Form Rpd-41212 - Investment Credit Claim Form printable pdf download

Form Rpd-41212 - Investment Credit Claim Form

RPD-41212

Rev 09/13/2016

State of New Mexico - Taxation and Revenue Department

INVESTMENT CREDIT CLAIM FORM

Requesting application of approved investment credits to the attached form.

INSTRUCTIONS FOR USING THIS FORM: When claiming an approved investment credit, this claim form must accompany the

CRS-1 or PTE return to which the taxpayer wishes to apply the credit. Use the worksheet below to calculate the maximum amount

of approved Investment Credit that may be applied to this reporting period. Any amount of credit not claimed for a reporting period

may be claimed in subsequent reporting periods.

You may apply this credit when you file your return online. Sign into Taxpayer Access Point (TAP) at https://tap.state.nm.us, and

follow the prompts to attach this form. To claim the credit by mail, attach this form and any applicable payments to the CRS-1 or PTE

tax return on which you wish to apply the credit, and mail to the address on the return. For CRS-1 assistance call 505-476-3683 or

for PTE assistance call 505-827-0825.

WORKSHEET

A. Enter the total of all taxable gross receipts reported (Column F of the CRS-1)

A.___________________________

B. Multiply Line A amount by 5.125 percent and enter the amount here

B.___________________________

C. Enter the compensating tax reported (Line 2 of the CRS-1)

C.___________________________

D. Enter the withholding tax reported (Line 3 of the CRS-1 or Line 5 of the PTE return)

D.___________________________

E. Enter the sum of Lines B, C and D

E.___________________________

F. Multiply Line E by 85%*

F.___________________________

*This is the maximum amount of investment credit that can be applied to this reporting period.

Business Name _______________________________________

Approval Number

TAXPAYER IDENTIFICATION NUMBER

CHECK ONE

 CRS-1 Form

0 0

 PTE Form

FOR REPORT PERIOD

AMOUNT OF INVESTMENT CREDIT TO BE APPLIED

through

Month

Day

Month

Day

Year

*Enter same report period as indicated on the CRS-1 form to which you wish to claim this credit.

I declare that I have examined this form including any accompanying schedules and statements, and to the best of my knowledge and belief, it

is true, correct and complete.

Signature of Taxpayer or Agent _______________________________________________

Date _________________________

Form Rpd-41212 - Investment Credit Claim Form

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