Clear Form
MONTANA
MHPE
Rev 03 11
2011 Mobile Home Park Exclusion
15-31-163, MCA
Name (as it appears on your Montana tax return)
Social Security
Federal Employer
OR
-
-
-
Number
Identification Number
If this exclusion is passed through to you from a partnership or S corporation, enter the entity’s name, FEIN and the
percentage used to report the partnership’s or corporation’s income or loss for Montana income tax purposes.
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Name ___________________________________ FEIN
Percentage ___________ %
Part I. Purchaser Information
Name of purchaser _________________________________________________________________________________
Contact person ____________________________________________________________________________________
Address __________________________________________________________________________________________
Phone ________________________________
X
Mark
the appropriate box indicating the purchaser’s type of entity:
q
Tenants’ or mobile home park residents’ association
q
Nonprofit organization under section 501(c)(3) of the Internal Revenue Code
q
County housing authority created under Title 7, chapter 15, part 21, MCA
q
Municipal housing authority created under Title 7, chapter 15, parts 44 and 45, MCA
Part II. Exclusion Computation
1. Total number of lots in the mobile home park when sold................................................................. 1.
2. Capital gains recognized ................................................................................................................. 2.
3. Ordinary income recognized............................................................................................................ 3.
4. Total gain recognized (add lines 2 and 3) ........................................................................................ 4.
5. If the number of lots reported on line 1 is more than 50, enter .5 on this line. Otherwise, enter 1 .. 5.
6. Multiply line 4 by line 5 and enter the result. This is your mobile home park exclusion. ............ 6.
Where to Report Your Exclusion
►Individuals: Form 2, Schedule II, line 34, “Other Subtractions.”
►C corporations: Form CLT-4, line 3g, “Other Reductions.”
►S corporations: Form CLT-4S, line 16c
►Partnerships: Form PR-1, line 17c
Questions? Please call us toll free at (866) 859-2254 (in Helena, 444-6900).
If you file your Montana tax return electronically, you do not need to mail this form to us unless we ask you for a copy. When you file electronically, you
represent that you have retained the required documents in your tax records and will provide them upon the department’s request.
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