Form Pte-Ta - New Mexico Non-Resident Owner Income Tax Agreement

Form Pte-Ta - New Mexico Non-Resident Owner Income Tax Agreement - 2008

2008 PTE-TA

New Mexico Non-resident Owner Income Tax Agreement

Authorized election

 Current Year

Continuous

 Through ________________________



First tax year of election

Beginning ________________________ and ending ______________________

NON-RESIDENT OWNER'S NAME AND MAILING ADDRESS

ENTITY'S NAME AND MAILING ADDRESS

Name

Street or other mailing address

City, state and ZIP code

Social security number or federal employer identification number

Federal identification number

I agree to file New Mexico income tax returns and make timely payment of all taxes imposed by the State of New Mexico with respect

to my share of the New Mexico income of the entity named above. I also agree to be subject to the jurisdiction of the State of New

Mexico for purposes of the collection of unpaid income tax, related penalties and interest.

Authorized signature ______________________________________________________________________________ Date _______________

This agreement is valid until revoked in writing by the non-resident owner. This agreement is to be maintained by the entity named

above.