Form Rtet - Retail Telecommunication Excise Tax - Montana
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1MONTANA
Form RTET
Rev. 03-03
Retail Telecommunication Excise Tax
15-53-130 MCA
Report for the Quarter Ending _____________________, 20___
(Due sixty days after the quarter end)
I. Telecommunication Provider Information
a. Provider Name and Address
b. Federal Identification Number
________——__________________
c.
Request to file on accrual and electronic
basis (see instructions)
d. Is this a final return? ___Yes ___No
If “yes”, attach an explanation and date of
sale, merger or close of business.
II. Tax Computation
Total Gross
Exclusions
Wholesale
Retail
1. Revenue attributable to Montana
Telecommunication Services:
(see instructions on back side)
a. Wireless
b. Long Distance
c. Local Exchange
d. Other
Total
2. Tax: 3.75% (.0375) of Total Retail:
(Total Retail = sum of a,b,c, and d)
3.
Less Credits: Excise Tax paid on worthless accounts:
(
)
Total: Credits
4. Adjustment to previous quarters (attach explanation)
5. Penalty and interest (see instructions)
6. Total paid with this return:
(Sum of Lines 2,3, 4 and 5)
7. Internet Access Revenue (see instructions for line 7)
___________________________________________________________Date_____________Phone______________(Ext.)_______
Signature of Principal/Agent/Preparer
Please Note: This form must be completed in its entirety.
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