2006 Qualified Endowment Credit
MONTANA
15-30-165 and 15-30-166, 15-31-161 and 15-31-162, MCA
QEC
Rev. 11-06
Name (as it appears on your tax return) ________________________________________________________
Your Social Security Number or Federal Employer Identification Number ______________________________
If this credit is a pass-through to you from a partnership or S corporation enter below the name, FEIN, and your
percentage of ownership in the partnership or S. corporation.
Name____________________________________________ FEIN_______________% of Ownership________
0%
1a Enter the name and address of the tax-exempt Montana organization, qualified under 26 U.S.C. 501(c)(3),
that is holding the qualified endowment:
Name
Address
City, State, Zip
1b Enter the name and address of the trustee that is administering the planned gift:
Name
Address
City, State, Zip
1c Enter the name and address of the bank or trust company holding the qualified endowment on behalf of a
tax-exempt organization:
Name
Address
City, State, Zip
2
Check the appropriate box indicating the type of gift you contributed.
Charitable remainder unitrust
Charitable gift annuity
Charitable remainder annuity trust
Deferred charitable gift annuity
Pooled income fund trust
Charitable life estate agreement
Charitable lead unitrust
Paid-up life insurance policy
Charitable lead annuity trust
Qualified outright charitable contribution
An outright charitable contribution qualifies for this credit only
when a C. corporation, S. corporation, partnership, trust, estate,
or limited liability company makes the contribution. An individual
cannot claim this credit for an outright charitable contribution.
3
Enter here the date the qualified contribution was made. .................................................... 3
4
Enter here the present value of the aggregate amount of the charitable gift portion of your
planned gift, or your outright charitable contribution (the charitable deduction amount). .... 4
5
If your gift is a planned gift, multiply line 4 by .40 (40%) and enter the result here, but not
more than $10,000. If your gift is a qualified outright charitable contribution, multiply line 4
by .20 (20%) and enter the result here, but not more than $10,000. This is your Qualified
Endowment Credit. ............................................................................................................ 5
If you are an individual, transfer the amount on line 5 to Form 2, Schedule V, line 3.
If you are a C. corporation, transfer the amount on line 5 to Form CLT-4, Schedule C, line 12.
If you are an S. corporation, transfer the amount on line 5 to Form CLT-4S, Schedule II, line 9.
If you are a partnership, transfer the amount on line 5 to Form PR-1, Schedule II, line 9.
When you file your Montana income tax return electronically, you represent that you have retained all
documents required as a tax record and that you will provide a copy to the department upon request.