Form Pte-D - Owner Information - 2003

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2003 PTE-D
Owner Information
(Duplicate page if additional page is needed.)
Page _______ of _______
Do not attach Federal K-1 Schedules unless 100% New Mexico
Federal Employer Identification Number (FEIN)
Name
1. New Mexico Taxable Income (from PTE-1, line 12) ....................................................................
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 6
COLUMN 7
COLUMN 5
Name & Address
Social Security
Owner's
Owner's Taxable
Withholding for
PTE-TA on File
Resident
Number/FEIN
Percentage
Income (Column
Nonresidents
3 x line 1)
J YES
J
J YES
J
J
J YES
J YES
J
J
J YES
J
J YES
J YES
J
J
J YES
J YES
J
J YES
J
J
J YES
Total Withholding Tax for Page
Total Withholding Tax for All Pages

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