Withholding Tax Report And Payment Remittance - Montana

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month
day
year
Montana Withholding Tax Report
(Type of filer)*
and Payment Remittance
Monthly
3
Period End Date
Please use black or blue ink to fill out this coupon.
Montana Tax
.
,
,
Customer I
FEIN
Withheld
Prior Period
,
,
.
Credits
,
,
.
Penalty
Insert check and coupon
into the window envelope
DEPARTMENT OF REVENUE
provided in this packet.
Do not staple your check
PO BOX 6309
.
Interest
,
,
or correspondence to
HELENA MT 59604-6309
this coupon.
,
,
.
WH Amount Paid

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