Form Crs-1 - Long Form - Combined Report System 2010 Page 2
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2State of New Mexico - Taxation and Revenue Department
CRS-1 -
LONG FORM Supplemental
COMBINED REPORT SYSTEM
Page ____ of _____
NEW MEXICO
NAME
CRS ID NO.
T A X
P E R I O D
through
Month
Day
Year
Month
Day
Year
Use this page if additional space is needed to report gross receipts from multiple locations.
Attach this page to Page 1 of the CRS-1 Long Form.
Do not submit a photocopy of these forms to the Department. If additional space is needed, please obtain an original form
from your local district office or download the form from our web site at
Special
A
Municipality / county
B
C
Location
D
Gross receipts
E
Total
F
Taxable gross
G
Tax
H
Gross
code*
name
code
(excluding tax)
deductions
receipts
rate
receipts tax
Total columns D, E and H this page.
$
$
$
* See instructions for column B.
14
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