Form Pte-Ta - New Mexico Nonresident Owner Income Tax Agreement - 2001
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12001 PTE-TA
New Mexico Nonresident Owner Income Tax Agreement
Authorized election
o Current Year
o Continuous
o Through ________________________
First taxable year of election
Beginning ________________________ and ending ______________________
NONRESIDENT OWNER'S NAME AND MAILING ADDRESS
ENTITY'S NAME AND MAILING ADDRESS
Name
Name
Street or other mailing address
Street or other mailing address
City, state and zip code
City, state and zip code
Social security number or federal employer identification number
Federal identification number
I agree to file New Mexico income tax returns and make timely payment of all taxes imposed by the State of New Mexico with respect
to my share of the New Mexico income of the entity named above. I also agree to be subject to the jurisdiction of the State of New
Mexico for purposes of the collection of unpaid income tax, related penalties and interest.
Authorized signature ______________________________________________________________________________Date _______________
This agreement is valid until revoked in writing by the nonresident owner. This agreement is to be maintained by the entity named
above.
2001 PTE-TA
New Mexico Nonresident Owner Income Tax Agreement
Authorized election
o Current Year
o Continuous
o Through ________________________
First taxable year of election
Beginning ________________________ and ending ______________________
NONRESIDENT OWNER'S NAME AND MAILING ADDRESS
ENTITY'S NAME AND MAILING ADDRESS
Name
Name
Street or other mailing address
Street or other mailing address
City, state and zip code
City, state and zip code
Social security number or federal employer identification number
Federal identification number
I agree to file New Mexico income tax returns and make timely payment of all taxes imposed by the State of New Mexico with respect
to my share of the New Mexico income of the entity named above. I also agree to be subject to the jurisdiction of the State of New
Mexico for purposes of the collection of unpaid income tax, related penalties and interest.
Authorized signature ______________________________________________________________________________ Date _______________
This agreement is valid until revoked in writing by the nonresident owner. This agreement is to be maintained by the entity named
above.
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