Form Rpd - 41136 - Application For Tax Refund - Oil And Gas - 2008 Page 2
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2FOR DEPARTMENT USE ONLY
I have analyzed the records of the Taxation and Revenue Department on _______________________________, Yr_______,
and have verified the amount of tax overpayment and hereby certify that a tax refund is due as claimed and is in order to issue
in accordance with Section 7-1-26 NMSA 1978. The amount of overpayment is for the following taxes:
TAX PROGRAM
AMOUNT
1.
$
Claim Number
2.
Serial Number (if over $5,000)
3.
Warrant Number
4.
Total interest due on refund
$
Total amount to be refunded
Analysis of reason for overpayment:
Valid Overpayment:
YES
NO
Need additional information
Credit amount $_______________
Amended Returns on File:
YES
NO
N / A
Credit Key____________________
Date Requested ______________________________________
Documents supporting this refund are on file:
I recommend refund:
Initiated by
GENERAL APPROVAL
Section Supervisor
Date
Secretary or Delegate
Bureau Chief
Date
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Parent category: Financial