Form Montana Cr-T - Application For Tax Certificate - 2011
Download a blank fillable Form Montana Cr-T - Application For Tax Certificate - 2011 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Montana Cr-T - Application For Tax Certificate - 2011 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Clear Form
MONTANA
CR-T
Rev 05 11
Application for Tax Certifi cate
1.
Entity Information
Entity Name
Federal Employer
-
Identifi cation Number
Mailing Address
City
State
Zip Code
Entity Contact Person
Phone Number for Contact Person (Required)
2.
Representative Information (Person to whom the certifi cate should be sent.)
Name
Mailing Address
City
State
Zip Code
3.
Type of Certifi cate Requested (Mark each type of certifi cate requested.)
Title 15
Dissolution/
Good Standing
Tax Clearance
Reviver
Reinstate with
Withdrawal
Show that your tax
Verify that your fi nal
Reinstate with the Secretary of State
the Secretary of
Withdraw/dissolve
fi ling and payment
return was fi led and
after being suspended (You must
State after being
with the Secretary of
requirements are
all taxes have been
also request a Title 15 Certifi cate.)
involuntarily dissolved
State
current
paid
4.
Business Entity Types (Mark only one box.)
C corporation
Disregarded Entity (other than a sole proprietorship)
S corporation
LLC taxed as a partnership
Partnership
LLC taxed as an S corporation
Limited Liability Partnership
LLC taxed as a C corporation
Business Trust
Nonprofi t (tax exempt) organization (Include a completed
Form EXPT – Tax Exempt Status Request.)
Sole proprietorship (including LLCs
taxed as a sole proprietorship)
-
-
Name of sole proprietor ______________________________________ SSN of sole proprietor
5.
Form ATL- Assumption of Montana Tax Liabilities – If your entity is included in the Montana tax fi ling of another entity and/or
your entity is part of a merger or consolidation, include a completed Form ATL.
a.
If merging or consolidating, provide the name and FEIN for the surviving entity and the date of merger/consolidation:
Name of the surviving entity ______________________________________________________________________
-
FEIN of the surviving entity
Date of merger or consolidation ________________________
b.
Are you fi ling a combined Montana tax return?
Yes
No
If yes, enter the name and FEIN as shown on the tax return:
Name _______________________________________________________________
FEIN
-
6.
Signature
________________________________________________
____________________________________________
Print Name
Title
______________________________________________________________
_______________________________
Signature
Date
Mail application to: Montana Department of Revenue; Attn: Certifi cates; PO Box 5805; Helena, MT 59604-5805
Fax application to: (406) 444-6642
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial