gov revenue formsandresources forms ETR

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gov revenue formsandresources forms ETR

  1. 1. MONTANA ETR Rev. 03-09 Montana Electronic Tax Reporting Program for Withholding Tax ACH Credit Payments Registration and Authorization Form Transmitter name Employer name Employer mailing address Account ID FEIN Transmitter Contact Information (person sending ACH transactions to us) Contact person Title Signature Phone number E-mail address Fax number  order for your ACH payment to be properly credited to withholding tax, the account number field In must be 13 characters. The Account ID consists of the Montana Tax Number, the Profile Number and the Account Type. There are no spaces or hyphens in this 13 character ID. The State of Montana's bank account number must begin with the letters DOR. If the letters DOR  are not included in the account number, the payment will not be applied to your account.  make ACH payments for withholding tax, complete the information above and submit to the To Department of Revenue: Mail completed form to: Fax completed form to: Montana Department of Revenue (406) 444-9372 eServices OR PO Box 5805 Helena, MT 59604-5805 Questions? Call toll free (866) 859-2254 (in Helena, 444-6900) or send an E-mail to: dore-services@mt.gov 769

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