Form-It - Montana Individual Income Tax Payment Voucher - 2014

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Montana
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Clear Form
EXT-14
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Rev 05 14
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2014 Extension Payment Worksheet
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15-30-2604, MCA
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Your First Name and Middle Initial
Last Name
Social Security Number
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Spouse's First Name and Initial
Last Name
Spouse's Social Security Number
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You may not need to complete this worksheet if you meet certain criteria. Please see the instructions before you begin.
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Complete lines 1 through 9 to determine your 2014 filing extension payment.
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1. Enter 100% of your 2013 tax liability, as reported on your 2013 Form 2, line 54;
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Form 2M, line 47 or Form 2EZ, line 15 ................................................................. 1.
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2. Enter your total tax liability from your 2014 Form 2, line 54; Form 2M, line 47 or
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Form 2EZ, line 15. If you are not able to determine your 2014 tax liability, enter
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the amount from line 1 above on line 4, then go to line 5 ..................................... 2.
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3. Multiply line 2 by 90% (0.90) ................................................................................ 3.
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4. Enter the smaller of line 1 or line 3 .................................................................................................... 4.
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5. Enter the amount of any 2014 Montana income tax withheld and/or mineral
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royalty tax withheld that is reported on federal Form(s) W-2 and 1099. (Include
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any tax withheld by an S corporation or partnership reported to you on
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Montana Schedule K-1.) ....................................................................................... 5.
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6. Enter the amount of your 2014 estimated tax payments. (Include in this
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amount, when applicable, your 2013 overpayment that was credited to 2014.) .. 6.
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7. Enter the amount of your 2014 refundable credits. (This includes your elderly
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homeowner/renter credit, film employment production credit, film qualified
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expenditures credit, Insure Montana credit or temporary emergency lodging
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credit.)................................................................................................................... 7.
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8. Add lines 5, 6, and 7. This is your total payments and offsets. .................................................... 8.
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9. If line 8 is greater than line 4, enter zero. You do not have to make an extension payment. If line
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8 is less than line 4, subtract line 8 from line 4. this is the amount that you owe on or before
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April 15, 2015, to receive an extension to file your tax return..................................................... 9.
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Form-It
Montana Individual Income
Please use this voucher to ensure proper credit of
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your payment. Also, write your social security number
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Rev 04 13
tax Payment Voucher
and tax year on your check.
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1. Current Year
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name ______________________________
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Phone number ______________________
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2. Estimated
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12 31 2014
5. Period Ending Date
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*13AL0101*
X
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3. Extension
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*13AL0101*
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6. SSN
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Department of Revenue
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4. Amended
Po Box 6309
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7. Amount Paid
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Helena, Mt 59604-6309
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Pay online at revenue.mt.gov
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