11.0 - Attachment J (Montana Department of Revenue 1% Contractor_s Gross Recepits Contract Award Registration).pdf

PDF 189 KB Posted

Attached to
B23007 - Kitchen and Bathroom Cabinets and Countertops
Solicitation number
B23007
Issued by
Gallatin County, Montana

About this file

The document is a Montana Department of Revenue Form CGR-1 (Contractor's Gross Receipts Contract Award Registration), which is a mandatory registration form to be completed and submitted within 10 days after a contract or bid is officially awarded. The form is specifically related to a contract for kitchen and bathroom cabinet and countertop replacement across three apartment complexes in Billings, Montana: South Park Apartments (36 units), Eagles Nest Apartments (36 units), and St. Johns Apartments (20 units), totaling 92 units.

The form requires detailed registration information including federal identification numbers, contract award date, estimated construction completion date, total contract dollar amount, and specific work description. While the exact contract value is not provided in the image, the form is designed to capture critical contract metadata for tax and regulatory tracking purposes. The registration must be mailed to the Montana Department of Revenue in Helena, with spaces for preparer's signature, title, contact information, and designating whether the registrant is a government entity, prime contractor, or subcontractor.

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Text version

MONTANA

CGR-1

Rev 01-101% Contractor’s Gross Receipts

Contract Award Registration Form CGR-1 is required to be completed and mailed to the Department of Revenue within 10 days after a contract or bid is officially awarded.

1. Contract awarded by: Enter the federal employer identification number, business name and address. Place an “X” in the “Government Entity” box if you are registering this contract between a government entity and a prime contractor. Place an “X” in the “Prime Contractor” box if you are registering this contract between a prime contractor and a subcontractor.

Government Entity q Prime Contractor q Federal Identification Number (FEIN) Name Address City State Zip Code

2. Contract awarded to: Enter the federal employer identification number, business name and address. Place an “X” in the “Prime Contractor” box if you are registering this contract between a government entity and a prime contractor. Place an “X” in the “Subcontractor” box if you are registering this contract between a prime contractor and a subcontractor.

Prime Contractor q Subcontractor q Federal Identification Number (FEIN) Name Address City State Zip Code

3. Enter the Government Issued Purchase Order Number here. .......................................3.

4. Enter the contract award date here. ...............................................................................4. _____/_____/20___

5. Enter the estimated construction completion date here. ................................................5. _____/_____/20___

6. Enter the total dollar amount of the contract here. .........................................................6. $

7. Enter a description of the work that will be performed under this contract.

8. Enter the location in Montana where this work will be performed. Be specific with your description.

Contract award registration submitted by: Select the appropriate box identifying which entity is completing this return, sign this return and enter the information requested below.

Government Entity q Prime Contractor q Subcontractor q Preparer’s Signature Preparer’s Title Date Telephone Number Fax Number

Please mail this registration to:

Department of Revenue, P.O. Box 5835, Helena, MT 59604-5835

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