Form Pte - New Mexico Income And Information Return For Pass-Through Entities - 2009
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12009 PTE
New Mexico Income and
*97080200*
Information Return for Pass-Through Entities
Taxpayer's name
Mailing address
TAXED FEDERALLY AS:
CHECK ONE:
City, state and ZIP code
Original Return
Partnership
Amended
S Corporation
Federal Employer Identification No. (Required)
New Mexico CRS Identification No.
NAICS Code (Required)
Tax Year Ending
Tax Year Beginning
Extended Due Date
DEPARTMENT USE ONLY
0 9
A.
State in which organized ____________________________________
B.
Date of organization _______ / _____ / _________
C.
Date business began in New Mexico _____ / _____ / _______
D.
Date terminated in New Mexico _______ / ____ / ________
E.
Name and address of registered agent in New Mexico
___________________________________________________________________
___________________________________________________________________________________________________________________
mailing address
city
state
ZIP code
F.
Check this box if federal Form(s) 8886, Reportable Transaction Disclosure Statement, is required to be attached.
S Corporation Filers Only: Complete lines 1 through 4
1
00
1.
Income taxable to corporation (Line 4, column 1 of PTE-C. See instructions) .....................................................
00
2
2.
Tax on amount on line 1 (See Tax Rate Tables, page 2, in instructions) ..............................................................
%
3
3.
New Mexico percentage (Enter 100% OR percentage from line 5 of PTE-C) .........................................................
00
4
4.
New Mexico income tax (Multiply line 2 by line 3) ................................................................................................
5
00
5.
Withholding tax (Enter total of withholding from PTE-D) ......................................................................................
Check this box if a publicly traded partnership, exempt from withholding.
6
00
6.
Total non-refundable credits (Attach PTE-CR, Non-refundable Credit Schedule) ...............................................
7
00
7.
Net income and withholding tax (Subtract line 6 from the sum of lines 4 and 5) ..................................................
00
8
8.
Franchise tax ($50 per S corporation or entity taxed as S corporation) ...............................................................
9
00
9.
Total income, withholding and franchise tax (add lines 7 and 8) ..........................................................................
10
00
10. Amended returns only: (Enter 2009 refunds received and overpayments applied to 2010) ........................................
00
11
11. Subtotal (Add lines 9 and 10) ...............................................................................................................................
00
12
12. Total payments:
extension
applied from prior year ..........................................................................
13
00
13. New Mexico income tax withheld (Attach all annual statements of withholding) .................................................
14
00
14. New Mexico income tax withheld from oil and gas proceeds (Attach 1099 or Form RPD-41285) ...........................
15
00
15. Approved film production tax credit claimed (Attach Form RPD-41228)...............................................................
16
00
16. Approved renewable energy production tax credit claimed (Attach Form RPD-41227)........................................
17
00
17. Total payments, tax withheld and credits (Add lines 12, 13, 14, 15 and 16) ........................................................
18
00
18. Overpayment (If line 17 is greater than line 11, enter the difference. This is your refund.) ..............................................
18a
00
18a. Amount of overpayment to be applied to 2010 liability (Not more than line 18) ...........................................
00
18b
18b. Net overpayment to be refunded (Subtract line 18a from line 18) ................................................................
19
00
19. Tax Due (If line 11 is greater than line 17, subtract line 17 from line 11) ..............................................................
20
00
20. Penalty (See PTE Instructions) ............................................................................................................................
21
00
21. Interest (See PTE Instructions) ............................................................................................................................
22
00
22. Total amount due (Add lines 19, 20 and 21) .........................................................................................................
4. REQUIRED: WILL THIS REFUND GO TO OR
REFUND EXPRESS:
HavE YOUR REFUND DIRECtlY DEpOSItED. SEE INStRUCtIONS aND FIll IN 1, 2, 3 aND 4.
THROUGH AN ACCOUNT LOCATED OUTSIDE
THE UNITED STATES?
Checking
Savings
3. Type:
If yes, you may not use this
1. Routing number:
refund delivery option. See instructions.
Enter "X"
Enter "X"
You must answer
2. Account number:
Y E S
N O
this question.
Paid preparer's use only:
I declare that I have examined this return, including accompanying schedules and statements, and
to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer
(other than taxpayer or an employee of the taxpayer) is based on all information of which preparer
has any knowledge.
Signature of preparer if other than employee of the taxpayer
Date
______________________________________________________________________________
Print preparer's name
Signature of officer, member or partner
Date
______________________________________________________
NM CRS Identification number
___________________________________________________________________________
EIN
___________________________________________________________________
SSN or PTIN
Contact phone number
Title
_____________________________________________
Preparer's phone number
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