Form Pt-Stm - Second Tier Pass-Through Entity Owner Statement And Request For Waiver Of The Requirement To Withhold Or Pay Composite Tax Page 4

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Partnership (PS)
and if any of the owners of the third tier pass-through
entities are also pass-through entities, then a fourth tier
Disregarded entity (DE)
exists, etc. Second tier pass-through entities will complete
Publicly Traded Partnership (PTP)
part D if any of its owners are pass-through entities.
Part A – First Tier Pass-Through Entity Information
Include a number in the box in the right hand corner which
identifi es the tier that all of the listed owners in part D
Enter the name, status code and federal employer
belong to. For example, if all the owners that are listed
identifi cation number for the fi rst tier pass-through entity.
belong to the third tier include number 3 in the box as
shown below:
Part B – Second Tier Pass-Through Entity Information
D – 3
Enter the name, status code and federal employer
identifi cation number for the second tier pass-through
If the listed owners belong to a fourth tier entity include a
entity.
number 4 in the box.
Part C – Information about the Second Tier Entity’s
Include the name and federal employer identifi cation
Owners
number of the third tier entity, fourth tier entity, etc in the
space provided at the top of part D. Enter the status code
For each owner, provide the name, mailing address, federal
of the entity. The codes are listed under Status Codes in
employer identifi cation number or social security number
the instructions.
and status code. Also indicate for each owner whether the
owner fi les a Montana tax return. If the second tier pass-
For each owner of the pass-through entity owner, provide
through entity does not know whether the owner fi les a
the name, mailing address, federal employer identifi cation
Montana tax return, the fi rst tier pass-through entity must
number or social security number and status code. Indicate
either withhold tax or pay composite tax on behalf of the
for each owner whether the owner fi les a Montana tax
second tier pass-through entity.
return. If the second tier pass-through entity does not know
whether the owner fi les a Montana tax return, the fi rst tier
Include additional pages if necessary.
pass-through entity must pay tax on behalf of the second
tier pass-through entity.
If any of the owners of the second tier pass-through entity
are either an S corporation, partnership or disregarded
Include all part D forms with the Form PT-STM. We cannot
entity, complete part D.
process an incomplete Form PT-STM.
Part D – Pass-Through Entity Owner Information
Important: Only list the owners of a third tier entity on
part(s) D labeled as D-3. Do not list the owners of a fourth
Multi tiered entity structures may have more than two
tier pass-through entity on part D if the part D is labeled
tiers. More than two tiers will exist if any of the owners of
D-3. To list the owners of a fourth tier pass-through entity
a second tier pass-through entity are also pass-through
use another part D form and include number 4 in the upper
entities. If any of the owners of a second tier pass-through
right hand box.
entity are also pass-through entities then a third tier exists,

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