Clear Form
MONTANA
QEC
Rev 06 15
2015 Qualified Endowment Credit
15-30-2327 through 15-30-2329, 15-31-161 and 15-31-162, MCA
Name (as it appears on your Montana tax return)
Social Security
Federal Employer
-
-
-
OR
Number
Identification Number
Part I. Gift Information
1. In order to claim this credit, you must include a receipt for your contribution with this form. Please indicate if you have
included this receipt (see instructions).
Yes
No
If you marked No, please explain why ________________________________________________________
2. Enter the date the qualified contribution was made ______________________________________________
3. Provide the name and address of (mark only one):
The tax-exempt Montana organization, qualified under 26 U.S.C. 501(c)(3), that is holding the qualified endowment.
The trustee of the trust that is administering the planned gift.
The Montana bank or trust company that is holding the qualified endowment on behalf of a tax-exempt organization.
Name _________________________________________________________________________________
Address ________________________________________________________________________________
City, State, Zip ___________________________________________________________________________
4. If the gift was a planned gift, mark the appropriate box indicating the type of gift contributed.
Charitable remainder unitrust
Charitable lead unitrust
Paid-up life insurance policy
Charitable remainder annuity trust
Charitable lead annuity trust
Charitable gift annuity
Pooled income fund trust
Charitable life estate agreement
Deferred charitable gift annuity
Part II. Credit Calculation
Complete only one column. If the gift you are claiming the credit for was a planned gift, complete Column A. If it was an
outright gift, complete Column B.
Column A
Column B
Planned Gift
Outright Gift
5. Enter 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) in the corresponding column.
If you are calculating the credit based on a qualified contribution made by a
pass-through entity, enter your share of the contribution and also provide the
following information for the pass-through entity:
Business name __________________________________________________
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Federal employer identification number
6. Entered here is the percentage of credit you can receive for your contribution
based on whether it was a planned gift or an outright gift.
40% (0.40)
20% (0.20)
7. Multiply line 5 by the percentage on line 6, but do not enter more than $10,000.
In the case of a married couple making a joint contribution, do not enter more
than $20,000. This is your qualified endowment credit.
Where to Report Your Credit
►Individuals: Form 2, Schedule V
►C corporations: Form CIT, Schedule C
►Estate or Trusts: Form FID-3, Line 32
If you file your Montana tax return electronically, you do not need to mail this form to us unless we ask you for a copy. When you file electronically, you
represent that you have retained the required documents in your tax records and will provide them upon the department’s request.