11.1 - Attachment J-1 (Montana Department of Revenue 1% Contractor_s Gross Recepits Withholding Return form).pdf

MONTANA

CGR-2

Rev 01-101% Contractor’s Gross Receipts

Gross Receipts Withholding Return Form CGR-2 is required to be completed and mailed to the Department of Revenue within 30 days after each payment is made to the prime contractor or subcontractor.

1. Contract awarded by: Enter the federal employer identifi cation number, business name and address. Place an “X” in the “Government Entity” box if you are remitting the 1% contractor’s gross receipts payment on behalf of a prime contractor. Place an “X” in the “Prime Contractor” box if you are allocating the 1% contractor’s gross receipts from your prime contractor’s account to your subcontractor’s account.

Government Entity Prime Contractor Federal Identifi cation Number (FEIN) Name Address City State Zip Code

2. Contract awarded to: Enter the federal employer identifi cation number, business name and address. Place an “X” in the “Prime Contractor” box if you are remitting the 1% contractor’s gross receipts on behalf of a prime contractor.

Place an “X” in the “Subcontractor” box if you are allocating the 1% contractor’s gross receipts from your prime contractor’s account to your subcontractor’s account.

Prime Contractor Subcontractor Federal Identifi cation 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 month and year this payment was earned. ....................................................5. _____/20___

6. Enter the gross dollar amount due to the prime contractor or subcontractor here. .......6. $

7. Multiply the amount on line 6 by 1% (.01) and enter the result here. This is your 1%

Contractor’s Gross Receipts. .....................................................................................7. $

8. Subtract line 7 from line 6 and enter the result here. This is the net amount paid to the prime contractor or subcontractor. .....................................................................8. $

9. Check the box below that identifi es the type of return you are fi ling and enter the date the payment was made to the prime contractor or subcontractor..................................9. _____/_____/20___ 9(a) I am enclosing the amount reported on line 7 for credit to my prime contractor’s account.

9(b) I am allocating the amount reported on line 7 for credit to my subcontractor’s account.

10. Enter a description of the work performed under this contract.

11. Enter the location in Montana where this work is performed. Be specifi c with your description.

Withholding return submitted by: Select the appropriate box identifying which entity is completing this return; sign this return and enter the information requested below.

Government Entity Prime Contractor Subcontractor 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