Form Der-1 - 2009 Montana Disregarded Entity Information Return Page 2
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1
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3Schedule I
Entity name ______________________________________ Tax period ending ____________________________________ SSN/FEIN ___________________
Disregarded Entity Owner Information
Enter the total number of owners _____
For each non-resident owner, complete ONLY one
Owners
of these three columns: E, F or G. Please refer to
the instructions for Schedule I.
A
B
C
D
E
F
G
Montana Corporation
Montana Individual
Name
Tax Withheld.
Tax Withheld.
Consent
Identification Number
Ownership
Montana Source
Street Address
(Multiply column D
(Multiply column D
Agreement
%
Income
SSN/FEIN
City | State | Zip Code
by 6.75% and enter
by 6.9% and enter
(year)
result.)
result.)
1.
SSN
FEIN
2.
SSN
FEIN
Totals
You may use a document formatted similarly to Schedule I as a substitute.
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