Combined Report Form, Crs-1 Short Form Page 2
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1
2CRS-l
New Mexico Taxation and Revenue Department
Rev. 0312005
COMBINED REPORT FORM, CRS-1 Short Form
\7PRINT ON REVERSE OF BOTTOM PORTION\7
AND RETURN WITH PAYMENT
COMBINED REPORT FORM, CRS-1 Short Form
03/2005
NAME
I
NEW MEXICO
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I
.
CRS 10 NO. ~
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STREET I BOX
Please complete
if
not preprinted
CITY, STATE, ZIP
Please complete
if
not preprinted
Mail To: Taxation and Revenue Department, P.O. Box 25128, Santa Fe, NM 87504-5128
DEPT. USE LATE FILE
DEPT. USE ONLY
_DEPT. US_EONLY
II
I
Do not write in this
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