Form Cgr-1 - 1% Contractor'S Gross Receipts Contract Award Registration
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1MONTANA
CLEAR FORM
CGR-1
Rev 01-10
1% Contractor’s Gross Receipts
Contract Award Registration
Form CGR-1 is required to be completed and mailed to the Department of Revenue within 10 days after a contract or
bid is officially awarded.
1. Contract awarded by: Enter the federal employer identification number, business name and address. Place an
“X” in the “Government Entity” box if you are registering this contract between a government entity and a prime
contractor. Place an “X” in the “Prime Contractor” box if you are registering this contract between a prime contractor
and a subcontractor.
q
q
Government Entity
Prime Contractor
Federal Identification Number (FEIN)
Name
Address
City
State
Zip Code
2. Contract awarded to: Enter the federal employer identification number, business name and address. Place an
“X” in the “Prime Contractor” box if you are registering this contract between a government entity and a prime
contractor. Place an “X” in the “Subcontractor” box if you are registering this contract between a prime contractor
and a subcontractor.
q
q
Prime Contractor
Subcontractor
Federal Identification Number (FEIN)
Name
Address
City
State
Zip Code
3. Enter the Government Issued Purchase Order Number here. .......................................3.
4. Enter the contract award date here. ...............................................................................4.
_____/_____/20___
5. Enter the estimated construction completion date here. ................................................5.
_____/_____/20___
6. Enter the total dollar amount of the contract here. .........................................................6. $
7. Enter a description of the work that will be performed under this contract.
8. Enter the location in Montana where this work will be performed. Be specific with your description.
Contract award registration submitted by: Select the appropriate box identifying which entity is completing this
return, sign this return and enter the information requested below.
q
q
Government Entity
Prime Contractor
Subcontractor q
Preparer’s Signature
Preparer’s Title
Date
Telephone Number
Fax Number
Please mail this registration to:
Department of Revenue, P.O. Box 5835, Helena, MT 59604-5835
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Parent category: Financial