Business Activity Questionnaire Form

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BUSINESS ACTIVITY QUESTIONNAIRE
COMPLETE THE INFORMATION REQUESTED BELOW FOR EACH
ENTITY AND MAIL THE QUESTIONNAIRE TO:
New Mexico Taxation and Revenue Department
Albuquerque Audit Bureau
P.O. Box 8485
Albuquerque, New Mexico 87198-8485
Attention: ______________________
Phone: (505) 841-6353 Fax: (505) 841-6361
PART I: GENERAL INFORMATION
DATE
/
/
.
1.
Company name and DBA:
2.
Company address:
3.
Telephone number: (
)
4.
Type of entity:
5.
State and date of incorporation:
6.
Federal Employer Identification Number (FEIN):
NM Identification Number (CRS):
NM Corporation Commission Identification Number (SCC):
7.
Describe the nature of the company's business activities:
A - 2

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