Form Acd - 31075 - Business Tax Registration Update - State Of New Mexico - Taxation And Revenue Department

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State of New Mexico - Taxation and Revenue Department
ACD - 31075
Rev.
12/14
BUSINESS TAX REGISTRATION UPDATE
N E W
M E X I C O
PLEASE TYPE OR PRINT IN BLACK INK - Instructions on reverse
CURRENT INFORMATION
1.
2.
New Mexico Taxation and Revenue Department Identification Number (NM TRD ID#)
Federal Employer Identification Number: (FEIN)
0 ____ - ____ ____ ____ ____ ____ ____-00 _____
____ ____ - ____ ____ ____ ____ ____ ____ ____
4. DBA (if applicable)
3. Business Name
NEW INFORMATION
FILL IN THOSE BOXES BELOW FOR WHICH A CHANGE IS BEING REPORTED
5. q
Change the business registration status to: ACTIVE/CLOSED (circle one)
6. q Change the business Start Date to:
/
/
Effective Date:
/
/
(Note: When ownership has changed a new NM TRD ID# must be obtained.)
7. Business Name
DBA (if applicable)
Other Phone Number (
)
Ext.
Business Phone Number (
)
Ext.
Mailing Address
City
State
Zip Code
Business Location Address (not a PO Box)
City
State
Zip Code
Add other physical location (Attach additional pages if necessary)
City
State
Zip Code
8. Will business pay wages to employees in New Mexico?
9. Workers Compensation Fee?
q ADD
Effective Date :
q
Yes
q No
q DELETE
10. Seasonal Businesses Only - Change the business season to:
Season Start Month:
Season End Month
11. Change the CRS Filing Status to:
q
MONTHLY
q QUARTERLY
q SEMI-ANNUALLY
(NOTE: Please review the filing status requirements on reverse before requesting a change.)
12. Primary type of business in New Mexico (Check all that apply)
13. Give a brief description of nature of business.
ADD
DELETE
ADD
DELETE
q
q
Accommodation, Food Services, and Drinking Places
q
q
Manufacturing
q
q
Administration and Support Services and Waste
Mining and Oil and Gas Extraction
q
q
Management and Remediation Services
Professional, Scientific and Technical Services
q
q
Agriculture, Forestry, Fishing and Hunting
q
q
q
q
Real Estate and Leasing of Real Property
Arts, Entertainment and Resource Management
q
q
q
q
Rental and Leasing of Tangible Personal Property
q
q
Construction
Retail Trade
q
q
q
q
Educational Services
Transportation and Warehousing
q
q
Finance and Insurance
q
q
q
q
Utilities
Government
q
q
q
q
Wholesale Trade
Health Care and Social Assistance
q
q
q
q
Other Services
14. Federal Employer Identification Number (FEIN) ____ ____ - ____ ____ ____ ____ ____ ____ ____
q ADD
q DELETE
15. Liquor License Type/Number : __________________________
18. Special Tax Registration Information - Only update if a change is necessary.
q ADD
q DELETE
q CHANGE
(Note: A Special Tax Registration must be completed when adding an activity below.
16. Secretary of State Business ID Number : _____________________
Gasoline Sales
Severing Natural Resources
q
q
q
q
ADD
DELETE
ADD
DELETE
q ADD
q DELETE
q CHANGE
Special Fuels
q
q
Processing Natural Resources
q
q
ADD
DELETE
ADD
DELETE
Cigarette Sales
q
q
Water Producer
q
q
ADD
DELETE
ADD
DELETE
17. RLD Contractor’s License Number : ______________________
Tobacco Products
Gaming Activities
q
q
q
q
ADD
DELETE
ADD
DELETE
q ADD
q DELETE
q CHANGE
19. q
Are you closing a business?
You may want to request a Letter of Good Standing or a Certificate of No Tax Due. See instructions on the back of this form.
20. Before updating Owners / Partner / Corporate Officers / Association Members / Shareholders information below, please see the instructions on the reverse side of this form.
(Attach additional pages if necessary.)
# 1
q Add
q Change
q Delete
# 2
q Add
q Change
q Delete
SSN
NAME & TITLE
ADDRESS
PHONE & E-MAIL
21. I declare that the information reported on this form and any supplementa page(s) is true and correct.
Print Name
Title
Signature
Date
Send original to any Taxation & Revenue Department office listed on the back of this form. Please keep a copy for your files.

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