Montana Form Frm Draft - 2010 Montana Farm And Ranch Risk Management Account

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Montana
FRM
Rev. 06-10
2010 Montana Farm and Ranch Risk Management account
Annual Reporting Information
15-30-3001, MCA
Your name
SSN
account Information
Grantor name __________________________________________ FEIN or SSN _____________________
Trustee:
Name ______________________________________________
Address ___________________________________________
___________________________________________
Account Number _____________________________________
Deposits
You are considered to have made a deposit to an account if you make a deposit during a tax year or within
3 1/2 months after the close of a tax year.
Date
Deposit
Date
Deposit
____________________
____________________
____________________
__________________
____________________
____________________
____________________
__________________
____________________
____________________
____________________
__________________
Total Deposits
__________________
Deductions
1. Your net income that you attribute to agricultural business ...................................1. _________________
2. Enter 20% (0.20) of line 1 ......................................................................................2. _________________
3. Enter the total amount of the deposits that you have made ..................................3. _________________
4. Enter the smaller of line 2 or line 3, but not more than $20,000. this amount is your farm and ranch
risk management account deposits that may be excluded from adjusted gross income. Enter this
amount on Form 2, Schedule II, line 21 .................................................................4. _________________
Distributions
Total
Taxable
Nontaxable
Date
Amount
Amount
Amount
____________________
____________________
____________________
__________________
____________________
____________________
____________________
__________________
____________________
____________________
____________________
__________________
Total Distributions
____________________
____________________
__________________
When you file your Montana income tax return electronically, you represent that you have retained all documents required as a tax record and that you
will provide a copy to the department upon request. If you file electronically, you do not need to mail this form to us unless we contact you for a copy.
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