Form Acd-31015 - Application For Business Tax Identification Number - Nm Taxation And Revenue Department - 2000

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ACD-31015
STATE OF NEW MEXICO - TAXATION AND REVENUE DEPARTMENT
REV 11/00
APPLICATION FOR BUSINESS TAX IDENTIFICATION NUMBER
PLEASE TYPE OR PRINT IN BLACK INK - Please read instructions on reverse
FOR OFFICE USE ONLY
New Mexico Taxation and Revenue Department Identification Number
Date Issued
Flag "N" No-Mail
month
day
year
Project:
0 _ - _ _ _ _ _ _ - 00 _
( NM TRD ID# )
1. Registration Type
Regular
Seasonal
Temporary
NTTC Only
(choose one)
(max 6 months) If checked, item #11 must be completed
2. Provide your Federal Employer Identification Number (FEIN) if business entity is required to have an FEIN per IRS guidelines:
3. Business Name
5.
Business Telephone (
)
ext.
4. DBA
Other Telephone (
)
(mobile, pager, message, etc..)
City
State
Zip Code
Country
6. Mailing Address
7. Physical Location Address
City
State
Zip Code
Country
( not a PO Box )
8a. Select the type of business entity you are registering -
For Corporations and Pass Through Entities (PTE) Only
(must check one)
Sole Owner / Proprietorship
Federal Agency
9a.
Indian Tribe /
Yes
No
Are you registering for Corporate Income Tax or PTE purposes only?
Limited Liability Co. (LLC)
State Agency
Pueblo
9b.
Provide the address and phone number for income tax purposes
same as #6 above
Partnership
County
Estate
Address:
____________________________________________
Phone # ______________
Corporation
Municipality
Trust
____________________________________________
8b. Income tax treatment of entity -
9c.
Will the Corporate Income be reported by another Corporate entity?
(If applicable, check one)
Yes
No
Exempt 501( c ) _____
PL 86-272
S Corporation
If yes, give the following information
Proprietorship
Partnership
(LLC only)
(LLC only)
NM TRD ID# ___________________
FEIN _______________
Limited
Non-Nexus
(Partnership only)
BUSINESS NAME
15. Select CRS
10. Date business activity
11. Date you anticipate business
12.
13.
14. Method of
If you qualify as a Seasonal
Will business pay
filing status
started or is anticipated
to close (only enter if you have
business, specify the months
wages to employees
Accounting
to start in New Mexico.
checked "Temporary" above)
you are engaging in business.
in New Mexico?
MONTHLY
CASH
month
day
year
month
day
year
Begin Month
End Month
QUARTERLY
Yes
No
ACCRUAL
SEMIANNUAL
16. Select the type(s) of business you are engaged in.
17. Liquor License Type/No.
20. If applicable, provide former owner's:
Administrative & Support Services and
Accomodation, Food
NM TRD ID#
Services, & Drinking Places
Waste Management & Remediation
Business Name
Agricluture, Forestry,
18. Public Regulation
Services
Hunting & Fishing
Arts, Entertainment & Recreation
Commission No.
21. Are you operating or have you operated any
Professional, Scientific &
other business(es) in New Mexico?
Yes
No
Real Estate & Rental & Leasing
Technical Services
Health Care & Social Assistance
If Yes, give: NM TRD ID#
Finance & Insurance
Transportation & Warehousing
19. Contractors License No.
Information
Educational Services
Business Name
Manufacturing
Wholesale Trade
Construction
(attach additional pages if needed)
Retail Trade
22. Will business sell Gasoline?
Yes
No
Mining
Government
23. Will business sell Special Fuels?
Yes
No
Utilities
Other Services
Yes
No
Briefly describe nature of business:
24. Will business sell Cigarettes?
25. Will business sell Tobacco Products?
Yes
No
26. Will business engage in Severing Natural Resources?
Yes
No
Yes
No
27. Will business engage in processing Natural Resources?
Yes
No
28. Will business be a Water Producer?
NOTE: If you answered Yes to any of the above, please complete a Special Tax Registration Form.
Yes
No
29. Will business be involved in Gaming Activities?
30. List Owners, Partners, Corporate Officers, Association Members, or Shareholders. If listing an entity other than an individual, please see instructions.
( attach additional pages if necessary )
#1
#2
SSN
NAME & TITLE
ADDRESS
PHONE & E-MAIL
I declare that the information reported on this form and any supplemental page(s) is true and correct.
Print Name & Title
Signature
Date
Application must be complete or processing will be delayed.
Please return both copies to the Taxation and Revenue Department, office locations are on the reverse side.

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