Form FID-3 Page 2 2004
Federal employer identification number:
34. Montana taxable income (from line 33, page 1)…………………………………………………34.
Tax
Nonresident estate or trust complete Form FID-3 Schedules III and IV, page 3 before proceeding (Attach schedule to return)
35.
Tax from tax table below. Nonresident estates or trust enter the amount from Form FID-
3, Schedule IV, line 86………………………………………………………………….
35.
36.
36.
Tax on lump sum distributions (see instructions for this line). Attach Federal Form 4972……………
37. Subtotal - Add lines 35 and 36…………………………………………………………………… 37.
38. Credits for Form FID-3, Schedule II, line 71……………………………………………………… 38.
39. Total Tax-Subtract line 38 from 37 and enter on line 39. (Do not enter less than zero)………………………………39.
40. Other taxes, penalties and repayments. See instructions (specify)…………………………………………………… 40.
41. Combine lines 39 and 40…………………………………………………………………………………………………… 41.
Payments
42. Montana tax withheld (Attach W2s or 1099s)……………………………………………………42.
43. Payments of 2004 estimated tax and amounts credited from previous year…………………43.
44. Payment made with extension…………………………………………………………………… 44.
45. Total payments. Add lines 42 through 44………………………………………………………………………………… 45.
Refund or Tax Due
46. If line 45 is larger than line 41, enter the difference. This is your overpayment………………………………………
46.
47. Amount of line 46 to be applied to 2005 estimate………………………………………………
47.
48. Enter the amount from line 46 you want refunded to you (
48.
only refunds more than $1.00 will be issued)…………………………………
Refund Returns: Mail to Dept. of Revenue, PO Box 6577, Helena, MT 59604-6577
If you wish to use direct deposit enter your RTN # and ACCT # below. See instructions on page 5
49. If line 41 is larger than line 45, enter the difference. This is your tax due…………………………………………….
49.
Send your check or money order with payment coupon to : Dept. of Revenue, PO Box 6308, Helena, MT 59604-6308
50. Underpayment interest…………………………………………………………………………………………………50.
51. Late file penalty………………………………………………………………………………………………………… 51.
52. Late payment penalty………………………………………………………………………………………………… 52.
53. Interest 1% (.01) per calendar month…………………………………………………………………………………53.
54. Total Add lines 49 through 53 and enter here……………………………………………………………………… 54.
EXTENSION: Check this box and attach copies of your federal
Preparer
extension(s) to receive a valid Montana extension. See page 2
Information
of instructions for details.
Name, address, telephone number of preparer
May the DOR discuss this return with the tax preparer shown above? (see instructions) Yes_____ No _____
Sign
X
Here
Signature of fiduciary (or officer representing fiduciary)
Date
FEIN of fiduciary if a financial institution
I declare under penalty of false swearing that the information in this return and attachments is true, correct and complete.