Clear Form
MONTANA
RDF-CT
Application to be Considered a
Rev 04 11
Research and Development Firm
15-31-103 and 15-6-135, MCA
This application must be filed before the end of the first calendar quarter during which your firm engages in business in Montana.
Please type or print the information required in the boxes below.
Name of Corporation
Federal Employer Identification Number
-
Address
Date the firm was incorporated or qualified to
do business in Montana
City
First taxable year for which exemption is
State
Zip
requested
Please mark
the appropriate box(es) regarding this application:
X
Corporation License Tax Exemption
Class 5 Property Classification
Part I
Enter the name and address of each officer of the research and development firm.
(Please include a supplement if necessary.)
Part II
Please provide a detailed description of the corporation’s research and development activity that will be conducted in Montana.
(Note: Please refer to the general instructions listed on the back of this form and provide the required information.)
(Please include a supplement if necessary.)
Part III
Please identify your registered agent. If you are using a commercial registered agent, please list that agent’s name. If you are using a
non-commercial registered agent, please list the name and address of that agent. (35-7-105(1), MCA)
Name
Street Address or Rural Route Box Number (if necessary)
City, State and Zip Code (if necessary)
Part IV
__________________________________________________________________
_____________________________________
Signature of Chief Executive Officer or Officer’s Agent
Date
__________________________________________________________________
_____________________________________
Print Name and Title
Telephone Number
Mail to: Montana Department of Revenue, Corporation Tax Unit, PO Box 7149, Helena, MT 59604-7149