CLEAR FORM
MONTANA
VT
Rev. 06 10
2010 Veterans’ Program Contribution and Deduction
15-30-2142, MCA
Please provide your name(s) and address as it will appear on your individual income tax return. If you are
married filing jointly or married filing separately on the same form, please provide both names.
Name(s) __________________________________________________________________________
Address __________________________________________________________________________
__________________________________________________________________________
City
_____________________________________State ________ Zip Code _______________
Instructions
If you elect to itemize your deductions when you file your Montana individual income tax return, you may claim
a deduction for donations made to:
•
the State Veterans’ Service Account and/or
•
the State Veterans’ Cemetery Program.
Married taxpayers who make joint contributions can deduct these contributions from the net income of either
spouse or may allocate them between spouses. Contributions may be made at any time during the year but
are required to be deducted in the tax year that the contribution was made. For example, if you made your
contribution on December 31, 2010, you may deduct it on your 2010 Montana income tax return if you elect
to itemize your deductions. If you made your contribution on or after January 1, 2011, the donation should be
included with your itemized deductions reported on your 2011 Montana income tax return.
You may make your contribution by completing the following information and attaching a check or other
payment to this form. Make your payment payable to the Montana Department of Revenue and write “VT
Contribution” on the memo line. Please send this form, and the attached payment, to the following address:
Montana Department of Revenue
PO Box 5805
Helena, MT 59604-5805
My contribution is to:
1. the State Veterans’ Service Account ......................................................... $ ____________
2. the State Veterans’ Cemetery Program .................................................... $ ____________
3. add lines 1 and 2 for the total contribution. ............................................... $ ____________
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