Form Rpd-41367 - Annual Withholding Of Net Income From A Pass-Through Entity Detail Report - 2011
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3RPD-41367 11
New Mexico Taxation and Revenue Department
*119080200*
Rev. 2/3/2012
2011 Annual Withholding of Net Income
From a Pass-Through Entity Detail Report
1
Page ______ of _______
Check if amended
Pass-through entity’s name
PTE’s FEIN
Line 1. Total New Mexico net income
Check the type of New Mexico income tax return that the pass-through entity files for the current tax year.
PTE
S-Corp
FID-1
N/A -
__________________________________
Reason
PTE’s tax year if other than the full 2011 calendar year.
Due date of the PTE’s federal return.
Beginning of tax year
Last day of tax year
Original Due Date
Extended Due Date
MM
DD
CCYY
MM
DD
CCYY
Owner’s name,
Column 2
Column 3
Column 4
Owner’s SSN/FEIN
Owner’s share of
Tax withheld and
street address,
net income
paid by the PTE
city, state, ZIP code
Check one:
FEIN
Check if outside the U.S.
SSN
Check one:
FEIN
Check if outside the U.S.
SSN
Check one:
FEIN
Check if outside the U.S.
SSN
Check one:
FEIN
Check if outside the U.S.
SSN
Check one:
FEIN
Check if outside the U.S.
SSN
Line 2. Total withholding this page.
File this report on-line using the Department’s web site at
2.
https://efile.state.nm.us.
If you cannot electronically file, see
Line 3. Total withholding from all
the instructions. For assistance completing this return call
pages.
3.
(505) 827-0825.
I declare I have examined this form and to the best of my knowledge and belief it is true, correct and complete.
Authorized signature ___________________________________________________ Date ____________________________________________
Phone number ___________________________________ E-mail address _________________________________________________________
PTW-D
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