Form Der-1 - 2007 Montana Disregarded Entity Information Return

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MONTANA
DER-1
Rev. 12-07
2007 Montana Disregarded Entity Information Return
For calendar year 2007 or tax year beginning (MM-DD) ___ - ___- 07 and ending (MM-DD-YY) ___ - ___ - ___
Check if
Name of the disregarded entity
Check this box if this is a change
FEIN or SSN:
Applicable:
of address.
______________
____Initial Return
Check this box if
Address
____Final Return
this FEIN or SSN
is the same as the
____Amended
owners FEIN or
City
State
Zip + 4
SSN.
1. Enter your disregarded entity’s business name if different from above __________________________________
2. Enter the date that you incorporated or formed your disregarded entity __________________________________
3. Enter the date that you registered your disregarded entity with the Montana Secretary of State _______________
4. Enter the state or country where you incorporated or formed your disregarded entity _______________________
5. Disregarded Entity Type (Check appropriate entity type)
Single Member Limited Liability Company
You do not have to complete Montana Form DER-1 if your single member limited liability company is owned by a
full-year Montana resident during the applicable reporting period.
Check only one single member limited liability company owner type.
C corporation
Individual, Estate, or Non-Grantor Trust
S corporation
Partnership
Qualifi ed Subchapter S Subsidiary
Real Estate Mortgage Investment Conduit (REMIC)
Real Estate Investment Trust (REIT)
Electing IRC
§
761 Partnership
Qualifi ed REIT Subsidiary
Any other single member not described above
IRC § 761 Partnership ..........................................................Enter date of election: ________________________
IRC § 1361(b)(3) Qualifi ed Subchapter S Subsidiary ...........Enter date of election: ________________________
IRC § 856(i)(2) Qualifi ed Real Estate Investment Trust Subsidiary
IRC § 860D Real Estate Mortgage Investment Conduit (REMIC). Attach a copy of Federal Form 1066.
Payments
6. Enter your late fi le penalty (see instructions) .................................................................................... 6. _____________
Disregarded Entity Backup Withholding Payment from Schedule I (Enter the tax withheld for any owners.)
7. Enter the total from Column E, Schedule I ........................................................................................ 7. _____________
8. Enter the total from Column F, Schedule I ........................................................................................ 8. _____________
9. Add line 7 and line 8, then enter the results. This is your total disregarded entity backup
withholding. .................................................................................................................................... 9. _____________
10. Add line 6 and line 9, then enter the results. This is your total payment due .............................. 10. _____________
Declaration
I, the undersigned, declare that I am authorized to sign the disregarded entity return and that the return, including all
accompanying attachments, is, to the best of my knowledge and belief, true, correct and complete.
________________________________________________________________________________________________
Signature
Title
Telephone Number
Date
164

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