Clear Form
MONTANA
MHPE
Rev 03 13
2013 Mobile Home Park Exclusion
15-31-163, MCA
Name (as it appears on your Montana tax return)
Social Security
Federal Employer
-
-
-
OR
Number
Identifi cation Number
Part I. Partners in a Partnership or Shareholders of an S Corporation
Enter your portion of the mobile home park exclusion here. See instructions.
$_____________________
Business Name of Partnership or S Corporation
Federal Employer
-
Identifi cation Number
___________________________________________________
Part II. Purchaser Information
Name of purchaser _________________________________________________________________________________
Contact person ____________________________________________________________________________________
Address __________________________________________________________________________________________
Phone ________________________________
Mark the appropriate box indicating the purchaser’s type of entity:
Tenants’ or mobile home park residents’ association
Nonprofi t organization under section 501(c)(3) of the Internal Revenue Code
County housing authority created under Title 7, chapter 15, part 21, MCA
Municipal housing authority created under Title 7, chapter 15, parts 44 and 45, MCA
Part III. Exclusion Computation
1. Total number of lots in the mobile home park when sold................................................................. 1.
2. Capital gains recognized ................................................................................................................. 2.
3. Ordinary income recognized............................................................................................................ 3.
4. Total gain recognized (add lines 2 and 3) ........................................................................................ 4.
5. If the number of lots reported on line 1 is more than 50, enter .5 on this line. Otherwise, enter 1 .. 5.
6. Multiply line 4 by line 5 and enter the result. This is your mobile home park exclusion. ............ 6.
Where to Report Your Exclusion
► Individuals: Form 2, Schedule II, line 34, “Other Subtractions.”
► C corporations: Form CLT-4, line 3g, “Other Reductions.”
► S corporations: Form CLT-4S, line 16c
► Partnerships: Form PR-1, line 17c
If you fi le your Montana tax return electronically, you do not need to mail this form to us unless we ask you for a copy. When you fi le electronically, you
represent that you have retained the required documents in your tax records and will provide them upon the department’s request.
*13JA0101*
*13JA0101*