Form Rpd-41285 - Annual Statement Of Withholding Of Oil And Gas Proceeds - New Mexico Taxation And Revenue Department

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New Mexico Taxation and Revenue Department
RPD-41285
INT. 10/2003
Annual Statement of Withholding of Oil and Gas Proceeds
Taxable Year
Payer’s federal identification number
Payer’s name, street address, city, state, ZIP code
Payer’s CRS identification number
and telephone number
Recipient’s identification number
Gross oil and gas proceeds
Recipient’s name, street address, city, state, ZIP code
New Mexico state tax withheld
Recipients must attach this form to the New Mexico state income tax return to claim
the amount of tax withheld against personal income or corporate income tax due.
New Mexico Taxation and Revenue Department
RPD-41285
INT. 10/2003
Annual Statement of Withholding of Oil and Gas Proceeds
Taxable Year
Payer’s federal identification number
Payer’s name, street address, city, state, ZIP code
Payer’s CRS identification number
and telephone number
Recipient’s identification number
Gross oil and gas proceeds
Recipient’s name, street address, city, state, ZIP code
New Mexico state tax withheld
Recipients must attach this form to the New Mexico state income tax return to claim
the amount of tax withheld against personal income or corporate income tax due.
New Mexico Taxation and Revenue Department
RPD-41285
INT. 10/2003
Annual Statement of Withholding of Oil and Gas Proceeds
Taxable Year
Payer’s federal identification number
Payer’s name, street address, city, state, ZIP code
Payer’s CRS identification number
and telephone number
Recipient’s identification number
Gross oil and gas proceeds
Recipient’s name, street address, city, state, ZIP code
New Mexico state tax withheld
Recipients must attach this form to the New Mexico state income tax return to claim
the amount of tax withheld against personal income or corporate income tax due.

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