Form Clt-4s - Montana Small Business Corporation Information Return - 2002 Page 2

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Form CLT-4S (2002)
FEIN:
Schedule K
Apportionment Factors for Multistate Taxpayers
A. Everywhere
B. Montana
C. Factor
1. Property Factor:
(B divided by A = C)
Use average value for real and tangible personal property
Land
Buildings
Machinery and equipment
Furniture and fixtures
Inventories
Supplies and other
Rents multiplied by 8
Total property
%
2. Payroll Factor:
Compensation of officers
Salaries and wages
Payroll included in:
Cost of goods sold
Repairs
Other deductions
%
Total payroll
3. Sales (Gross Receipts) Factor:
Gross sales, less returns
Other (attach schedule)
Total sales
%
4. Sum of factors (add lines 1, 2, and 3)
%
5. Apportionment factor (1/3 of line 4; if less than 3 factors exist, see instructions)
(Enter here and on line 16, page 1)
%
Declaration
The return must be signed by one of the following: president, vice-president, treasurer, assistant treasurer, or chief accounting
officer. I, the undersigned officer of the corporation for which this return is made, hereby declare that this return, including all
accompanying schedules and statements, is to the best of my knowledge and belief, a true, correct and complete return, made in
good faith for the income period stated, pursuant to the Montana statutes and regulations.
Signature of Officer
Date
Name of Person or Firm Preparing Return
Date
Title
Telephone Number
Address
Zip Code
Telephone Number
Check here to authorize the Montana Department of Revenue to discuss your return with the individual/preparer listed above.
8

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