Form Clt-4s - Montana Small Business Corporation Information Return - 2002 Page 3

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Form CLT-4S
This form must be completed.
Montana Small Business Corporation Information
S. corporation FEIN#____________________
Note: Complete columns d, e, and f for nonresident individuals only.
a.
b.
c.
d.
e.
f.
SSN or
Total
Check if
Owner-
Check if
Check if
Names and Addresses of Shareholders
FEIN
Montana
included in
ship %
PT-CON
PT-WH
*List from highest to lowest ownership %
source
composite
is signed
is required
income
return
%
%
%
%
%
%
%
%
%
%
%
%
If there are more than 12 shareholders, photocopy and attach additional pages as needed. A computer printout in the
same format is acceptable.
9

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