Form Lct - Quarterly Common Carrier Tax Report 2008 (Page 2 of 2) in pdf

Form Lct - Quarterly Common Carrier Tax Report 2008 Page 2

Quarterly Common Carrier Tax Report

for Distilled Spirits Served In/Over Montana

(LCT)

Payment Instructions

Attention: Montana Department of Revenue Cashier

Complete the payment voucher below to ensure proper credit of your payment. If you are paying taxes for multiple

periods, submit a separate check or money order and a separate voucher for each period. On the memo line of your

check, please note your FEIN or account ID and the reporting period for which the payment applies.

Boxes 1 and 2 – Print an “X” in one box only for the type of payment you are remitting:

Check box 1, if your payment is for an original return for any period.

Check box 2, if your payment is for an amended return.

Box 3 –

Enter the reporting period for which this payment applies.

Box 4 –

Enter your federal employer identiﬁ cation number (FEIN).

Box 5 –

Enter the amount you are remitting. (This amount should be the same amount as reported on line 10 of

your return).

Name __________________________________________________________________

Address _______________________________________________________________

_______________________________________________________________

City, State, Zip Code ______________________________________________________

Phone ____________________________

Mail this form with your payment and return (if applicable) to:

Department of Revenue

PO Box 1712

Helena, MT 59624-1712

Questions? Call (406) 444-6900.

Make check or money order payable to the Department of Revenue.

Quarterly Common Carrier Tax Report

for Distilled Spirits Served In/Over Montana

Payment Form

month

day

year

1. Original return

3. Quarter ending

2. Amended return

4. Federal employer

identiﬁ cation

number (FEIN)

5. Amount paid

Form Lct - Quarterly Common Carrier Tax Report 2008 Page 2