Form Clt-4s - Montana Small Business Corporation Information Return - 2003 Page 3
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3Form CLT-4S - 2003
This form must be completed.
Montana Small Business Corporation Information
FEIN#____________________
Complete columns d, e, and f for a nonresident individual, foreign C. corporation as defined in the instructions for Montana
Form PR-CR1, or a pass-through entity that itself has any partners, shareholders, members or other owners that is a
nonresident individual, foreign C. corporation, or pass-through entity.
a.
b.
c.
d.
e.
f.
SSN or
Total
Check if
Owner-
Check if
Check if
FEIN
Montana
included in
ship %
PT-NRA
PT-WH
Names and Addresses of Shareholders
source
composite
is signed
is filed
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.
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