Form Rpd-41284 - Quarterly Oil And Gas Proceeds Withholding Tax Return printable pdf download

STATE OF NEW MEXICO

RPD-41284

Rev. 07/2010

TAXATION AND REVENUE DEPARTMENT

QUARTERLY OIL AND GAS PROCEEDS WITHHOLDING TAX RETURN

Who Must File; Remitters of oil and gas proceeds from oil and gas production from a well located in New Mexico who have

withheld tax from payments according to the Oil and Gas Proceeds Withholding Tax Act (7-3A-1 NMSA 1978) must submit

to the Department the tax withheld on this form, RPD-41284, Quarterly Oil and Gas Proceeds Withholding Tax Return. See

the attached instructions for important definitions.

Remitters are also required to file annual forms. See Forms RPD-41283, Annual Summary of Oil and Gas Proceeds With-

holding Tax, and RPD-41285, Annual Statement of Withholding of Oil and Gas Proceeds.

When to File: The oil and gas proceeds withholding tax is due on or before the 25th day of the month following the close of

the calendar quarter in which the oil and gas proceeds were paid. If the due date of the return falls on a Saturday, Sunday

or state or national legal holiday, the return is timely if the postmark bears the date of the next business day. If no payment

of oil and gas proceeds was made for a reporting period, no return is due.

Where to File: Mail only the bottom portion with your payment to: New Mexico Taxation and Revenue Department, P.O.

Box 25123, Santa Fe, NM 87504-5123. Make the check or money order payable to the New Mexico Taxation and Revenue

Department. Retain the top portion for your records. For assistance call (505) 827-0825.

REPORT PERIOD:

Beginning (mm-dd-yy)

Ending (mm-dd-yy)

FEIN:

Round to nearest whole dollar.

SSN:

1. Gross oil and gas

.00

proceeds

NAME:

2. Amount withheld

.00

(multiply line 1 by the rate)

STREET/BOX:

3. Penalty

.00

4. Interest

.00

CITY, STATE,

ZIP:

5. TOTAL

.00

 PLEASE CUT AND RETURN BOTTOM PORTION WITH YOUR PAYMENT 