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MONTANA
                                                                                            FPC-AF
                                                                        CLEAR FORM
                                                                                            Rev. 07-08
                           Film Production Credit Application Fee
                                     15-31-901 through 15-31-911, MCA


Name (as it will appear on your tax return) ______________________________________________

Address ________________________________________________________________________

          ________________________________________________________________________

City _______________________________________State _____________Zip ________________

Your Social Security Number or Federal Employer Identification Number ______________________

Enter your Film Certification Number issued by the Montana Department of Commerce here. ________

Film Production Credit Application Fee

Enter $500 here. This is your Film Production Credit Application Fee. ................... _______________



A separate Form FPC-AF must be completed for each qualifying production for which you are
applying for the film production credit.

If you are a shareholder of an S Corporation, partner of a partnership or member of a limited liability
company who is entitled to the film production credit, you do not have to complete this form.

Your application fee is due and payable at the time your production company files Montana Form
CLT-4 (Corporate License Tax Return), CLT-4S (S Corporation Information Return), PR-1 (Partnership
Information Return), DER-1 (Disregarded Entity Information Return), or Form 2 (Individual Income Tax
Return). You cannot offset your application fee by the amount of your film production credit.

Send your completed application fee and payment to the following address:
  Montana Department of Revenue
  PO Box 7149
  Helena, MT 59604-7149




                                                                                                 172

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gov revenue formsandresources forms FPC-AF_fill-in

  • 1. MONTANA FPC-AF CLEAR FORM Rev. 07-08 Film Production Credit Application Fee 15-31-901 through 15-31-911, MCA Name (as it will appear on your tax return) ______________________________________________ Address ________________________________________________________________________ ________________________________________________________________________ City _______________________________________State _____________Zip ________________ Your Social Security Number or Federal Employer Identification Number ______________________ Enter your Film Certification Number issued by the Montana Department of Commerce here. ________ Film Production Credit Application Fee Enter $500 here. This is your Film Production Credit Application Fee. ................... _______________ A separate Form FPC-AF must be completed for each qualifying production for which you are applying for the film production credit. If you are a shareholder of an S Corporation, partner of a partnership or member of a limited liability company who is entitled to the film production credit, you do not have to complete this form. Your application fee is due and payable at the time your production company files Montana Form CLT-4 (Corporate License Tax Return), CLT-4S (S Corporation Information Return), PR-1 (Partnership Information Return), DER-1 (Disregarded Entity Information Return), or Form 2 (Individual Income Tax Return). You cannot offset your application fee by the amount of your film production credit. Send your completed application fee and payment to the following address: Montana Department of Revenue PO Box 7149 Helena, MT 59604-7149 172