Montana Form Frm - Montana Farm And Ranch Risk Management Account - 2016

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MONTANA
Clear Form
FRM
Rev 05 16
2016 Montana Farm and Ranch Risk Management Account
Annual Reporting Information
15-30-3001 through 15-30-3005, MCA
First Name and Initial
Last Name
Social Security Number
-
-
Account Information
Grantor Name _________________________________________________________________________________
-
-
-
Federal Employer Identification No.
OR
Social Security No.
Trustee Name _________________________________________________________________________________
Address _________________________________________________
Account Number __________________________________________
Deposits
You are considered to have made a deposit to an account if you make a deposit during a tax year or within 3 1/2 months
after the close of a tax year.
Date
Deposit
Date
Deposit
______________________
______________________
_____________________
____________________
______________________
______________________
_____________________
____________________
______________________
______________________
_____________________
____________________
Total Deposits
____________________
Deduction
1. Net income attributable to your eligible agricultural business ............................................ 1. ____________________
2. Enter 20% (0.20) of line 1 .................................................................................................. 2. ____________________
3. Enter the total amount of the deposits that you have made ............................................... 3. ____________________
4. Enter the smaller of line 2 or line 3, but not more than $20,000. This amount is your farm and ranch risk
management account deposits that may be excluded from adjusted gross income. Enter this amount on
Form 2, Schedule II ............................................................................................................ 4. ____________________
Distributions
Total
Taxable
Nontaxable
Date
Amount
Amount
Amount
______________________
______________________
_____________________
____________________
______________________
______________________
_____________________
____________________
______________________
______________________
_____________________
____________________
Total Distributions
______________________
_____________________
____________________
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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