Affidavit Of Corporate Inactivity Form - Montana
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1MONTANA
INA-CT
Rev. 10-05
Affidavit of Corporate Inactivity
Corporation Name ____________________________________________________________
Address ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
City, State, Zip + 4 ____________________________________________________________
FEIN ______________________________________
Contact person ______________________________
Phone _____________________________________
I, _____________________________________ , an officer of the said corporation, being of
lawful age, being sworn on oath, depose and say that I am acquainted with the affairs of the
said corporation existing under and by virtue of the laws of the State of Montana; (or a
corporation registered to do business in Montana) and that the said corporation had no
income or business activities of any nature in Montana during the following periods
from:_________________________________to__________________________________.
I understand that said corporation is required to file each year an Affidavit of Corporate
Activity or if said corporation does engage in business or have any income they will notify
the department by filing a Montana Corporation License Tax Return by the due date
prescribed in 15-31-111, MCA.
_____________________________________________
____________________
Signature of Corporate Officer
Title
On this ____________ day of ________________________ , 20 ___
Personally appeared ______________________________________
before me a Notary Public for the State of _____________________ ;
_______________________________________________________
(SEAL)
(Signature of Notary Public)
___________________________ , Residing at ________________
(Name of Notary)
(City and State)
My Commission Expires ___________________________________
Mail to:
(Month, Day and Four Digit Year)
Montana Department of Revenue
PO Box 8021
Helena, MT 59604-8021
212
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