Form Cgr-3 - 1% Contractor'S Gross Receipts Application For Refund Of Personal Property Taxes And Motor Vehicle Fees Paid

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MONTANA
CGR-3
Rev 01-10
1% Contractor’s Gross Receipts
Application for Refund of Personal Property Taxes and Motor Vehicle Fees Paid
1. Refund requested by: Enter your business name and address
Name
Address
City
State
Zip Code
2. Enter your federal employer identifi cation number here ................................................2.
3. Enter the calendar year you incurred a personal property tax or motor vehicle fee
liability ........................................................................................................................... 3.
December 31, 20_____
4. Enter the Government Issued Purchase Order Number(s) for the contract(s) you are reporting and the total amount
of the 1% contractor’s gross receipts tax earned or paid on the contract(s) during the calendar year that you
reported on line 3.
1% Contractor’s Gross
Government Issued Purchase Order Number
Receipts Tax Withheld
and/or Paid
$
$
$
$
$
Add the amounts reported above and enter the result here. This is your total
contractor’s gross receipts withheld and/or paid. ...................................................4. $
5. Enter a description of your personal property and vehicle(s) that you are claiming on this refund and the amount of
personal property tax and motor vehicle fees that are incurred on this property for the calendar year you reported
on line 3. Attach documentation to this return that verifi es that these personal property taxes and motor vehicles
fees were paid.
Amount of Personal
Description of Your Personal Property and Motor Vehicles.
Property Tax and Motor
Vehicle Fees Paid
$
$
$
$
$
$
Add the amounts reported above and enter the results here. This is your total
personal property tax(s) and motor vehicle fee(s) incurred....................................5. $
6. Enter the smaller of the amounts reported on line 4 or line 5. This is your total
refund. ..........................................................................................................................6. $
Application for refund of personal property taxes and motor vehicles fees submitted by:
Preparer’s Signature
Preparer’s Title
Date
Telephone Number
Fax Number
Please mail this refund application to:
Montana Department of Revenue, P.O. Box 5835, Helena, MT 59604-5835

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