Request For Tax Clearance Form - 2014 Page 2

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REQUEST for TAX CLEARANCE
GENERAL INFORMATION
INSTRUCTIONS
Any purchaser or lessee of all or part of an existing business
The Tax Clearance Request may be initiated by the
enterprise may request a tax clearance from the Depart-
seller/lessor or purchaser/lessee or a properly designated
ment. Failure to request a tax clearance could subject the
agent of either. All applicable Items in Section A should be
purchaser or lessee to liability for any taxes incurred and not
completed for the entity seeking the tax clearance.
paid by the seller or lessor prior to the date of the transfer.
Purchaser/lessee information should be provided in Items
in Section B. No Tax Clearance Request that is incom-
The Department has 30 days from the date a complete
plete, unsigned, or requested after the effective date of
and accurate tax clearance request is received from a
the transaction will be processed.
successor in business to either issue the requested clear-
ance, notify the purchaser of the amount of tax due from
THE FOLLOWING DOCUMENTS, AS APPLICABLE,
the seller, or begin an audit to determine what amount of
MUST BE ATTACHED TO THIS REQUEST OR IT WILL
tax, if any, is due. If an audit is begun, the period for issuing
BE CONSIDERED INCOMPLETE AND WILL NOT BE
the tax clearance or notice of taxes due is extended to 60
PROCESSED:
days. If the Department fails to respond within the required
time period, the purchaser is released from the obligation
4 A copy of the signed purchase agreement;
imposed by Section 7-1-61 NMSA 1978 to withhold part or
4 A copy of the signed lease agreement;
all of the purchase price to cover any unpaid taxes.
4 A copy of the liquor license suspension(s) from
Alcohol & Gaming Division;
A tax clearance request from other than a successor in
4 A copy of previous Liquor License lease;
business is not subject to the time limits above. Please
4 Original document appointing another to serve as
allow at least 45 days for processing.
agent or authorized representative.
Please direct
Taxation & Revenue Department
questions and completed request
Audit & Compliance Support Office
with attachments to :
P.O. Box 5557
Santa Fe, NM 87502-5557
(505) 827-0951
SUCCESSOR IN BUSINESS - STATEMENT OF PURCHASER
I, ________________________________________________, verify that I am the Purchaser of the business named
_______________________________________________. I request the Department to issue a Certificate stating
that as of the __________ day of ____________________, 20 _____, I, as purchaser, am not liable for any taxes
due to the Department by the Seller. I, as Purchaser, q have q have not placed in a trust account for the benefit of
the Taxation and Revenue Department a sufficient amount of the purchase price to cover any tax due on account of
the Seller. The Trust account is located at _____________________________________________ in the amount of
$_____________________. I, Purchaser, will start business on the __________ day of _________________, 20 _____,
doing business as _________________________________________________________________ under New Mexico
CRS Identification Number __________-____________________-00-__________. The business address is:
Address
City
State
Zip Code
I declare that the statement above is true and correct to the best of my knowledge and belief.
Printed or Typed Name
Title
Signature
Date

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