Form Clt-4 2005 Corporation License Tax Return - Montana

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C
MONTANA
2005 Corporation License Tax Return
Form CLT-4
Rev. 9-05
For calendar year 2005 or tax year beginning (MM-DD)____-____-____and ending (MM-DD-YY)____-____-____
05
FEIN_________________
Check if
Corporation Name
Federal Business Code
applicable:
_____________________
Initial Return
Incorporated in State of
Final Return
Address
If new address check here
_____________________
Amended
Return
Date _________________
Date Qualified in Montana
City
State
Zip + 4
____________
Check this box if you do not need these Montana corporation license tax return and instructions sent to you next year
Copy of signed Federal Form 1120 as filed with the Internal Revenue Service has to be attached
Part I - Filing Method - Check applicable filing method (see instructions)
a.
a.
Separate Company......................................................................................................................................................................................................
b.
b.
Separate Accounting....................................................................................................................................................................................................
c.
c.
Worldwide Combination.............................................................................................................................................................................................
d.
d.
Domestic Combination................................................................................................................................................................................................
e.
e.
Limited Combination....................................................................................................................................................................................................
f.
f.
Water’s Edge (must have a valid election and Schedule WE must be attached).........................................................................................
g.
Exempt from tax under provisions of Public Law 86-272 (Schedule K must still be completed)...............................................................
g.
Part II - Amended Return Only - Check all that apply
a.
a.
Federal Revenue Agent Report, a complete copy of this report is required...................................................................................................
b.
b.
NOL carryback/carryforward; year of loss___________________________________...........................................................................
c.
Apportionment factor changes (attach a statement explaining all adjustments in detail)............................................................................
c.
d.
Amended federal return (Form 1120X); a complete copy of this return is required........................................................................................
d.
e.
Application and/or change in tax credit; type of credit being claimed____________________________________.........................
e.
f.
Other - Attach a statement explaining all adjustments in detail.........................................................................................................................
f.
Part III - General Questions - All questions have to be answered
a.
Describe in detail the nature and location(s) of your Montana activities (if necessary, provide the description on an additional page)
______________________________________________________________________________________________
______________________________________________________________________________________________
b.
Is this your corporation’s first Montana return?............................................................................................................................................
Yes
No
If this corporation is a successor to your previously existing business, enter name and FEIN of your previous business:
______________________________________________________________________________________________
c.
Is this your corporation’s final Montana return?
.....................................................................................................................................
Yes
No
If so, indicate whether it has been:
Merged (please attach detailed statement)
Withdrawn
Reorganized (please attach detailed statement)
Dissolved (please attach detailed statement)
Date of withdrawal, dissolution, merger, or reorganization_________________________________________________
d.
For any periods, has the Internal Revenue Service issued an official notice of change or correction that you
filed with the Montana Department of Revenue? If “yes,” indicate the most recent taxable year for which an
official notice has been issued by the Internal Revenue Service.______________________________________................
Yes
No
e.
Are any statute of limitation waivers currently in force that have been executed with the Internal Revenue Service?..................
Yes
No
If “yes,” which taxable years are covered and what are the expiration dates of the waivers?_________________________
______________________________________________________________________________________________
f.
Have you filed an amended federal return for any of the last five (5) taxable periods?
If “yes,” for which years have you filed amended Montana returns? __________________________ .....................................
Yes
No
g.
Was your corporation included as a member of a consolidated group for Internal Revenue Service filing purposes?............
Yes
No
If “yes,” you will need to provide support for your consolidated taxable income by attaching pages 1 through 4 of the
consolidated U.S. Corporation Income Tax Return (Form 1120) that you filed with the Internal Revenue Service.
Enter the ultimate U.S. parent’s FEIN:______________________________________
Enter the ultimate U.S. parent’s name:______________________________________
11

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