Form Lft-1 - Insurance Premiums Tax Return Captive Insurer - State Of Montana
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2MONTANA
Lodging Facility Use Tax and
Form LFT-1
Sales and Use Tax Registration Form
Rev. 12-03
See instructions on back
To assure proper processing, please fill out completely. Use a typewriter or print in ink.
1. Federal ID or Social Security No.
2. Tax Type Identifier (For office use only)
3. Name (Last name, first, true name as distinguished from trade name. See instructions)
5. Enter date you are starting business
4. Trade Name, if any (Enter name under which business is operated, if different from Item 3)
6. Mailing Address
Is your business seasonal?
Yes
No
If yes, dates of operation
City
State
Zip Code
From _____________to_____________
7. Location Address (If different - Complete Section I below)
8. Location _______________________
City
Is this facility within the city limits?
Yes
No
City
State
Zip Code
9. Location_____________________
County
10. Type of Organization (Check applicable box and complete section below as indicated)
Do you have facilities in more than one city?
Yes
No
1
Governmental
3
Partnership
5
Non-Profit Organization
If yes, you must complete a registration for each
(Complete Section III)
(Complete Section III)
city facility
2
Individual
4
Corporation
6
Other (specify_________)
(Complete Section II)
(Complete Section III)
(Complete Section III and IV)
Nature of Business (Examples: hotels, bed and breakfast, vacation rentals, etc.)
Number of Rooms, Lots or Spaces
Reason for application (Check applicable box and complete section below if indicated) See instructions
Started New Business
Purchased Existing Business (Complete Section IV)
Re-registration
Other (Explain under Section V)
Fill out the following sections as indicated:
I
Business Address
Complete this
section if the actual
business location is
City
State
Zip Code
different from the
mailing address.
Owner Name
Owner Social Security Number
II
Complete this section
for individual Business
(Pres.) or (Partner)
Social Security Number
Complete this
III
section if business
is a partnership,
(Secretary) or (Partner)
Social Security Number
corporation, or non-
profit organization.
(Treasurer) or (Partner)
Social Security Number
List additional partners
on reverse side of form.
Previous Business Name
Date Acquired
Complete this
IV
section if you
Previous Owner(s)
purchased an
existing business.
V
Complete this
section when
required to explain
type of
organization other
than those listed
in item 13.
Date
Signature of owner, partner, or president
Telephone Number
Person responsible for preparing and filing quarterly reports
Title
Lodging Facility Use Tax
Return completed form to:
Montana Department of Revenue
PO Box 5835
Helena, MT 59604-5835
Phone (406)-444-6900
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Parent category: Financial