Montana Form Ext-13 - Extension Payment Worksheet - 2013

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MONTANA
Clear Form
EXT-13
Rev 04 13
2013 Extension Payment Worksheet
15-30-2604, MCA
Your First Name and Middle Initial
Last Name
Social Security Number
Spouse's First Name and Initial
Last Name
Spouse's Social Security Number
You may not need to complete this worksheet if you meet certain criteria. Please see the instructions before you begin.
Complete lines 1 through 9 to determine your 2013 fi ling extension payment.
1. Enter 100% of your 2012 tax liability, as reported on your 2012 Form 2, line 54
54;
Form 2M, line 47
47
or Form 2EZ, line 15
15
................................................................. 1.
2. Enter your total tax liability from your 2013 Form 2, line 54
54; Form 2M, line 47
47
or
Form 2EZ, line 15
15. If you are not able to determine your 2013 tax liability, enter
the amount from line 1 above on line 4, then go to line 5 ..................................... 2.
3. Multiply line 2 by 90% (0.90) ................................................................................ 3.
4. Enter the smaller of line 1 or line 3 .................................................................................................... 4.
5. Enter the amount of any 2013 Montana income tax withheld and/or mineral
royalty tax withheld that is reported on federal Form(s) W-2 and 1099. (Include
any tax withheld by an S corporation or partnership reported to you on
Montana Schedule K-1.) ....................................................................................... 5.
6. Enter the amount of your 2013 estimated tax payments. (Include in this
amount, when applicable, your 2012 overpayment that was credited to 2013.) .. 6.
7. Enter the amount of your 2013 refundable credits. (This includes your elderly
homeowner/renter credit, fi lm employment production credit, fi lm qualifi ed
expenditures credit, Insure Montana credit or temporary emergency lodging
credit.)................................................................................................................... 7.
8. Add lines 5, 6, and 7. This is your total payments and offsets. .................................................... 8.
9. If line 8 is greater than line 4, enter zero. You do not have to make an extension payment. If line
8 is less than line 4, subtract line 8 from line 4. This is the amount that you owe on or before
April 15, 2014, to receive an extension to fi le your tax return..................................................... 9.
Please use this voucher to ensure proper credit of
Form-IT
Montana Individual Income
your payment. Also, write your social security number
Rev 04 13
Tax Payment Voucher
and tax year on your check.
1. Current Year
Name ______________________________
Phone Number ______________________
2. Estimated
12 31 2013
5. Period Ending Date
*13AL0101*
X
3. Extension
*13AL0101*
6. SSN
Department of Revenue
4. Amended
PO Box 6309
7. Amount Paid
Helena, MT 59604-6309
Pay online at revenue.mt.gov

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