Liquor Division Authorization To Disclose Tax Information Page 3
Download a blank fillable Liquor Division Authorization To Disclose Tax Information in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Liquor Division Authorization To Disclose Tax Information with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3Liquor Division
Authorization to Disclose Tax Information
Section 1. Taxpayer Information.
Montana Department of Revenue, Business and
Income Taxes Division.
Each business entity or owner needs to
independently complete this form. The seller may
This form authorizes the Montana Department
not inquire for the applicant or vice versa.
of Revenue Liquor Division staff to access your
confidential tax information. This access allows
Entities applying for a license—including C
the specialist to verify compliance with filing and
corporations, S corporations, LLCs taxed as
payment of taxes in Montana.
partnerships, LLCs taxed as corporations and LLCs
taxed as sole propietors—need to complete this
Section 4. Signature.
form.
Individual. Please sign and date the form. If you are
Individual license holders and members,
filing a join return with your spouse, you and your
shareholders and other owners with 10% or greater
spouse both need to sign.
interest in a business entity need to complete the
Corporation or association. An officer with authority
disclosure form.
to bind the corporation needs to sign.
Individual. Enter the requested information in
Partnership. All partners need to sign unless one
the boxes provided. Please do not enter your
partner is authorized to act in the name of the
representative’s address or post office box as your
partnership. A partner is authorized to act in the
own. If you and your spouse are filing a joint return
name of the partnership if, under state law, the
and are designating the same representative(s),
partner has authority to bind the partnership. A copy
also enter your spouse’s information, if different
of such authorization must be attached.
from yours.
LLC. If the LLC is member managed, all members
Corporation, partnership, limited liability company
need to sign, unless one member is authorized
or association. Enter the name, FEIN, telephone
to act in the name of the LLC. A copy of such
number and business address. If this form is being
authorization must be attached. If the LLC is
prepared for corporations filing a combined tax
manager managed, the manager needs to sign.
return, a list of subsidiaries is required.
Estate, trust or other fiduciary. The personal
Trust. Enter the name, title, telephone number and
representative of an estate needs to sign. The
address of the trustee, and the name and FEIN of
trustee of a trust needs to sign. If a guardian or
the trust.
conservator has been appointed for a taxpayer,
Estate. Enter the name, title and address of the
that person needs to sign. In all cases, the fiduciary
decedent’s personal representative, and the
needs to include the representative capacity in
name and identification number of the estate. The
which that person is signing, such as “John Doe,
identification number for an estate includes both
guardian of Jane Doe.”
the FEIN, if the estate has one, and the decedent’s
Section 5. Filing this Form.
SSN.
Each individual and entity associated with your
Section 2. Authorization of Representative.
liquor license needs to complete this authorization
This information has been entered for you.
form. You will need to mail or fax this form to the
address or number shown below.
Section 3. Purpose of this Form.
Important: Please do not include this authorization
Before the Montana Department of Revenue’s
form with your liquor license application.
Liquor Division can approve any type of transfer,
issuance or corporate structure change of any
Mail to:
Montana Department of Revenue
alcoholic beverage license, a person (as defined
Attn: Liquor Division Authorization
in ARM 42.12.401) has to comply with Montana’s
PO Box 7149
licensing criteria. This process requires that
Helena, MT 59604-7149
sellers and applicants be in good standing with the
Fax to:
(406) 444-6642
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial