Montana
FRM
Clear Form
Rev. 10-09
2009 Montana Farm and Ranch Risk Management account
Annual Reporting Information
15-30-3001, MCA
Your name
SSN
account Information
Grantor name _____________________________________ FEIN or SSN __________________
Trustee:
Name _________________________________________
Address _______________________________________
_______________________________________
Account Number ________________________________
Deposits
We consider deposits made for the current tax year if you made them during the tax year, or if you
designate them for the current tax year and made them within 3-1/2 months after the close of the
current tax year.
Date
Deposit
Date
Deposit
__________________
__________________
__________________
________________
__________________
__________________
__________________
________________
__________________
__________________
__________________
________________
Total Deposits
________________
Deductions
1. Your net income that you attribute to agricultural business .........................1. ________________
2. Enter 20% (.20) of line 1 .............................................................................2. ________________
3. Enter the total amount of the deposits that you have made ........................3. ________________
4. Enter the smaller of line 2 or line 3, but not more than $20,000. this amount is your farm and
ranch risk management account deposits that may be excluded from adjusted gross
income. Enter this amount on Form 2, Schedule II, line 21 ......................4. ________________
Distributions
Total
Taxable
Nontaxable
Date
Amount
Amount
Amount
__________________
__________________
__________________
________________
__________________
__________________
__________________
________________
__________________
__________________
__________________
________________
Total Distributions
__________________
__________________
________________
When you file your Montana income tax return electronically, you represent that you have retained all documents
required as a tax record and that you will provide a copy to the department upon request.
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