Form Acd-31095 - Extension Of Time To File Protest

Form Acd-31095 - Extension Of Time To File Protest - 2010

NEW MEXICO TAXATION AND REVENUE DEPARTMENT

ACD - 31095

REV.

07/10

P .O. Box 1671

Santa Fe, NM 87504-1671

(505) 827-9806

EXTENSION OF TIME TO FILE PROTEST

(FORM ACD - 31095)

Name Taxpayer

SSN# or NM ID #

Mailing Address

City

State

Zip Code

Contact Name

Telephone Number

Tax Program

Dear Secretary:

□

I hereby request

an extension

a retroactive extension of time from the Taxation and Revenue

Department pursuant to Section 7-1-24 NMSA 1978 to file a written protest against:

□

Assessment Number ____________________ , issued ______________, for the period _______

_____________________________________________________________________________

□

Other (please specify) ___________________________________________________________

________________________________________________________________________________________

I am (was) unable to file a timely written protest because: ___________________________________

________________________________________________________________________________________

___________________________________________________________________________________________

_____________________________________________________________________________________

________________________________________________________________________________________

_______________________________________________________________________________________

For retroactive extension requests, please state the grounds of your protest: ____________________

________________________________________________________________________________________

Date

Taxpayer's Signature

Form Acd-31095 - Extension Of Time To File Protest - 2010