Form Rpd-41277 - Local Liquor Excise Tax Return - 2010
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1
2State of New Mexico
RPD-41277
Rev. 07/2010
Taxation and Revenue Department
LOCAL LIQUOR EXCISE TAX RETURN
WHO MUST FILE: Retailers located in an electing New Mexico county who sell alcoholic beverages or possess alcoholic
beverages for sale upon which the local liquor excise tax has not been paid, must file Form RPD-41277, Local Liquor Excise
Tax Return, and pay the local liquor excise tax. McKinley County has elected to impose the local liquor excise tax at a rate
of 5% of the price that the retailer paid for the alcoholic beverages.
WHEN TO FILE: The local liquor excise tax is due on or before the 25th day of the month following the month in which the
purchase occurs.
Mail only the bottom portion of this form 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 De-
partment. Retain the top portion for your records.
For assistance call (505) 827-6842.
REPORT PERIOD:
FEIN:
Beginning (mm/dd/yy)
Ending (mm/dd/yy)
1. Gross purchases
1.
CRS:
2. Deductions and
exemptions
Liquor license number:
2.
3. Net purchases
3.
NAME:
4. Tax
4.
STREET/BOX:
5. Penalty
5.
6. Interest
CITY, STATE, ZIP:
6.
7. Total due
7.
PLEASE CUT AND INCLUDE THE BOTTOM PORTION WITH YOUR PAYMENT
RETAIN THE UPPER PORTION FOR YOUR RECORDS
LOCAL LIQUOR EXCISE TAX
REPORT PERIOD:
FEIN:
Beginning (mm/dd/yy)
Ending (mm/dd/yy)
1.
CRS:
1. Gross purchases
2. Deductions and
exemptions
2.
Liquor license number:
3. Net purchases
3.
NAME:
4. Tax
4.
STREET/BOX:
5. Penalty
5.
CITY, STATE, ZIP:
6. Interest
6.
7. Total due
7.
Check if amended
Signature ______________________________ Date _____________ Phone _____________ E-mail address ________________________
LLQ
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