Form Cgr-1 - Contractors Gross Receipts Contract Award Registration
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1MONTANA
CGR-1
Clear Form
Rev. 6/06
Contractors Gross Receipts
Contract Award Registration
1.
Contract Awarded by:
Agency
Prime Contractor
3. Government Issued Contract
Federal Identification Number (FEIN):
Number: _______________
Name:
Address:
4. Contract Award Date:
Address:
_____/_____/20___
City:
State:
Zip Code:
2.
Contract Awarded to:
Prime Contractor
Sub-Contractor
5. Construction Completion Date:
Federal Identification Number (FEIN):
_____/_____/20___
Name:
Address:
6. Contract Amount:
Address:
$________________
City:
State:
Zip Code:
7.
Description of work to be performed:
8.
Location of work to be performed (be specific):
The agency or prime contractor awarding this contract must complete this form and mail to the Department
of Revenue within 10 days after contract or bid has been officially awarded.
Agency
Prime Contractor
Sub Contractor
Registration Submitted by
Award Authorization
Preparer’s Signature:
Preparer’s Title:
Date:
Phone:
Fax:
Mail this registration to:
Department of Revenue, P.O. Box 5835, Helena, MT 59604-5835
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Parent category: Financial