Form Fpc-Af - Film Production Credit Application Fee

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MONTANA
FPC-AF
CLEAR FORM
Rev 03 14
Film Production Credit Application Fee
15-31-901 through 15-31-911, MCA
Name (as it appears on your Montana tax return)
Address
City
State
Zip
Social Security
Federal Employer
OR
-
-
-
Number
Identification Number
Film Certification Number issued by the Montana Department of Commerce ____________________________
Film Production Credit Application Fee
This is your Film Production Credit Application Fee ............................................................................... $500.00
A separate Form FPC-AF must be completed for each qualifying production for which you are applying for the
film production credit.
If you are a shareholder of an S Corporation, partner of a partnership or member of a limited liability company
who is entitled to the film production credit, you do not have to complete this form on your behalf. However, the
form must still be completed for an S corporation or partnership that is applying for the film production credit.
Your application fee is due and payable at the time your production company files Montana Form CIT
(Corporate Income Tax Return), CLT-4S (S Corporation Information Return), PR-1 (Partnership Information
Return), DER-1 (Disregarded Entity Information Return), or Form 2 (Individual Income Tax Return). You cannot
offset your application fee by the amount of your film production credit.
Send your completed application fee and payment to the following address:
Montana Department of Revenue
PO Box 7149
Helena, MT 59604-7149
Questions? Call toll free (866) 859-2254 (in Helena, 444-6900).

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