Form UCH "Montana Unclaimed Property Holder Payment Voucher" - Montana

What Is Form UCH?

This is a legal form that was released by the Montana Department of Revenue - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the Montana Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form UCH by clicking the link below or browse more documents and templates provided by the Montana Department of Revenue.

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Download Form UCH "Montana Unclaimed Property Holder Payment Voucher" - Montana

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Montana Unclaimed Property Holder Payment Instructions
e-Pay
Available at
revenue.mt.gov
under Online Services
ACH Credit
You can use your online banking service to send payments
● Submit a one-time registration to the Department of Revenue
● Once approved, you can begin sending payments
Pay by check
Voucher Instructions
Check Instructions
Enter the business name, mailing address, full name of
Make your check payable to Montana Department of
contact and phone number.
Revenue.
Box 1 – FEIN
On the memo line of your check, note your FEIN or Account
Please enter your full Federal Employer Identification
ID and the period ending date to which the payment
Number.
applies.
Box 2 – Period Ending Date
Do not staple or tape the voucher and check together.
● Life insurance companies report year ends
If you are paying for multiple tax periods, please provide a
December 31 with year matching the report.
voucher for each tax period and indicate the amount you
● All other holders report ends June 30 with year
wish to be applied to that period.
matching the report.
Detach the voucher below and mail with your
Note: Please check one box in lower lefthand corner to
payment to:
indicate holder type and payment due date.
Montana Department of Revenue
Box 3 – Montana Account ID
PO Box 5805
If you have a 13 digit account ID that has been
Helena, MT 59604-5805
assigned to you by the Montana Department of
If you have questions, please call us at (406) 444-6900.
Revenue, please enter it.
We are available Monday through Thursday, 8 a.m. to 5
If you do not have a 13 digit account ID, leave the field
p.m. and Friday, 9 a.m. to 5 p.m.
blank.
Box 4 – Amount Paid
Enter the amount you are remitting, including the cents.
Do not include dollar signs, commas or decimals.
Payments of $500,000 or more must be made electronically.
CLEAR FORM
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Cut line
Form UCH
Montana Unclaimed Property
Please use this voucher and include your full FEIN
to ensure proper credit of your payment. Payments
Holder Payment Voucher
Rev 04 15
in the amount of $500,000 or more must be made
electronically.
Name ______________________________________
1. FEIN
Mailing Address _____________________________
City, State, Zip ______________________________
M
M D D Y Y
Y
Y
2. Period Ending Date
Contact ____________________________________
3. Montana
U C H
Phone Number ______________________________
Account ID
.
Non-Life Insurance Company Holder
Payment due November 1.
4. Amount Paid
Life Insurance Company Holder
Payment due May 1.
Pay online at revenue.mt.gov
Montana Unclaimed Property Holder Payment Instructions
e-Pay
Available at
revenue.mt.gov
under Online Services
ACH Credit
You can use your online banking service to send payments
● Submit a one-time registration to the Department of Revenue
● Once approved, you can begin sending payments
Pay by check
Voucher Instructions
Check Instructions
Enter the business name, mailing address, full name of
Make your check payable to Montana Department of
contact and phone number.
Revenue.
Box 1 – FEIN
On the memo line of your check, note your FEIN or Account
Please enter your full Federal Employer Identification
ID and the period ending date to which the payment
Number.
applies.
Box 2 – Period Ending Date
Do not staple or tape the voucher and check together.
● Life insurance companies report year ends
If you are paying for multiple tax periods, please provide a
December 31 with year matching the report.
voucher for each tax period and indicate the amount you
● All other holders report ends June 30 with year
wish to be applied to that period.
matching the report.
Detach the voucher below and mail with your
Note: Please check one box in lower lefthand corner to
payment to:
indicate holder type and payment due date.
Montana Department of Revenue
Box 3 – Montana Account ID
PO Box 5805
If you have a 13 digit account ID that has been
Helena, MT 59604-5805
assigned to you by the Montana Department of
If you have questions, please call us at (406) 444-6900.
Revenue, please enter it.
We are available Monday through Thursday, 8 a.m. to 5
If you do not have a 13 digit account ID, leave the field
p.m. and Friday, 9 a.m. to 5 p.m.
blank.
Box 4 – Amount Paid
Enter the amount you are remitting, including the cents.
Do not include dollar signs, commas or decimals.
Payments of $500,000 or more must be made electronically.
CLEAR FORM
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Cut line
Form UCH
Montana Unclaimed Property
Please use this voucher and include your full FEIN
to ensure proper credit of your payment. Payments
Holder Payment Voucher
Rev 04 15
in the amount of $500,000 or more must be made
electronically.
Name ______________________________________
1. FEIN
Mailing Address _____________________________
City, State, Zip ______________________________
M
M D D Y Y
Y
Y
2. Period Ending Date
Contact ____________________________________
3. Montana
U C H
Phone Number ______________________________
Account ID
.
Non-Life Insurance Company Holder
Payment due November 1.
4. Amount Paid
Life Insurance Company Holder
Payment due May 1.
Pay online at revenue.mt.gov