Form Crs-1 - Combined Report Form Page 2
ADVERTISEMENT
1
2COMBINED REPORT FORM, CRS-1
4/99
NEW MEXICO
è
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
Municipality / County
Location
Gross Receipts
Total
Taxable Gross
Tax
Gross Receipts
Name
Code
(Excluding Tax)
Deductions
Receipts
Rate
Tax
1
$
TOTAL COLUMNS C, D and G.
$
TOTAL GROSS RECEIPTS TAX
Payment made by: o Automated Clearinghouse Deposit
Date _________________
COMPENSATING TAX
2
o Federal Wire Transfer
Date _________________
WITHHOLDING TAX*
3
Check if applicable: o Amended Report
TOTAL TAX DUE
4
PENALTY
5
through
TAX PERIOD
Month
Day
Year
Month
Day
Year
INTEREST
6
NM CRS ID No. ____________________________________ Phone No. ________________
TOTAL AMOUNT DUE
7
I declare that I have examined this return 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 ________________________________________________________ Title _________________________ Date ______________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial