Form Rpd-41320 Draft - Angel Investment Credit Claim Form
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3State of New Mexico - Taxation and Revenue Department
RPD-41320
Rev. 09/04/2012
ANGEL INVESTMENT CREDIT CLAIM FORM
WHO MUST FILE THIS FORM: For tax years beginning on or after January 1, 2007, a taxpayer who files a New Mexico
personal income tax return, who is not a dependent of another individual, is an accredited investor and makes a qualified
investment may claim a credit for 25% of the qualifying investment in a high-technology or manufacturing business. For
the accredited investor, the maximum amount of investment in a business for which a credit may be allowed is $100,000
DRAFT
per year. Accredited investors are allowed credits for two qualifying investments annually, provided that each investment is
in a different qualified business. Any unused angel investment credits may be carried forward for three consecutive years.
NOTE: A claim for the credit may not be made or allowed with respect to any investment made before January 1, 2007, or
after December 31, 2016.
09/04/2012
To qualify, a taxpayer must apply for a certificate of eligibility for the angel investment credit to the New Mexico Economic
Development Department (EDD). Applications will be considered in the order received. If EDD determines that the taxpayer
is an accredited investor and the investment is a qualified investment, a dated certificate of eligibility will be issued to the
taxpayer. For assistance obtaining the certificate of eligibility for the angel investment credit, contact the New Mexico Eco-
nomic Development Department at (505) 827-0300. See forms and contacts in the instructions.
To claim the credit, submit a completed Form RPD-41320, Angel Investment Credit Claim Form, and a copy of the certificate
of eligibility to the New Mexico Taxation and Revenue Department (TRD). Important: You must submit the claim form to TRD
no later than one year following the end of the calendar year in which the qualified investment was made. When claiming
the credit against personal income taxes, attach Form RPD-41320, Angel Investment Credit Claim Form, to the New Mexico
personal income tax return for the year in which the angel investment credit is taken.
For assistance completing this form or claiming the credit against personal income tax, call the New Mexico Taxation and
Revenue Department at (505) 476-3683.
Name of taxpayer
Social security number
Mailing address
Phone number and E-mail address
1. Enter the total amount of the angel investment tax credit allowed during the tax
year of this claim as certified by EDD. For each credit allowed, enter the certificate
number, amount of credit allowed and date of certification in the space below. Also
attach a copy of the certificate of eligibility. Enter the sum on line 1. No more than
two credits are allowed per tax year.
Certificate number
Amount
Date
1.
2.
2. Enter the total of unused credit from previous claims (from Schedule A).
3. Enter the sum of lines 1 and 2. This is the total credit available.
3.
4. If applying the credit against tax due on an attached personal income tax return,
enter the amount of line 3 that is applied against this return.
4.
If mailing this form to claim the credit, mail to New Mexico Taxation and Revenue Department, Attn: ARSB, P.O. Box 630,
Santa Fe, New Mexico 87504-0630. If submitting this form with your New Mexico personal income tax return to apply angel
investment credit against tax due, mail this form to the address on the personal income tax return.
Under penalty of perjury, I delare I have examined this claim, including accompanying returns, schedules
and/or statements, and to the best of my knowledge and belief, it is true, correct and complete.
Signature of Taxpayer or Agent
Title
Date
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