Montana Form Atl - Assumption Of Montana Tax Liabilities - 2016
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1
2MONTANA
CLEAR FORM
ATL
Rev 04 16
Assumption of Montana Tax Liabilities
Corporation 1
Name of corporation wishing to have its tax liability assumed:
________________________________________________________________________________________________
-
Organized under the laws of the state of ________________________________ FEIN
If you are filing as part of a combined Montana tax return, enter the name and FEIN shown on the return:
-
________________________________________________________________ FEIN
Corporation 2
Name of corporation wishing to assume the Montana tax liabilities of Corporation 1:
_________________________________________________________________________________________________
-
Organized under the laws of the state of ________________________________ FEIN
Address ________________________________________________________________
City/State/Zip Code _______________________________________________________
If you are/will be filing as part of a combined Montana tax return, enter the name and FEIN shown on the return:
-
________________________________________________________________ FEIN
Mergers/Consolidations Only
If Corporation 1 merged/consolidated into Corporation 2, complete this section.
What type of entity is Corporation 2? ___________________________________________________________________
Will you continue to file Montana tax returns?
Yes
No
If yes, enter the name and FEIN of the company you will be filing under:
-
________________________________________________________________ FEIN
Certificate Type
In order to obtain from the Montana Department of Revenue:
a tax clearance certificate for Corporation 1
a dissolution/withdrawal certificate for Corporation 1
Affidavit and Signature
Corporation 2 hereby agrees to the following:
•
That the undersigned is an officer of Corporation 2 authorized to execute this assumption on its behalf;
•
To timely file or cause to be filed any Montana tax return, report or data that may be required by Corporation 1;
•
To pay or cause to be paid, in full, all accrued and accruing liabilities for tax, penalty and interest of Corporation 1; and
•
That unless the liabilities assumed can be enforced as a tax of Corporation 2, any action to enforce this assumption must
be brought in the First Judicial District Court, Lewis and Clark County, State of Montana, and each party shall pay its own
costs and attorney fees.
Declaration: Under penalties of false swearing, I declare I have examined this document, and to the best of my knowledge
and belief, it is true, correct and complete.
_____________________________________________________
_________________________________
Signature of Officer
Date
_____________________________________________________
_________________________________
Title
Telephone Number
Mail to: Montana Department of Revenue, PO Box 5805, Helena, MT 59604-5805
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