Form Pte-D - Owner Information
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11999 PTE-D
Owner Information
(Duplicate page if additional page is needed.)
Page _______ of _______
Do not attach Federal K-1 Schedules.
Name
Federal Employer Identification Number (FEIN)
New Mexico CRS Identification Number
COLUMN 3
COLUMN 4
COLUMN 7
COLUMN 5
COLUMN 1
COLUMN 2
COLUMN 6
Social Security
O wn er ' s
New Mexico
Hold Owner's
Resident
Name & Address
Withholding for
Number / FEIN
Percentage
Tax Agreement?
Taxable Income
Nonresidents
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
o YES
o
Total Withholding Tax for Page
Total Withholding Tax for All Pages
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Parent category: Financial