Form Pit-1 - New Mexico Personal Income Tax - 2009
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22009 PIT-1
NEW MEXICO PERSONAL INCOME TAX
*90180200*
For the year January 1 - December 31, 2009,
or other fiscal year beginning
ending
.
If amending use Form 2009 PIT-X.
Check if taxpayer or spouse
Check this box if address is new or changed.
1
. SoCIAL SECURITY NUMBER
Residency status: complete
named on the return is deceased.
Print your name (first, middle, last)
for each taxpayer. Enter
Enter date of death.
"R" if RESIDENT;
"N" if NoN-RESIDENT;
Print your spouse's name (first, middle, last) Include spouse if married filing separately.
"F" if FIRST-YEAR RES.;
"P" if PART-YEAR RES..
Mailing Address
If a deceased taxpayer's refund must be made payable to a person other than the taxpayer or spouse
named on the return, enter the name and SSN of that person. - You must also attach RPD-41083.
City, State and ZIP Code
5. FILING STATUS - Check only one box below.
(1) Single
EXEMPTIONS - Number of Qualified Exemptions.
2.
(2) Married filing jointly
If you are a dependent of another taxpayer, enter 00.
(3) Married filing separately
(Enter spouse's social security number above)
(4) Head of household
(Enter name of person qualifying you as head of household
if that person is not counted as a qualified exemption on your federal return.)
EXTENSION OF TIME TO FILE - Mark the box
3.
(5) Qualifying widow(er) with dependent child
if you have a federal or state extension,
6. DEPENDENTS: As listed on your federal return
and enter the extension date.
(Report additional dependents on Schedule PIT-S)
/
/
First name
Last name
Dependent's SSN
Date of birth (MM/DD/CCYY)
/
/
/
/
Check this box if federal Form(s)
/
/
4.
8886, Reportable Transaction
/
/
Disclosure Statement, is required
/
/
to be attached.
7.
FEDERAL ADJUSTED GROSS INCOME
....................................................................................................
7
(From federal Form 1040, line 38; Form 1040A, line 22; or Form 1040EZ, line 4)
+
8
8.
Additions to federal income (From line 4 of PIT-ADJ; attach PIT-ADJ) ........................................................
9.
Federal standard or itemized deduction amount
-
9
(From federal Form 1040, line 40a; Form 1040A, line 24a; or Form 1040EZ, line 5.) ...................................
9a. Check here if you itemized ...................................... ......................................................................
9b. Check if your standard deduction includes a federal net disaster loss, new motor vehicle
or real estate tax deduction amount claimed on federal Schedule L, Form 1040. .......................
10. Federal exemption amount (From federal Form 1040, line 42; Form 1040A, line 26; or leave blank
-
if you filed Form 1040EZ) ...............................................................................................................................
10
10a. If you claimed an amount for providing housing to Midwestern displaced
individuals, enter the number of individuals you claimed. .............................................................
-
11. New Mexico low- and middle-income tax exemption (See PIT-1 instructions) ..............................................
11
-
12. Deductions/Exemptions from federal income (Line 20 of PIT-ADJ; attach PIT-ADJ) ..................................
12
-
13. Medical care expense deduction (See PIT-1 instructions) .............................................................................
13
(You must complete both lines 13 and 13a or the deduction will be denied.)
13a
13a. Unreimbursed and uncompensated medical care expenses ........
14
=
14.
NEW MEXICO TAXABLE INCOME
(Add lines 7 and 8, then subtract lines 9, 10, 11, 12, and 13) ..............
(Cannot be less than zero.)
15. Tax on amount on line 14 ................................................................................................................................
15
If from the Rate Table, enter "R",
If from line 15 of PIT-B, enter "B"...........................
+
16
16. Additional amount for tax on lump-sum distributions (See PIT-1 instructions) ..............................................
17. Credit for taxes paid to another state. You must have been a New Mexico resident during all or
-
17
part of the year. (See PIT-1 instructions. Include a copy of other state's return.) ....................................
-
18. Non-refundable credits from Schedule PIT-CR (Line 17 of PIT-CR; attach PIT-CR) ...................................
18
=
19
19.
NET NEW MEXICO INCOME TAX
(Add lines 15 and 16 then subtract lines 17 and 18) .............................
(Cannot be less than zero.)
Continue on the next page.
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