Fillable Form Ina-Ct - Affidavit Of Inactivity For Corporations printable pdf download

Form Ina-Ct - Affidavit Of Inactivity For Corporations

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MonTAnA

Clear Form

INA-CT

Rev 04 14

Affidavit of Inactivity for Corporations

Part I. Tax Period. This form must be completed for each period.

M M D D Y Y Y Y

1. Tax period end date

2. Is this your entity’s final period?  Yes

 No

Part II. Qualifications. Please mark the appropriate box for each question for the period indicated in Part I.

 Yes

 No

1. Do you have any type of income (sales, gains, etc.) from sources in Montana?

 Yes

 No

2. Do you have any employees or other representatives who perform work in Montana?

 Yes

 No

3. Do you have any property or rents in Montana?

 Yes

 No

4. Did you receive any distributive share of Montana source items from a pass-through entity?

If you answered yes to any of the above questions, you do not qualify for this form and must submit an applicable

Montana return.

Part III. Entity Information

1. Corporation’s Name

2. Street Address

3. City/State/ZIP

4. Contact Person

5. Contact Phone

6. Federal Employer Identification Number

7. Entity Type

 C Corporation

 S Corporation

8. Montana Secretary of State ID

Part IV. Affidavit and Signature

I am an authorized representative of the designated entity. I am acquainted with the affairs of this entity and that the

entity had no income or business activity of any nature in Montana for the tax period indicated in Part I above.

For C corporations, I understand that for each tax period the entity is either required to file an Affidavit of Inactivity or, if

the entity does engage in business or have any income in Montana, file a Montana Corporate Income Tax Return by the

due date prescribed in 15-31-111, MCA.

For S corporations, I understand that for each tax period the entity is either required to file an Affidavit of Inactivity or,

if the entity does engage in business or have any income in Montana, file a Montana S Corporation Information and

Composite Tax Return by the due date prescribed in 15-30-3302, MCA

Declaration: Under penalties of false swearing, I declare I have examined this document, and to the best of my

knowledge and belief, it is true, correct and complete.

______________________________________________

Date

Signature of Authorized Representative

______________________________________________

Print Name of Authorized Representative

Title of Authorized Representative

Please return completed form to: Montana Department of Revenue, PO Box 5805, Helena, MT 59604-5805

Form Ina-Ct - Affidavit Of Inactivity For Corporations

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