Loan-out company included on the film credit application. Failure by production company to fully complete and submit a fully signed loan-out affidavit for a personal service or loan-out company will result in disallowance of the credit claimed in relation to such personal service or loan-out company. To be valid and accepted, this form must be signed by an authorized representative from the loan-out company, the actor/performer and the production company. General Information Production company.

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How to fill out the MA DOR Form LOA online

This guide provides a comprehensive overview of how to complete the Massachusetts Department of Revenue Form LOA online. Following these clear steps will ensure that you accurately fill out the Loan-Out Affidavit/Allocation for your production.

Follow the steps to complete the form effectively.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. In the general information section, enter the production company name, federal identification number, mailing address, city or town, state, and zip code. Additionally, provide the name of the production, along with the Massachusetts production start and end dates in the specified format (mm/dd/yyyy).
  3. Complete the personal service/loan-out company information section. Fill in the company name, federal identification number, business address, and contact details including telephone and email. Ensure that the authorized representative's name and title are included, along with the start and end dates for Massachusetts services.
  4. Indicate whether the company is registered with the Massachusetts Secretary of State and the Department of Revenue (DOR) for filing and tax purposes. If not, note that registration is required.
  5. In the actor/performer information section, list the name of each person providing loan-out services. Include their Social Security number, residential and mailing addresses, as well as the start and end dates for their services in Massachusetts. Attach additional sheets if there are multiple actors/performers.
  6. Verify if the actor/performer is registered with DOR for tax purposes. Registration must be completed if this section is left blank.
  7. Fill in the total amounts paid by the production company to the personal service/loan-out companies, including wages for overall production and for qualifying Massachusetts payroll/production credits. Confirm all payments are Massachusetts source income and indicate if the company is registered for Massachusetts withholding tax.
  8. Enter the dates the personal service/loan-out company performed services in Massachusetts and the dates when withholding payments were remitted to DOR.
  9. Ensure all sections are completed accurately. The form must be signed by authorized representatives from the production company, the loan-out company, and the actor/performer.
  10. Finally, save any changes, download, print, or share the completed form as required.

Complete your documentation online to meet your production requirements efficiently.

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