RPD-41168
State of New Mexico - Taxation and Revenue Department
REV. 12/10/2012
APPLICATION FOR NEW MEXICO INVESTMENT CREDIT
SCHEDULE A
For the Department to verify that employment requirements for claiming the investment
credit are met, please provide the following information for each NEW employee. (Attach
additional sheets in the same format if necessary.)
Employee Name
Social Security Number
Date Hired
Hours / Week
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Total Hours Per Week
Divided by 40