Form Lft-1 - Insurance Premiums Tax Return Captive Insurer - State Of Montana Page 2
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2Instructions for preparing Form LFT-1
You may register multiple facilities under one number if they are in the same geographical localities (same city and
same county) and if approved by the Department of Revenue.
Item 1 - Enter the 9 digit identification number assigned
Item 10 - Governmental - Check if organization is a
to you (your business) by the Internal Revenue service.
State, county school district, municipality, etc., or is
If you are a sole proprietor and you have no employees,
related to such entities, for example: county hospital,
your identification number is your Social Security
city library, etc.
Number. If you have a Federal Employer/Taxpayer
Non-Profit Organization (other than Governmental) -
Identification Number, please enter that number.
Check if organization for religious, charitable,
scientific, literary, education, humane or fraternal
Item 2 - The Department of Revenue will assign a tax
purposes, etc. Generally an organization is a non-
type identifier number also known as a lodging facility
profit organization if it is exempt from income taxation
number.
under the provisions of the Internal Revenue Code,
Section 501.
Items 3 and 4 - Enter the true name of the applicant in
Item 3, and the trade name, if any, which you use for
Nature of lodging business
- Examples: Bed
business purposes, in Item 5. For example, if John J.
and breakfast, campground, motel, hotel, RV park,
Doe, an individual owner operates a motel under the
outfitters, guides, condominiums/vacation rentals.
trade name of “Wayside Inn”, he would enter his true
Refer to glossary in tax guide.
name, “Doe, John.,” in Item 3, and the business,
“Wayside Inn,” in Item 4.
Reason for Application
If a partnership, enter the first name, middle initial, and
last name of the primary partner in Item 3. List other
Purchasing existing business - If you have acquired
partner(s) names(s) in Section III.
a business from another, it is necessary to provide the
form owner’s name in Section IV and apply for a new
If a trust, enter the name of the trust in Item 3 and the
account number in order to avoid potential claims
name of the trustee in Item 4.
against your business that related to the former
owner’s tax liabilities.
Item 5 - Enter the date you first operated your business
or became liable for lodging tax.
Re-registration - You are required to re-register with
the Department of Revenue whenever there is a
Items 6 and 7 - Enter the mailing address for
change in ownership, a change in type of organization
correspondence to be sent in Item 6. Enter the location
or, if a corporation, a change in corporate officers.
address of facility in Item 7. If location address is
Occasionally, the department may require a re-
located in a different city than the mailing address
registration in order to implement legislative or
complete Section I.
procedural changes.
Items 8 and 9 - City/County Where Your Facility is
Section I-V
Located - Do you have facilities in more than one city?
If so check “yes” in the box provided. You must
Complete only the sections which apply to your
complete a registration form for each facility. You may
business, otherwise leave blank.
be allowed to register more than one facility if they are
all in the same geographical location. Call the
department for details.
List partners below:
Social Security Number
Partner Name
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