:
State:
Zip Code:
2.
Contract Awarded to:
Prime Contractor
Sub-Contractor
Federal Identification Number (FEIN):
Name:
Address:
City:
State:
Zip Code
3. Government Issued Contract Number……………………...………………………………...
4. Contract Award Date………………………………………………….……………................. _____/_____/20___
5. Month and year increment payment earned……………………………….…….................
_____/20___
6. Gross amount due Prime contractor or sub-contractor at the time of this report………..
$
7. Amount Withheld (1% of line 6) ( If payment made to prime contractor from awarding
$
agency, remittance must accompany this report )………………………………………………......
8. Net amount paid Prime contractor or sub-contractor at the time of this report…………
$
9.
Check proper box for type of return being filed:
Remittance attached for credit to prime contractor’s account
Sub-Contractor allocation, authorization to transfer credit to sub-contractor.
Failure of prime contractor to file a distribution report within thirty (30) days of
payment will result in a 10% penalty. Date payment made to sub-contractor……….
_____/_____/20___
10. Description of work to be performed:
_______________________________________________________________________________________
_______________________________________________________________________________________
11. Location of work to be performed (be specific):
_______________________________________________________________________________________
_______________________________________________________________________________________
The agency or contractor must, in accordance with Section 15-5-206, Montana Code Annotated, withhold one percent (1%) of
incremental payments due the contractor or sub-contractor. Amounts withheld from a prime contractor must be forwarded with
this report to the Department of Revenue. Amounts withheld from sub-contractors must be reported on this form so that proper
allocation of credit can be made from prime contractor’s account to the sub-contractor.
Return Submitted by
Agency
Prime Contractor
Sub-Contractor
Award Authorization
Preparer’s Signature:
Preparer’s Title:
Date:
Phone:
Fax:
Mail this return to:
Department of Revenue, P.O. Box 5835, Helena, MT 59604-5835

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