Application Form For Refund Of Personal Property Taxes Paid - Montana Department Of Revenue
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1MONTANA
CGR-3
Clear Form
Rev. 4/07
Contractors Gross Receipts
Application for Refund of Personal Property Taxes Paid
1.
Refund Requested By:
Name:
Address:
City:
State:
Zip Code:
2.
Federal Identification Number (FEIN)………………………………………
3.
Personal Property taxes paid during and for calendar year……………….. _____/_____/20___
4.
List the Government Issued Contract Numbers and the total amount of contractor’s gross receipts
withheld/paid during the calendar year indicated on line 3.
Contractors Gross
Government Issued Contract Number
Receipts withheld/paid
$
$
$
$
$
$
4. Total Contractors Gross Receipts withheld/paid…………………...
$
5.
List below personal property taxes paid for and during the calendar year covered by this refund
application. Attach copies of paid tax receipts to this refund application.
Personal Property Description
Receipt Number
Amount
$
$
$
$
$
$
5. Total Personal Property Taxes Paid………………………………………….
$
6.
Total Refund (enter the amount from line 4 or 5, whichever is less)
$
Having paid personal property taxes on assets used in this contacting business, a contractor may apply for a
refund of these taxes paid to the extent of the Contractors Gross Receipts withheld/paid.
Application for Refund submitted by:
Preparer’s Signature:
Preparer’s Title:
Date:
Phone:
Fax:
Mail this refund application to:
Department of Revenue, P.O. Box 5835, Helena, MT 59604-5835
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