Fillable Form Ext-Fid-09 - Extension Payment Worksheet

Form Ext-Fid-09 - Extension Payment Worksheet - 2009 Page 2

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Montana Estate or trust tax

(80)

Payment Instructions

Attention: Montana Department of Revenue Cashier

Complete the information below to ensure proper credit of the payment.

Name __________________________________________________________________

Mailing Address __________________________________________________________

__________________________________________________________

City, State, Zip Code ______________________________________________________

Phone ____________________________

Instructions

Box 5 –

Enter the tax year for which this payment applies (period ending date).

Box 6 –

Enter the federal employer identification number (FEIN).

Box 7 –

Enter the amount paid.

Make check or money order payable to the Montana Department of Revenue. Please sign the check and write the federal

employer identification number (FEIN) or account number and Tax Year 2009-EXT on the memo line.

Mail this form with the payment to:

Department of Revenue

PO Box 8021

Helena, MT 59604-8021

Questions? Please call us toll free at (866) 859-2254 (in Helena, 444-6900).

Montana Estate or trust tax

Payment Form

Substitute Form FID

month

day

year

5. Period ending

6. Federal employer

identification

number (FEIN)

X 3. Extension

7. Amount paid

Form Ext-Fid-09 - Extension Payment Worksheet - 2009 Page 2

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