Montana Form Fpc - 2012 Film Production Credit

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MONTANA
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FPC
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Rev 02 12
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2012 Film Production Credit
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15-31-901 through 15-31-911, MCA
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Name (as it appears on your Montana tax return)
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Social Security
Federal Employer
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X X X X X X X X X
X X X X X X X X X
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OR
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Number
Identification Number
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If this credit is passed through to you from a partnership or S corporation, enter the entity’s name, FEIN and the
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percentage used to report the partnership or S corporation’s income or loss for Montana income tax purposes.
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Name ____________________________________ FEIN
Percentage ___________ %
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Film Certification Number issued by the Montana Department of Commerce ___________________________________
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Employment Production Credit
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1.
Enter your 2012 employment production credit from Schedule I,
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Column E, line 19 here. This is your employment production credit. .............................. 1. __________________
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Employment Production Credit Election: The taxpayer can make a one-time election to claim the employment
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production credit as follows:
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• the credit may be refunded, or
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• the credit may be applied against the 2012 tax liability with any unused credit carried forward for the four
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succeeding tax years.
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If the production company is a C corporation, sole proprietorship, or a limited liability company taxed as a C
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corporation, the election is made by the production company. If the production company is an S corporation, a
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partnership, or a limited liability company taxed as an S corporation or partnership, the election is made by each of
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the shareholders, partners or members for their share of the credit, and not by the entity.
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Mark X the box below for your election.
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q Carryover Credit
q Refundable Credit
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Qualified Expenditures Credit
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2.
Enter your 2012 qualified expenditures credit from Schedule II, Column D, line 23 here.
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This is your qualified expenditures credit. ........................................................................ 2. __________________
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The qualified expenditures credit portion of your film production credit is required to be refunded for tax year 2012 if your
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tax liability is less than the amount of the credit. If you are claiming the Qualified Expenditures Credit, a corporate officer,
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partner or member is required to certify that all Montana vendors were paid in full.
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Certification Statement
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I, ____________________________________________ , certify under penalty of false swearing, as provided in 15-31-
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908(2)(b), MCA, that each Montana vendor has been paid in full for all goods and services purchased in connection with
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the state-certified production.
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___________________
______________________________________________________
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Date
Signature of Corporate Officer, Partner, or Member
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______________________________________________________
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Printed Name and Title
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Total Film Production Credit
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3.
Add lines 1 and 2. This is your total film production credit. ............................................. 3. __________________
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►You are required to complete a separate Form FPC for each qualifying production for which you are applying for the
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production credit.
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Where to Report Your Credit
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► Individuals: Form 2, Schedule V
► S corporations: Form CLT-4S, Schedule II
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► C corporations: Form CLT-4, Schedule C
► Partnerships: Form PR-1, Schedule II
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*12HU0101*
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*12HU0101*
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