Form Pte-D - Owner Information - 2003 Page 2
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2State of New Mexico
Taxation and Revenue Department
W-K 2003 -
New Mexico Income and Withholding from Pass-Through Entity
INSTRUCTIONS
This form is to be used by non-resident owners who have had tax withheld and paid to the State of New Mexico by a pass-through entity (on
the pass-through entity's PTE return) and who file their own New Mexico Income tax returns. Form W-K must be attached to the non-resident
owner's New Mexico income tax return as verification that tax has been withheld and paid to the State of New Mexico. Upon request the pass-
through entity must submit a completed Form W-K to the non-resident owner for attachment to the New Mexico income tax return.
G
Non-resident owners may report tax withheld and paid to the State of New Mexico on their 2003 New Mexico income tax return.
Tax withheld on Form W-K is reported by the non-resident owner as follows:
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If filing Form PIT-1, report the withholding on line 17, Form PIT-1.
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If filing Form CIT-1, report the withholding on line 20, Form CIT-1.
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If filing Form PTE, report the withholding on line 13, Form PTE.
W-K 2003
New Mexico Income and Withholding from Pass-Through Entity
Name of entity
Mailing address of entity
City
State
Zip code
New Mexico CRS ID number
Federal employer identification number (FEIN)
Name of owner
Mailing address of owner
City
State
Zip code
Owner SSN/FEIN
Owner's New Mexico income
Owner's New Mexico withholding
$
$
W-K 2003
New Mexico Income and Withholding from Pass-Through Entity
Name of entity
Mailing address of entity
City
State
Zip code
New Mexico CRS ID number
Federal employer identification number (FEIN)
Name of owner
Mailing address of owner
City
State
Zip code
Owner SSN/FEIN
Owner's New Mexico income
Owner's New Mexico withholding
$
$
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