Montana Form Fpc - 2009 Film Production Credit Page 3

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Form FPC, Page 3 - 2009
SSN or FEIN: _______________________
Schedule II, Qualifi ed Expenditures Credit
► If you have more than 20 qualifi ed expenditures, you may use a document formatted similar to Schedule II
as a substitute for Schedule II.
► When claiming the qualifi ed expenditures credit, you cannot include the expenditures listed below as a
deduction when computing your net income for corporate license tax or individual income tax purposes.
Column A
Column B
Column C
Column D
Enter the name of the business
Enter a brief description of the qualifi ed
Enter the date
Enter the total
or individual to which a qualifi ed
expenditure (i.e. lumber, lodging, meals,
of the qualifi ed
amount of
expenditure was made.
maintenance, etc).
expenditure
the qualifi ed
expenditure.
1. Enter in line 1, column D, the aggregate amount of expenditures previously reported
at the completion of principal photography. Include a copy of your previously submitted
Form FPC-PP with this application. ..................................................................................1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22. Add the amounts in Column D and enter the result here. ..............................................22.
23. Multiply the amount in Column D, line 22 by 0.09 (9%) and enter the result here and
on page 1, line 2. This is your qualifi ed expenditures credit. ....................................23.
Certifi cation Statement
I, __________________________________________, certify under penalty of false swearing, as provided in 15-31-
908(2)(b), MCA, that each Montana vendor has been paid in full for all goods and services purchased in connection
with the state-certifi ed production.
_________________
____________________________________________________
Date
Signature of Corporate Offi cer, Partner, or Member
____________________________________________________
Printed name and Title

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