Form Pit-1 New Mexico Personal Income Tax Page 3
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32006 PIT-ADJ
*60280200*
NEW MEXICO SCHEDULE OF ADDITIONS
AND DEDUCTIONS/EXEMPTIONS
YOUR SOCIAL SECURITY NUMBER
Print your name (first, middle, last)
This schedule must be completed by taxpayers who are required to make certain additions or eligible to take certain deductions
or exemptions from federal adjusted gross income to compute New Mexico taxable income. Please refer to the instructions.
Attach the Schedule PIT-ADJ with your Personal Income Tax Return, Form PIT-1.
NEW MEXICO ADDITIONS TO FEDERAL ADJUSTED GROSS INCOME
00
1
1.
Interest and dividends from federal tax-exempt bonds ................................................................................
00
2
2.
Net operating loss (See PIT-ADJ instructions) ............................................................................................
+
3.
Contributions refunded when closing a New Mexico-approved Section 529 college savings plan
account; Certain contributions rolled out of a New Mexico-approved Section 529 college savings
00
3
plan account. ..................................................................................................................................................
+
4
4.
TOTAL ADDITIONS
(Add lines 1-3. Also enter on line 7 of Form PIT-1) ......................................................
=
00
NEW MEXICO DEDUCTIONS/EXEMPTIONS FROM FEDERAL ADJUSTED GROSS INCOME
00
5
5.
New Mexico tax-exempt interest and dividends ..........................................................................................
00
6
6.
Net New Mexico operating loss (See PIT-ADJ instructions) .......................................................................
+
00
7
7.
Interest received on U.S. Government Obligations .....................................................................................
+
8.
Taxable Railroad Retirement Act annuities and benefits; taxable Railroad Unemployment Insurance
00
8
Act sick pay ...................................................................................................................................................
+
9.
Income of an Indian that was wholly earned on the lands of the reservation or pueblo of which the
individual is an enrolled member while domiciled on that land, reservation or pueblo. I am enrolled
00
9
as a member of the
Indian Nation, Tribe or Pueblo ..................
+
10. Income of persons age 100 years or older. If you or your spouse is age 100 or older you must
check the box below, or your exemption will be disallowed
00
10
......................................................................
100 or older
Spouse 100 or older
+
11. Exemption for persons age 65 and older or blind. If you or your spouse is age 65 or older
or blind, you must check the box below, or your exemption will be disallowed
00
11
65 or older or blind
Spouse 65 or older or blind
................................................................
+
00
12
12. Exemption for adoption of special needs children (See PIT-ADJ instructions) ..........................................
+
00
13
13. Exemption for New Mexico Medical Care Savings Account (See PIT-ADJ instructions) ..........................
+
00
14
14. Deduction for contributions to a New Mexico-approved Section 529 college savings plan. ......................
+
00
15
15. Net Capital Gains Deduction (See PIT-ADJ instructions) ...........................................................................
+
00
16
16. Nonresident military wages or salary (See PIT-ADJ instructions) ..............................................................
+
00
17
17. Medical care expense exemption for persons age 65 years or older .........................................................
+
00
18. Deduction for organ donation-related expenses ..........................................................................................
+
18
00
19
19. New Mexico National Guard member life insurance reimbursements tax exemption ................................
+
00
20
20. 2005 income tax energy rebate received in 2006 and included in federal taxable income ........................
+
00
21
21.
TOTAL DEDUCTIONS/EXEMPTIONS
(Add lines 5 - 20. Enter here and on line 11 of Form PIT-1.) ............
=
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