Montana Cr-T - Tax Certificate Request
ADVERTISEMENT
1MONTANA
Tax Certificate Request
CR-T
Instructions on back
Rev. 12-06
Type of certificate requested
____Title 15
____Dissolution/Withdrawal ____Reviver
____Tax Clearance
____Good Standing
To reinstate with the
To withdraw/dissolve with the
To reinstate with Secretary
To verify that your final
To show that your filing
Secretary of State after
Secretary of State
of State after being
return was filed and all
and payment requirements
being involuntarily
suspended by DOR
taxes have been paid
are current
dissolved.
Entity name:______________________________________________________________________
Indicate your business type:
C. Corporation___ S. Corporation___ LLC taxed as a partnership___ LLC taxed as a corporation__
Enter your Federal Employer Identification Number: _______________________________________
Enter the date that the entity was formed: _______________________________________________
Enter the state in which the entity was formed: ___________________________________________
If you file as a corporation, please complete the following:
Are you filing a combined return? yes___ no___
If yes, enter the parent’s:
Name _________________________________________________________
FEIN _________________________________________________________
If your company is included in the Montana filing of another company, you must file an Assumption of Tax
Liability. If you would like an Assumption of Tax Liability faxed to you, enter your fax number
here:____________________
Are you a nonprofit organization? yes___ no___ A corporation must qualify for tax exempt status
prior to receiving a certificate. (See instructions)
Indicate whether your entity is: Withdrawing____ Dissolving____
Merging____ Reinstating____
If merging, please provide the following for the surviving entity:
Name _________________________________________________________
FEIN _________________________________________________________
Where would you like us to send your certificate?
Name: ___________________________________________________________
Address: _________________________________________________________
_________________________________________________________________
Contact phone: ____________________________________________________
Check this box if you would like the certificate to be sent directly to the Secretary of State.
Please note: In order for the certificate to be sent directly to the Secretary of State, all necessary
paperwork must first be filed with that office.
Signature of officer:_______________________________ Date:_______________________
Print name and title:__________________________________________________________
Send or fax this request to: Montana Department of Revenue
Montana Department of Revenue
Phone: (406) 444-6900
Attn: Certificates
Fax:
(406) 444-6642
PO Box 8021
Helena, MT 59604-8021
207
For Office Use Only:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial