Form Rpd-41209 - Gaming Operator Tax Return - 2010 Page 2

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State of New Mexico
RPD-41209
Rev. 07/2010
Taxation and Revenue Department
GAMING OPERATOR TAX RETURN
INSTRUCTIONS FOR COMPLETING THIS FORM:
LINE INSTRUCTIONS: If your Federal Employer ID (FEIN) or Social Security Number (SSN) and CRS ID are not preprinted,
please enter them for identification purposes. Use the checkboxes to indicate whether the report is original or amended. If
any information is incorrect on the form, please make changes directly on the form.
1. Net Take:
Enter the net take of gaming revenue.
Non-profit fraternal organization: Calculate at 10% of line 1.
2. Tax Due:
Racetrack gaming operator:
For reporting months after July 1, 2005, calculate the tax due at 26% of line 1.
For reporting months before July 1, 2005, calculate the tax due at 25% of line 1.
3. Penalty:
2% of line 2 per month or partial month up to 20% of tax due or $5.00, whichever is greater.
4. Interest:
Line 2 multiplied by the daily interest rate times the number of days the report is late. Interest can change
on a quarterly basis. The effective annual and daily interest rates are posted on the Department's web
page at
or can be obtained by contacting the Department.
5. Total Due:
Enter the total of lines 2, 3 and 4.
6. Total Paid:
Enter the total amount of remittance included with this return.
Upon completion of the form, sign, date and enter your phone number and E-mail address on the return.

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