Form Pte - New Mexico Income And Information Return For Pass-Through Entities - 2002

*22210100*

2002 PTE

New Mexico Income and

Information Return for Pass-Through Entities

Taxpayer's Name

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CHECK ONE:

TAXED FEDERALLY AS:

Mailing Address

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City, state and zip code

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(Required)

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FOR DEPARTMENT USE ONLY

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Amended returns

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I declare I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. Declaration

of preparer (other than taxpayer or an employee of the taxpayer) is based on all

information of which preparer has any knowledge.

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Signature of preparer if other than employee of the taxpayer

Date

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Signature and title of officer or manager

CRS identification number or social security number of preparer

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Telephone number

Date

Address and telephone number