Montana
Clear Form
PT-AGR
Rev 07 12
Pass-through Entity owner tax agreement
15-30-3313, MCA
This agreement is valid for the tax year beginning
M M D D Y Y Y Y
and ending
M M D D Y Y Y Y
, and for all
subsequent tax years until this agreement is revoked.
Pass-through Entity Information
Name (as it appears on the pass-through entity's Montana tax return)
Pass-Through Entity Type:
S corporation
Federal Employer
Partnership
-
Identification Number
Disregarded Entity
owner Information
Name
Social Security
Federal Employer
-
-
-
OR
Identification Number
Number
Mailing Address
City
State
Zip Code
Owner Entity Type:
Nonresident Individual
Nonresident Estate
Foreign C corporation
Nonresident Trust
The undersigned agrees:
• if an individual, trust or estate, to timely file a return in accordance with the provisions of 15-30-2602, MCA;
• if a C corporation, to timely file a return in accordance with the provisions of 15-31-111, MCA;
• to timely pay all taxes imposed with respect to income of the pass-through entity; and
• to be subject to the personal jurisdiction of the state for the collection of taxes and related interest, penalties and fees
imposed with respect to income of the pass-through entity.
___________________________________________________________
______________________________
Signature of owner
Date
This agreement is effective until revoked in writing delivered to the pass-through entity and the Department of Revenue.
*12EA0101*
*12EA0101*