Montana Form Atl - Assumption Of Tax Liability

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MONTANA
ATL
Clear Form
Rev. 07-09
Assumption of Tax Liability
1. Name of corporation wishing to have tax liability assumed in the State of Montana
_____________________________________________________________________
Organized under the laws of the State of _____________________________________
Federal Employer Identifi cation Number __________________
2. Name of corporation assuming tax liability for the above (must be fi ling a Montana tax
return)
_____________________________________________________________________
Organized under the laws of the State of _____________________________________
Federal Employer Identifi cation Number __________________
I, undersigned offi cer of the corporation listed above in item 2, hereby unconditionally agree
to fi le or cause to be fi led with the Montana Department of Revenue, tax returns and data
that may be required of the corporation listed in item 1. In addition, I agree to pay or cause
to be paid, in full, all accrued or accruing liabilities for tax, penalty and/or interest of the
corporation listed in item 1, to the Montana Department of Revenue pursuant to the laws
and rules of the State of Montana.
________________________________________
_________________________
Signature of Offi cer
Date
________________________________________
_________________________
Title
Telephone Number
Mail to:
Montana Department of Revenue
PO Box 5805
Helena, MT 59604-5805
200

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