Form Acd-31075 - Business Tax Registration Update
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1ACD-31075
STATE OF NEW MEXICO - TAXATION AND REVENUE DEPARTMENT
REV.10/2010
BUSINESS TAX REGISTRATION UPDATE
CURRENT INFORMATION
1. New Mexico Taxation and Revenue Department Identification Number (NM TRD ID#)
2. Federal Employer Identification Number: (FEIN)
0 __ - __ __ __ __ __ __ - 00 __
__ __ - __ __ __ __ __ __ __
3. Business Name
4. DBA ( If applicable)
NEW INFORMATION
FILL IN THOSE BOXES BELOW FOR WHICH A CHANGE IS BEING REPORTED
5.
Change the business registration status to: ACTIVE/CLOSED
6.
Change the Business Start Date to:
/
/
(Circle one)
Effective Date:
/
/
(Note: When ownership has changed a new NM TRD ID# must be obtained)
7. Business Name
DBA
Business Phone Number (
)
Ext.
Other Phone Number
(
)
Mailing Address
City
State
Zip Code
Country
Business Location Address (not a PO Box)
City
State
Zip Code
Country
Add other physical location (Attach additional pages if necessary)
City
State
Zip Code
Country
8. Will business pay wages to employees in New Mexico?
9. Workers Compensation Fee?
ADD
Effective Date:
DELETE
Yes
No
10. Seasonal Businesses Only -
Change the business season to:
Season Start Month
Season End Month
11. Change the CRS Filing Status to:
MONTHLY
QUARTERLY
SEMI-ANNUALLY
(NOTE: Please review the filing status requirements on reverse before requesting a change.)
13. Give a brief description of nature
12. Primary type of business in New Mexico (Check all that apply)
of business
ADD DELETE
ADD DELETE
Accommodation, Food Services, and Drinking Places
Manufacturing
Administration and Support Services and Waste
Mining and Oil and Gas Extraction
Management and Remediation Services
Professional, Scientific and Technical Services
Agriculture, Forestry, Fishing and Hunting
Real Estate and Leasing of Real Property
Rental and Leasing of Tangible Personal Property
Arts, Entertainment and Resource Management
Construction
Retail Trade
Educational Services
Transportation and Warehousing
Utilities
Finance and Insurance
Wholesale trade
Government
Other Services
Health Care and Social Assistance
14. Federal Employer Identification Number (FEIN)
_____________________
ADD
DELETE
15. Liquor License Type/No. : ________________________
18. Special Tax Registration Information - Only update if a change is necessary.
ADD
DELETE
CHANGE
Note: A Special Tax Registration must be completed when adding an activity below.
16. Public Regulation Comm. No. :___________________
Gasoline Sales
ADD
DELETE
Severing Natural Resources
ADD
DELETE
Special Fuels
ADD
DELETE
CHANGE
ADD
DELETE
Processing Natural Resources
ADD
DELETE
17. RLD Contractor's License No. : ___________________
Cigarette Sales
ADD
DELETE
Water Producer
ADD
DELETE
ADD
DELETE
CHANGE
Tobacco Products
ADD
DELETE
Gaming Activities
ADD
DELETE
You may want to request a Letter of Good Standing or a Certificate of No Tax Due.
See
19.
Are you closing a business?
instructions on the back of this form.
20. Before updating Owners / Partners / Corporate Officers / Association Members / Shareholders information below, please see the instructions on the
reverse side of this form.
(Attach additional pages if necessary)
# 1
Add
Change
Delete
# 2
Add
Change
Delete
SSN
NAME & TITLE
ADDRESS
PHONE & E-MAIL
21. I declare that the information reported on this form and any supplemental page(s) is true and correct.
Print Name
Signature
Date
Send original to any Taxation & Revenue Department office listed on the back of this form. Please keep a copy for your files.
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