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2011 PIT-1

(page 2)

*110190200*

NEW MEXICO PERSONAL INCOME TAX RETURN

YOUR SOCIAL SECURITY NUMBER

Do not submit a photocopy of this form

to the Department. Submit only original

THIS BoX INTENTIoNALLY LEFT BLANK

forms and retain a copy for your records.

If submitting this return by mail, send to:

NM Taxation and Revenue Department

P. o. Box 25122

Santa Fe, New Mexico 87504-5122

20. The amount on line 19 from page 1 .....................................................................................................................

21. Total claimed on rebate and credit schedule (Line 26 of PIT-RC; attach PIT-RC.) ...........................................

22. Working families tax credit.

........................................

(You must complete both lines 22 and 22a or the deduction will be denied.)

22a. The amount of Federal Earned Income Credit

reported on your 2011 federal income tax return.....................

22a

23. New Mexico income tax withheld (Attach annual statements of income and withholding.) ......................

24. New Mexico income tax withheld from oil and gas proceeds (Attach 1099Misc or RPD-41285.) ...................

25. New Mexico income tax withheld from a pass-through entity (Attach RPD-41359.) ........................................

26. 2011 estimated income tax payments (See PIT-1 instructions.) ........................................................................

27. other Payments ...................................................................................................................................................

28.

TOTAL PAYMENTS AND CREDITS

(Add lines 21 through 27.). .......................................................................

29.

TAX DUE

(If line 20 is greater than line 28, enter the difference here.)..............................................................

30. Penalty on underpayment of estimated tax (Leave blank if you want penalty computed for you.).....................

31. Special method allowed for calculation of underpayment of estimated tax penalty. Enter 1, 2, 3, 4 or 5

in the box if you owe penalty on underpayment of estimated tax and you qualify. (Attach RPd-41272.).........

32. Penalty (See PIT-1 instructions. Leave blank if you want penalty computed for you.)........................................

33. Interest (See PIT-1 instructions. Leave blank if you want interest computed for you.)........................................

34.

TAX, PENAlTy ANd INTEREST duE

(Add lines 29, 30, 32 and 33.)................................................................

OVERPAYMENT

(If line 20 is less than line 28, enter the difference here.).......................................................

35.

36. Refund donations (Line 11 of PIT-D; attach PIT-D.)...............................................................................................

37. Amount from line 35 you want applied to your 2012 Estimated Tax ................................................................

38.

AMOUNT TO BE REFUNDED TO YOU

(Line 35 minus lines 36 and 37.)..........................................................

!! REFUND EXPRESS !!

4. REQUIRED: WILL THIS REFUND GO TO OR

HAvE IT dIREcTly dEPoSITEd! SEE INSTRucTIoNS ANd FIll IN 1, 2 3 ANd 4.

THROUGH AN ACCOUNT LOCATED OUTSIDE

3. Type: Checking

Savings

THE UNITED STATES?

E n t e r " X "

If yes, you may not use this

1. Routing number:

refund delivery option. See instructions.

You must answer

2. Account number:

Y E S

N o

this question.

Paid preparer's use only:

I declare I have examined this return, including accompanying

schedules and statements, and to the best of my knowledge

_______________________________________ ___________

and belief it is true, correct and complete.

Signature of preparer

Date

Firm's name (or yours if self-employed)

Your signature

Date

NM CRS identification number___________________________

Preparer's SSN or PTIN________________________________

FEIN_______________________________________________

Spouse's signature

Date

Preparer's phone number ______________________________

(If filing jointly, BOTH must sign even if only one had income.)

Check this box if Form RPD-41338 is on file for this

Taxpayer's phone number

taxpayer. (See PIT-1 instructions.)

Taxpayer's E-mail address

Form Pit-1 - New Mexico Personal Income Tax/form Pit-Adj - New Mexico Schedule Of Additions And Deductions/exemptions - 2011 Page 2

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