Form-It-Current - Montana Individual Income Tax Payment Coupon

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Form-IT-Current Yr.
Montana Individual Income Tax
Please use this coupon to ensure proper
credit of your payment. Also, write your
x
Payment Coupon
social security number and tax year on your check.
Current Year
.
Use black or blue ink to fill out boxes below
Name
month
day
year
Telephone #
1 2
2
0 0 3
3 1
Year Ending
Date
Use for Individual Income Tax
Current Year Only.
1.
Social Security
Number
cents
2.
Amount Paid
,
,
.
710004
Eagle Web
Telefile and Individual Income tax booklets screened PMS 185 plus black
Coupon for Item 1 and Item 3

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