CLEAR FORM
Montana
ATL
Rev 05 12
assumption of Montana tax Liabilities
Corporation 1
Name of corporation wishing to have its tax liability assumed:
_______________________________________________________________________________________
Organized under the laws of the state of _______________________________________________________
Federal Employer Identification Number ________________________________
If you are filing as part of a combined Montana tax return, enter the name and FEIN shown on the return
_______________________________________________________________________________________
Name of corporation wishing to assume the Montana tax liabilities of Corporation 1:
Corporation 2
_______________________________________________________________________________________
Organized under the laws of the state of _______________________________________________________
Federal Employer Identification Number ________________________________
If you are filing as part of a combined Montana tax return, enter the name and FEIN shown on the return
_______________________________________________________________________________________
In order to obtain from the Montana Department of Revenue (choose one):
a tax clearance certificate for Corporation 1, or
a dissolution/withdrawal certificate for Corporation 1,
Corporation 2 hereby agrees to the following:
•
That the undersigned is an officer of Corporation 2 authorized to execute this assumption on its behalf;
•
To timely file or cause to be filed any Montana tax return, report or data that may be required by Corporation 1;
•
To pay or cause to be paid, in full, all accrued and accruing liabilities for tax, penalty and interest of
Corporation 1; and
•
That unless the liabilities assumed can be enforced as a tax of Corporation 2, any action to enforce this
assumption must be brought in the First Judicial District Court, Lewis and Clark County, State of Montana,
and each party shall pay its own costs and attorney fees.
_______________________________________________
______________________________
Signature of Officer
Date
_______________________________________________
______________________________
Title
Telephone Number
This instrument was signed before me on __________________________ 20 ______by __________________________________
Name
as __________________________________ of _________________________________________________________________
Title
(Name of Corporation 2)
_______________________________________________
Signature of Notarial Officer
(SEAL, if any)
_______________________________________________
Name
_______________________________________________
Title
Residing at ______________________________________
My commission expires ____________________________
Mail to: Montana Department of Revenue, PO Box 5805, Helena, MT 59604-5805