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

2016 PIT-X

*160170200*

(page 2)

NEW MEXICO PERSONAL INCOME TAX AMENDED RETURN

YOUR SOCIAL SECURITY NUMBER

If submitting this return by mail, send to:

Reason for amending:______________________________________

New Mexico Taxation and Revenue Department

________________________________________________________

P. O. Box 25122

________________________________________________________

Santa Fe, New Mexico 87504-5122

Attach schedules even if they did not change from the previously filed return.

AS PREVIOUSLY FILED

AS AMENDED

23. The amount on line 22 from page 1............................................................................................

24. Total claimed on rebate and credit schedule (PIT-RC, line 25). Attach PIT-RC ........................

25. Working families tax credit. (Lines 25 and 25a required or the deduction will be denied.).........

25a. The amount of federal earned income credit (EIC)

25a

reported on your 2016 federal income tax return...............

26. Refundable business-related income tax credits from Schedule PIT-CR, line B.

....

Attach PIT-CR

27. New Mexico income tax withheld. Attach annual statements of income and withholding. ..

28. New Mexico income tax withheld from oil and gas proceeds.

..........

Attach 1099-MISC or RPD-41285.

29. New Mexico income tax withheld from a pass-through entity.

...........

Attach 1099-MISC or RPD-41359.

30. 2016 estimated income tax payments. See PIT-1 instructions.. .................................................

31. Other payments less any refunds from this schedule, line S3, below. .......................................

32. TOTAL PAYMENTS AND CREDITS. Add lines 24 through 31..................................................

33. TAX DUE. If line 23 is greater than line 32, enter the difference here......................................

34. Penalty on underpayment of estimated tax. See PIT-1 instructions...........................................

35. Special method allowed for calculation of underpayment of estimated tax penalty. If you owe

penalty on underpayment of estimated tax and you qualify, enter 1, 2, 3, 4, or 5 in the box ....

35.

Attach RPD-41272.

36. Penalty. See PIT-1 instructions. If you want penalty computed for you, leave blank..................

37. Interest. See PIT-1 instructions. If you want interest computed for you, leave blank.................

38. TAX, PENALTY, AND INTEREST DUE. Add lines 33, 34, 36, and 37.................................

39. OVERPAYMENT. If line 23 is less than line 32, enter the difference here................................

40. Refund voluntary contributions (PIT-D, line 16). Attach PIT-D..................................................

41. Amount from line 39 you want applied to your 2017 Estimated Tax.......................................

42. AMOUNT TO BE REFUNDED TO YOU. Line 39 minus lines 40 and 41 ..................................

REQUIRED:

!! REFUND EXPRESS !!

You must answer this question.

HAVE IT DIRECTLY DEPOSITED! SEE INSTRUCTIONS AND COMPLETE ALL

WILL THIS REFUND GO TO OR THROUGH AN

QUESTIONS IN THIS BLOCK.

Type:

Choose one.

RE.3

ACCOUNT LOCATED OUTSIDE THE U.S.?

If yes, you may

Routing number:

M a r k X b y

Checking

RE.1

not use this refund delivery option. See instructions.

y o u r c h o i c e .

Savings

N O

RE.4

Y E S

Account number:

RE.2

I declare I have examined this return, including accompanying schedules and statements, and to the best of

Paid preparer's use only:

my knowledge and belief it is true, correct, and complete. (If filing jointly, BOTH must sign.)

_______________________________________ ___________

Your signature

Date

Signature of preparer

Date

REQUIRED: DRIVER'S LICENSE, STATE ID no. or "NONE"

State

Expiration Date

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

P.1

Spouse's signature

Date

NM CRS identification number ________________________

P.2

Preparer's PTIN __________________

P.3

REQUIRED:

State

Expiration Date

SPOUSE'S DRIVER'S LICENSE, STATE ID no. or "NONE"

FEIN ___________________

P.4

Preparer's phone number _______________________

P.5

Mark this box if Form RPD-41338 is on file for this taxpayer.

P.6

Taxpayer's phone number

See PIT-1 instructions.

Taxpayer's email address

Complete this schedule and report the result on line 31, Other payments less

Date

Amount

any refunds from schedule below.

S1. 2016 Other payments. List any tax year 2016 payments made before or separate from

the submission of this amended return. Also, enter the date of the payment. Do not include any

estimated payments reported on line 30 of this form. If you made more than four payments,

attach a schedule showing payment dates and amounts.

S1a Sum of payments

S2. 2016 Refunds received. List any refunds received from a previously filed 2016 New Mexico

PIT-1. Do not include any interest the New Mexico Taxation and Revenue Department paid, if

any, on your refund.

S2a Sum of refunds

S3. Subtract line S2a from line S1a. Subtract the sum of refunds reported on line S2a from the sum

of payments reported on line S1a. Enter here and on line 31 of this form. May be a negative number.

Form Pit-X - New Mexico Personal Income Tax Amended Return - 2016 Page 2

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