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Form Fid-D - Ptw Detail Report For Fiduciary Income Tax Returns - Annual Withholding Of Net Income From A Pass-Through Entity - 2015 Page 2

New Mexico Taxation and Revenue Department

*158490200*

2015 FID-D

PTW Detail Report For

Fiduciary Income Tax Returns:

Annual Withholding of Net Income From a Pass-Through Entity - Supplemental Page

Page ______ of _______

FEIN

Name of trust or estate

Do not file RPD-41353 with the

Department (see Instructions).

Column 2

Column 3

Column 4

Col. 5

Column 1

Beneficiary’s

Beneficiary’s share of

On file

Beneficiary’s name, street address,

SSN or FEIN

withholding tax

RPD-41353

allocable net income

city, state, and ZIP code

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

YES

Mark one:

FEIN

SSN

Mark if outside the U.S.

If you need more space, print this supplemental form directly

from the website and attach the additional supplemental forms

Line 2. Total withholding

to the first page of this form. Reproducing from a photocopy

on this page.

PTW-D

reduces the readability of the barcode on scanning equipment.

Form Fid-D - Ptw Detail Report For Fiduciary Income Tax Returns - Annual Withholding Of Net Income From A Pass-Through Entity - 2015 Page 2

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