Form Acd-31090 - Supplemental Reporting Form - 1994

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Do not make address changes on the CRS-1 Form.
Use the Registration Update, Form ACD-31075, included in this packet.
NEW MEXICO
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NAME
CRS ID NO.
COMBINED REPORT FORM, CRS-1
10/2000
NEW MEXICO
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NAME
CRS ID NO.
STREET / BOX
Please complete if not preprinted
CITY, STATE, ZIP
Please complete if not preprinted
Mail To: Taxation and Revenue Department, P.O. Box 25128, Santa Fe, NM 87504-5128
DEPT. USE LATE FILE
DEPT. USE ONLY
DEPT. USE ONLY
Do not write in this area

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