Form Pit-X - New Mexico Personal Income Tax Amended Return - 2016

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2016 PIT-X
NEW MEXICO PERSONAL INCOME TAX
*160160200*
AMENDED RETURN
For the year January 1 - December 31, 2016
or fiscal year beginning
ending
F.1
F.2
Age 65
Residency
Print your name (first, middle, last)
SOCIAL SECURITY NUMBER
Blind
or over
status
Taxpayer's date of birth
1b
1a
1c
1d
1f
1e
Print your spouse's
name (first, middle, last). If
married filing separately, include spouse.
2b
Spouse's date of birth
2a
2c
2d
2e
2f
If the address is new or changed, mark this box.
3a
Taxpayer's date of death
4.
Mailing Address (Number and street)
If a deceased taxpayer's refund must
If taxpayer or spouse
died before this
4c
be made payable to a person other
return is filed, enter
than the taxpayer or spouse named
3b
date of death.
g
Spouse's date of death
on this return, enter below the name
City
State
Postal/ZIP Code
and social security number of that
4d
person. You must also attach Form
3c
i
RPD-41083.
If foreign address, enter country
Foreign province and/or state
Residency status: For taxpayer
4a
and spouse (1e and 2e), enter:
3d
Name
R if RESIDENT
EXEMPTIONS. Number of Qualified Exemptions.
N if NON-RESIDENT
5.
4b
If you are a dependent of another taxpayer, enter 00.
F if FIRST-YEAR RES.
SSN
P if PART-YEAR RES.
EXTENSION OF TIME TO FILE.
6a
If you have a federal or state extension,
7. FILING STATUS. Mark only one box.
mark the box and enter the extension date.
6b
(1) Single
8. DEPENDENTS. As listed on your federal return.
(You must report the first 5 dependents in this table and additional dependents on Schedule PIT-S.)
(2) Married filing jointly
Column 1
Column 2
Column 3
(3) Married filing separately
(Enter spouse's name
First name
Last name
Date of birth (MM/DD/CCYY)
Dependent's SSN
and social security number in 2a and 2b.)
(4) Head of household
(Enter name of person
qualifying you as head of household if that person is not
counted as a qualified exemption on your federal return.)
(4a)
(5) Qualifying widow(er) with dependent child
AS PREVIOUSLY FILED
AS AMENDED
9.
FEDERAL ADJUSTED GROSS INCOME. (from federal Form 1040, line 38; Form 1040A,
line 22; or Form 1040EZ, line 4.) ...............................................................................................
9
9a. Enter any federal net operating loss incurred ....................
9a
10. If you itemized your federal deduction amount, enter the amount of state and local tax
deduction claimed on federal Form 1040, Schedule A, line 5. See the instructions ..................
10
11. Total Additions to federal income (PIT-ADJ, line 5). Attach PIT-ADJ ........................................
11
12. Federal standard or itemized deduction amount (from federal Form 1040, line 40;
12
Form 1040A, line 24; or Form 1040EZ, line 5.) ........................................................................
12a
12a. If you itemized, mark the box..................................................................................
13. Federal exemption amount (from federal Form 1040, line 42; Form 1040A, line 26;
13
or if you filed Form 1040EZ, leave blank) .................................................................................
14
14. New Mexico low- and middle-income tax exemption. See PIT-1 instructions .........................
15
15. Total Deductions and Exemptions from federal income (PIT-ADJ, line 22). Attach PIT-ADJ ...
16
16. Medical care expense deduction. See PIT-1 instructions ..........................................................
(You must complete both lines 16 and 16a or the deduction will be denied.)
16a. Unreimbursed and uncompensated medical care expenses.
16a
17
17. NEW MEXICO TAXABLE INCOME.
.....................
Add lines 9, 10 and 11, then subtract lines 12, 13, 14, 15 and 16
18
18. New Mexico tax amount on line 17 or from PIT-B, line 14 .........................................................
18a
18a. From Rate Table = R. F
......................................................
rom PIT-B, line 14 = B.
19
19. Additional amount for tax on lump-sum distributions. See PIT-1 instructions. ...........................
20. Credit for taxes paid to another state. You must have been a New Mexico resident during
all or part of the year. Include a copy of other state's return. See PIT-1 instructions ............
20
21
21. Business-related income tax credits applied, from Schedule PIT-CR, line A. Attach PIT-CR ...
22. NET NEW MEXICO INCOME TAX. Add lines 18 and 19, then subtract lines 20 and 21 ..........
22
Continue on the next page.
You may file an amended return online through Taxpayer Access Point (TAP) at https://tap.state.nm.us.

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