Form Pit-Adj - New Mexico Shedule Of Additions And Deductions/exemptions - 2012

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*120280200*
2012 PIT-ADJ
NEW MEXICO SCHEDULE OF ADDITIONS
AND DEDUCTIONS/EXEMPTIONS
We cannot accept statements in lieu of completing this schedule.
Print your name (first, middle, last)
YOUR SOCIAL SECURITY NUMbER
This schedule must be completed by taxpayers who are required to make certain additions or are eligible to take certain deductions or exemp-
tions from federal adjusted gross income to compute New Mexico taxable income. Please refer to the instructions. Attach Schedule PIT-ADJ to
your Personal Income Tax Return, Form PIT-1.
NEW MEXICO ADDITIONS TO FEDERAL ADJUSTED GROSS INCOME
1.
Interest and dividends from federal tax-exempt bonds...................................................................................
00
1
2.
Net operating loss (See PIT-ADJ instructions) ...............................................................................................
+
00
2
3.
Contributions refunded when closing a New Mexico-approved Section 529 college savings plan
account and certain contributions rolled out of a New Mexico-approved Section 529 college savings
plan account. ..................................................................................................................................................
+
00
3
4.
Charitable deduction amount claimed on federal Form 1040, Schedule A, for a donation of land to
private non-profit or public conservation agencies for conservation purposes from which you were
+
00
4
allowed the New Mexico Land Conservation Tax Credit. ...............................................................................
5.
TOTAL ADDITIONS
(Add lines 1-4. Also enter on line 11 of Form PIT-1) .....................................................
=
00
5
NEW MEXICO DEDUCTIONS/EXEMPTIONS FROM FEDERAL ADJUSTED GROSS INCOME
00
6.
New Mexico tax-exempt interest and dividends .............................................................................................
6
+
00
7.
New Mexico net operating loss (See PIT-ADJ instructions) ...........................................................................
7
+
00
8.
Interest received on U.S. Government obligations .........................................................................................
8
9.
Taxable Railroad Retirement Act annuities and benefits; taxable Railroad Unemployment Insurance
+
Act sick pay ....................................................................................................................................................
00
9
10. Income of a member of a New Mexico federally recognized Indian nation, tribe or pueblo that was
wholly earned on the lands of the reservation or pueblo of which the individual is an enrolled
+
member while domiciled on that land, reservation or pueblo .........................................................................
00
10
10a. I am enrolled as a member of the
Indian
nation, tribe or pueblo.
10b. My spouse is enrolled as a member of the
Indian nation, tribe or pueblo.
11. Income of persons age 100 years or older. If you or your spouse is age 100 or older, you must
check the box below or your exemption will be disallowed.
+
00
11a. 100 or older
11b. Spouse 100 or older
...........................................................................
11
12. Exemption for persons age 65 or older or blind. ............................................................................................
+
00
12
+
00
13. Exemption for New Mexico medical care savings account (See PIT-ADJ instructions) .................................
13
14. Deduction for contributions to a New Mexico-approved Section 529 college savings plan ...........................
+
00
14
00
+
15. Net capital gains deduction (See PIT-ADJ instructions) ................................................................................
15
16. Military active duty pay (See PIT-ADJ instructions) ........................................................................................
+
00
16
17. Medical care expense exemption for persons age 65 years or older .............................................................
00
+
17
18. Deduction for organ donation-related expenses ............................................................................................
+
00
18
+
00
19. New Mexico National Guard member life insurance reimbursements tax exemption ....................................
19
+
20. Taxable refunds, credits or offsets of state and local income taxes (From federal Form 1040, line 10). .......
20
00
=
21.
TOTAL DEDUCTIONS/EXEMPTIONS
(Add lines 6 - 20. Enter here and on line 15 of Form PIT-1.) ............
21
00

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