Montana Form Pt-Agr - Pass-Through Entity Owner Tax Agreement - 2010
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1Clear Form
Montana
PT-AGR
Rev. 07 10
Pass-through Entity owner tax agreement
owner Information
Pass-through Entity Information (as shown
on most recent federal tax return or Schedule
K-1)
Name
Name
Mailing address
Mailing address
City
State
Zip code
City
State
Zip code
Social Security Number or Federal Employer Identification
FEIN
Number __________________
Owner Entity Type:
Pass-Through Entity Type:
q
q
Individual
S Corporation
q
q
Corporation
Partnership
q
Disregarded Entity
This agreement is valid for the tax year beginning ______________ and ending _____________ , and for all
subsequent tax years until this agreement is revoked.
The undersigned agrees:
• if an individual, to timely file a return in accordance with the provisions of 15-30-2602, MCA, and, if a corporation, to
file a return in accordance with the provisions of 15-31-111, MCA;
• to timely pay all taxes imposed with respect to income of the pass-through entity; and
• to be subject to the personal jurisdiction of the state for the collection of taxes and related interest, penalties and fees
imposed with respect to income of the pass-through entity.
___________________________________________________________
______________________________
Signature of individual owner or officer of the corporation
Date
This agreement is effective until revoked in a writing delivered to the pass-through entity and the Department of
Revenue.
*14420101*
1442
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