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

Filling out the MA DOR Form Loan-Out Affidavit (LOA) online is essential for production companies claiming film credits in Massachusetts. This guide will provide you with clear instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin filling out the general information section. Enter the production company name, federal identification number, mailing address, city/town, state, zip code, name of production, and production start and end dates (mm/dd/yyyy).
  3. Complete the personal service/loan-out company information. Provide details such as the company name, federal identification number, business and mailing addresses, telephone number, email, name and title of the authorized representative, and the Massachusetts start and end dates.
  4. Indicate if the loan-out company is registered with the Massachusetts Secretary of State and the Department of Revenue to file and pay taxes. If not, ensure to register as required.
  5. Fill out the actor/performer information. Include the title, name, date, social security number, residential address, mailing address (if different), and Massachusetts performance start and end dates.
  6. Check if the actor/performer is registered with the Department of Revenue for tax purposes. If not registered, complete the necessary steps before submitting the form.
  7. In the payments section, enter the total amount paid by the production company to the loan-out company, qualifying Massachusetts payroll/production credit amount, and verify if all payments are from Massachusetts sources.
  8. Provide information about withholding tax remitted to Massachusetts relating to the loan-out company and the performance dates.
  9. Ensure signatures from the authorized representative of the loan-out company, the actor/performer, and the production company are included to validate the affidavit.
  10. After filling out all necessary fields and reviewing for accuracy, save the changes. You may choose to download, print, or share the completed form as needed.

Complete your documents online to ensure timely processing and compliance.

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MA DOR Form LOA Form

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