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Montana Affidavit of Corporate Inactivity Form

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Montana Affidavit of Corporate Inactivity Form
Montana Affidavit of Corporate Inactivity Form
Afdavit of Corporate Inactivity
Corporation Name ____________________________________________________________
Address ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
City, State, Zip + 4 ____________________________________________________________
FEIN ______________________________________
Contact person ______________________________
Phone _____________________________________
I, ______________________________________, an ofcer of the said corporation, being
of lawful age, being sworn on oath, depose and say that I am acquainted with the affairs
of the said corporation existing under and by virtue of the laws of the State of Montana; (or
a corporation registered to do business in Montana) and that the said corporation had no
income or business activities of any nature in Montana during the following periods
from:_________________________________to:__________________________________.
I understand that said corporation is required to le each year an Afdavit of Corporate
Inactivity or if said corporation does engage in business or have any income they will
notify the department by ling a Montana Corporation License Tax Return by the due date
prescribed in 15-31-111, MCA.
______________________________________________ ____________________
Signature of Corporate Ofcer
Title
(SEAL)
Montana
INA-CT
Rev. 12-06
212
On this _____________ day of ________________________ , 20 ___
Personally appeared _______________________________________
before me a Notary Public for the State of _____________________ ;
________________________________________________________
(Signature of Notary Public)
____________________________ , Residing at _________________
(Name of Notary)
(City and State)
My Commission Expires ____________________________________
(Month, Day and Four Digit Year)
Mail to:
Montana Department of Revenue
PO Box 8021
Helena, MT 59604-8021
1076 N. Ewing, Mailing: P.O. Box 1840, Helena, MT 59624
Helena, MT 59601
Montana Affidavit of Corporate Inactivity Form