MONTANA
2005 Montana Farm and Ranch
FRM
10-05
Risk Management Account
Annual Reporting Information
15-30-601, MCA
See instructions on the back of this form
Your name (as shown on Form 2)
SSN (as shown on Form 2)
Account Information
Grantor name ______________________________________ FEIN or SSN ___________________
Trustee:
Name _________________________________________
Address _______________________________________
_______________________________________
Account Number _________________________________
Deposits
We consider deposits that you made for the specific year if you made them during that tax year or if you
designate them for that specific tax year and made them within 3 1/2 months after the close of that tax
year.
Date
Deposit
Date
Deposit
__________________
__________________
_________________
_________________
__________________
__________________
_________________
_________________
__________________
__________________
_________________
_________________
Total Deposits
_________________
Deductions
1. Your net income that you attribute to agricultural business ............................ 1. _________________
2. Enter 20% (.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.
Enter this amount on Form 2A, Schedule II, line 21 .................................... 4. _________________
Distributions
Total
Taxable
NonTaxable
Date
Amount
Amount
Amount
__________________
__________________
_________________
_________________
__________________
__________________
_________________
_________________
__________________
__________________
_________________
_________________
Total Distributions
__________________
_________________
_________________
When you file your Montana income tax return electronically, you represent that you have retained all
documents required as a tax record and that you will provide a copy to the department upon request.
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