Form Pit-X - New Mexico Personal Income Tax - 2005 Page 2
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1
22005 PIT-X
*50170200*
(page 2)
NEW MEXICO PERSONAL INCOME TAX
YOUR SOCIAL SECURITY NUMBER
-
-
Completing the Form
•
Enter name(s) in the same order as filed on the original return.
•
MAIL THIS RETURN TO:
Attach W-2(s) or other informational return(s) only if different from previous return submitted.
New Mexico
•
If there is an entry in the "As Amended" Column of lines 7, 10 or 15, attach Schedule PIT-ADJ.
Taxation and Revenue Department
•
P.O. Box 25122
If there is an entry in the "As Amended" Column on line 17, attach Schedule PIT-1-RC.
Santa Fe, New Mexico 87504-5122
•
If PIT-B was used to calculate the amended tax amount on line 13, attach Schedule PIT-B.
•
Do not submit a photocopy of this form to
If there is an entry in the "As Amended" Column on line 26, Form PIT-D must be attached.
the Department. Submit only original forms
•
Attach a copy of the federal amended form or an explanation of the changes. (See instructions)
and retain a copy for your records.
•
Make a copy of ALL documents for your records.
Amended returns may be electronically
•
filed using PIT-NET. Visit the Department
If mailing payment with the return complete Form PIT-PV and attach the check or money order.
website at Click on
Make your check or money order payable to New Mexico Taxation and Revenue Department
E-Services.
and write the social security number and "2005 PIT-X" on your check.
Complete this schedule and report the result on Line 22, Form PIT-X, page 1.
Line 22. Other payments less any refunds.
Date
Amount
1. List any tax year 2005 payments made prior to or separate from the
submission of this amended return. Also enter the date of the payment. Do
not include any estimated or carryforward payments reported in line 21,
Form PIT-X. If you have made more than four payments, attach a schedule.
1a Sum of payments
2. List any refunds received from a previously filed 2005 New Mexico per-
sonal income tax return. Do not include any interest the New Mexico Taxa-
tion and Revenue Department paid on your refund.
2a Sum of refunds
3. Subtract the sum of refunds reported on line 2a from the sum of payments reported on line 1a.
Enter here and on line 22, Form PIT-X, page 1. (May be negative number)
!! REFUND EXPRESS !!
HAVE IT DIRECTLY DEPOSITED !!
SEE INSTRUCTIONS AND FILL IN 1, 2 AND 3.
1. Routing number:
3. Type:
Checking
Savings
Enter "C"
Enter "S"
2. Account number:
I declare I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief it is true, correct and complete.
Preparer's NM CRS ID Number
Your signature
Date
_______________________________________ ___________
Signature of preparer other than taxpayer
Date
Spouse's signature
Date
Include preparer's SSN or PTIN____________________________
(If filing jointly, BOTH must sign even if only one had income)
Preparer's phone number (
) ____________________
Taxpayer's phone number (
) _______________________________
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