Form Ina-Ct - Affidavit Of Corporate Inactivity - 2003

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MONTANA
INA-CT
Rev. 10-03
Affidavit of Corporate Inactivity
Name ______________________________________________________________________
Address ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
City, State, Zip + 4 ____________________________________________________________
FEIN ______________________________________
Contact person ______________________________
Phone _____________________________________
I, _____________________________________ , an officer of the said corporation, being of
lawful age, being sworn on oath, deposes and says that I am acquainted with the affairs of
the said corporation (or a corporation registered to do business in Montana) existing under
and by virtue of the laws of the State of Montana;
and that the said corporation had no income or business activities of any nature during the
calendar year ____________ or fiscal year ending _____________________ ;
and that the said Corporation has been entirely inactive for ________ taxable periods
immediately preceding the date hereof;
and that if said corporation does engage in business or have any income they will notify the
department of filing a Montana corporation license tax return by the due date prescribed in
15-31-111, MCA.
_____________________________________________
____________________
Corporate officer
Title
On this ____________ day of ________________________ , 20 ___
Personally appeared ______________________________________
before me a Notary Public for the State of _____________________ ;
_______________________________________________________
(SEAL)
(Signature of Notary Public)
___________________________ , Residing at ________________
(Name of Notary)
(City and State)
My Commission Expires ___________________________________
(Month, Day and Four Digit Year)
212

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