| 1a. | .............................................................................................Land |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1b. | ......................................................................................Buildings |   |   | 00 |   |   |   |   |   | 00 |   | 
| ....................................................................................1c. Machinery |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1d. | Equipment | 1d. |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1e. | ...................................................................Furniture and fixtures |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1f. | .........................................................Leases and leased property |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1g. | ...................................................................................Inventories |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1h. | ........................................................................Depletable assets |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1i. | ........................................................................Supplies and other |   |   | 00 |   |   |   |   |   | 00 |   | 
| ..................1j. Property of foreign subs included in combined group |   |   | 00 |   |   |   |   |   | 00 |   | 
| ....1k. Property of unconsolidated subs included in combined group |   |   | 00 |   |   |   |   |   | 00 |   | 
| 1l. | .....Property of pass-through entities included in combined group |   |   | 00 |   |   |   |   |   | 00 |   | 
| ............................1m.Multiply amount of rents by 8 and enter result | 1m. |   |   | 00 |   |   |   |   |   | 00 |   | 
| ....................................Total Property Value add lines 1a through 1m |   |   | 00 |   |   |   |   |   | 00 |   | 
| Divide the total in column B by the total in column A. Multiply the result | by 100. This is your | property | factor | 1. |   |   |   | 
| 2. Payroll Factor: |   |   |   |   |   |   |   |   |   |   |   | 
| 2a. | .............................................................Compensation of officers |   |   | 00 |   |   |   |   |   | 00 |   | 
| 2b. | .....................................................................Salaries and wages |   |   | 00 |   |   |   |   |   | 00 |   | 
|   | Payroll included in: |   |   |   |   |   |   |   |   |   |   |   | 
| 2c. | .....................................................................Costs of goods sold |   |   | 00 |   |   |   |   |   | 00 |   | 
| 2d. | ..................................................Other expenses and deductions |   |   | 00 |   |   |   |   |   | 00 |   | 
| 2e. | ....................Payroll of foreign subs included in combined group |   |   | 00 |   |   |   |   |   | 00 |   | 
| 2f. | ........Payroll of unconsolidated subs included in combined group |   |   | 00 |   |   |   |   |   | 00 |   | 
| 2g. | ......Payroll of pass-through entities included in combined group |   |   | 00 |   |   |   |   |   | 00 |   | 
| ........................................Total Payroll Value add lines 2a through 2g |   |   | 00 |   |   |   |   |   | 00 |   | 
| Divide the total in column B by the total in column A. Multiply the result | by 100. This is your payroll |   | factor | 2. |   |   |   | 
| 3. Gross Receipts Factor: |   |   |   |   |   |   |   |   |   |   |   | 
| 3a. | .............................Gross Receipts, less returns and allowances | 3a. |   |   | 00 |   |   |   |   |   |   |   | 
| 3b. | Receipts delivered or shipped to Montana purchasers: |   |   |   |   |   |   |   |   |   |   |   | 
|   | .................................................................................(1) Shipped from outside Montana |   | 3b.(1) |   |   | 00 |   | 
|   | ...................................................................................(2) Shipped from within Montana |   | 3b.(2) |   |   | 00 |   | 
| 3c. Receipts shipped from Montana to: |   |   |   |   |   |   |   |   |   |   |   | 
|   | ........................................................................................(1) United States government |   | 3c.(1) |   |   |   |   | 00 |   | 
|   | ..........................................(2) Purchasers in a state where the taxpayer is not taxable |   |   |   |   | 00 |   | 
| 3d. | ......................Receipts other than receipts of tangible personal property (e.g. service income) | 3d. |   |   |   |   | 00 |   | 
| 3e. | ........Net gains reported on federal Schedule D and Form 4797 | 3e. |   |   | 00 |   |   |   |   |   | 00 |   | 
| 3f. | ....................Other gross receipts (rents, royalties, interest, etc.) |   |   | 00 |   |   |   | 00 |   | 
| 3g. | ................Receipts of foreign subs included in combined group | 3g. |   |   | 00 |   |   |   | 00 |   | 
| 3h. | ...Receipts of unconsolidated subs included in combined group | 3h. |   |   | 00 |   |   |   | 00 |   | 
| 3i. Receipts (pro-rata share) of pass-through entities |   |   |   |   |   |   |   |   |   |   |   | 
|   | . ................................................included in combined group |   |   | 00 |   |   |   |   |   | 00 |   | 
| 3j. | ............................................Less: All intercompany transactions |   |   | 00 |   |   |   |   |   | 00 |   | 
| ......................................Total Receipts Value add lines 3a through 3j |   |   | 00 |   |   |   |   |   | 00 |   | 
| Divide the total in column B by the total in column A. Multiply the result | by 100. This is your receipts | factor | 3. |   |   |   |   | 
| .................................................4. Add the percentages on lines 1, 2, and 3 in column C. This is the sum of your factors |   |   |   | 4. |   |   |   |   |