Clear Form
MONTANA
MHPE
Rev 04 12
2012 Mobile Home Park Exclusion
15-31-163, MCA
Name (as it appears on your Montana tax return)
Social Security
Federal Employer
-
-
-
OR
Identification Number
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
-
Identification Number
___________________________________________________
Part II. Purchaser Information
Name of purchaser _________________________________________________________________________________
Contact person ____________________________________________________________________________________
Address __________________________________________________________________________________________
Phone ________________________________
Mark the appropriate box indicating the purchaser’s type of entity:
q
Tenants’ or mobile home park residents’ association
q
Nonprofit organization under section 501(c)(3) of the Internal Revenue Code
q
County housing authority created under Title 7, chapter 15, part 21, MCA
q
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 file your Montana tax return electronically, you do not need to mail this form to us unless we ask you for a copy. When you file electronically, you
represent that you have retained the required documents in your tax records and will provide them upon the department’s request.
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