Form Pte-D - Owner Information - 2002
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1
22002 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)
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Total Withholding Tax for Page
Total Withholding Tax for All Pages
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Parent category: Financial