Form Pit-X - New Mexico Personal Income Tax Amended Return - 2011
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22011 PIT-X
NEW MEXICO PERSONAL INCOME TAX
*110160200*
AMENDED RETURN
for tax year January 1 - December 31, 2011
or fiscal year beginning
ending
Check this box if address is new or changed.
1
. SOCIAL SECURITy NUMBER
Blind Over 64 Residency
Residency status: complete
Print your name (first, middle, last)
for each taxpayer. Enter
"R" if RESIDENT;
"N" if NON-RESIDENT;
Print your spouse's name (first, middle, last) If married, you must include spouse.
"F" if FIRST-YEAR RES.;
"P" if PART-YEAR RES..
Mailing Address
Check if taxpayer or spouse died
Taxpayer
before this return is filed.
Spouse
Enter date of death.
City, State and ZIP Code
If a deceased taxpayer's refund must be made payable to a person other than the taxpayer or spouse
named on this return, enter the name and SSN of that person. You must also attach Form RPD-41083.
2.
EXEMPTIONS - Number of Qualified
Exemptions. If you are a dependent of
4. FILING STATUS - Check only one box below.
another taxpayer, enter 00.
(1) Single
EXTENSION OF TIME TO FILE - Mark the
3.
box if you have a federal or state extension,
/
/
(2) Married filing jointly
and enter extension date.
(3) Married filing separately
(Enter spouse's social
5. DEPENDENTS: As listed on your federal return
security number above)
(You must report the first 5 dependents in the table below and additional dependents on Schedule PIT-S.)
(4) Head of household
First name
Last name
Dependent's SSN
Dependent's date of birth
(Enter name of person qualify-
ing you as head of household if that person is not counted as
/
/
a qualified exemption on your federal return.)
/
/
/
/
/
/
(5) Qualifying widow(er) with dependent child
/
/
AS PREVIOUSLy FILED
AS AMENDED
6.
FEDERAL ADJUSTED GROSS INCOME
6
(From federal Form 1040, line 38; Form 1040A, line 22 or Form 1040EZ, line 4.) ......................
7.
If you itemized your federal deduction amount, enter the amount of state and local income or
7
general sales tax deduction claimed on line 5, federal Form 1040, Schedule A. .....................
8.
Additions to federal income (From line 5 of PIT-ADJ; attach PIT-ADJ) ......................................
8
9.
Federal standard or itemized deduction amount
(From federal Form 1040, line 40; Form 1040A, line 24; or Form 1040EZ, line 5.) ...................
9
9a. Check the box if you itemized. You must also complete line 7 if applicable..........
9a
10. Federal exemption amount (From federal Form 1040, line 42; Form 1040A,
10
line 26; or leave blank if you filed Form 1040EZ.).........................................................................
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11. New Mexico low- and middle-income tax exemption (See PIT-1 instructions.)..........................
12. Deductions/Exemptions from federal income (Line 21 of PIT-ADJ; attach PIT-ADJ) .................
12
13. Medical care expense deduction (See PIT-1 instructions.)..........................................................
13
(You must complete both lines 13 and 13a or the deduction will be denied.)
13a. Unreimbursed and uncompensated medical care expenses...
13a
14. NEW MEXICO TAXABLE INCOME (Add lines 6, 7 and 8, then subtract lines 9, 10, 11, 12 and 13)
(Cannot be less than zero.) ...................................................................................................................
14
15. Tax on amount on line 14 .............................................................................................................
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15a. If from the Rate Table, enter "R", If from line 14 of PIT-B, enter "B"......................
15a
16. Additional amount for tax on lump-sum distributions (See PIT-1 instructions).............................
16
17. Credit for taxes paid to another state. You must have been a New Mexico resident during
all or part of the year. (See PIT-1 instructions. Include a copy of other state's return.) ..........
17
18. Non-refundable credits from Schedule PIT-CR (Line 19 of PIT-CR; attach PIT-CR) ..................
18
19. NET NEW MEXICO INCOME TAX (Add lines 15 and 16 then subtract lines 17 and 18) ...........
19
(Cannot be less than zero.)
Continue on the next page
.
Amended returns may be electronically filed through the Department's web site.
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