Form Pit-1 - New Mexico Personal Income Tax

*120190200*

2012 PIT-1

(page 2)

NEW MEXICO PERSONAL INCOME TAX RETURN

YOUR SOCIAL SECURITY NUMBER

Do not submit a photocopy of this form

to the Department. Submit only original

forms and retain a copy for your records.

THIS BoX INTENTIoNALLY LEFT BLANK.

If submitting this return by mail, send to:

NM Taxation and Revenue Department

P. o. Box 25122

Santa Fe, New Mexico 87504-5122

23. The amount on line 22 from page 1 .....................................................................................................................

24. Total claimed on rebate and credit schedule (Line 27 of PIT-RC; attach PIT-RC) ............................................

25. Working families tax credit.

........................................

(You must complete both lines 25 and 25a or the deduction will be denied.)

25a. The amount of Federal Earned Income Credit

reported on your 2012 federal income tax return.....................

25a

26. New Mexico income tax withheld (Attach annual statements of income and withholding) ......................

27. New Mexico income tax withheld from oil and gas proceeds (Attach 1099-Misc or RPD-41285) ..................

28. New Mexico income tax withheld from a pass-through entity (Attach 1099-Misc or RPD-41359) ..................

29. 2012 estimated income tax payments (See PIT-1 instructions) .........................................................................

30. other Payments ...................................................................................................................................................

31.

TOTAL PAYMENTS AND CREDITS

(Add lines 24 through 30). ........................................................................

32.

TAX DUE

(If line 23 is greater than line 31, enter the difference here.)..............................................................

33. Penalty on underpayment of estimated tax (Leave blank if you want penalty computed for you.).....................

34. Special method allowed for calculation of underpayment of estimated tax penalty. Enter 1, 2, 3, 4 or 5

in the box if you owe penalty on underpayment of estimated tax and you qualify. (Attach RPD-41272)..........

35. Penalty (See PIT-1 instructions. Leave blank if you want penalty computed for you.)........................................

36. Interest (See PIT-1 instructions. Leave blank if you want interest computed for you.)........................................

TAX, PENALTy AND INTEREST DUE

37.

(Add lines 32, 33, 35 and 36).................................................................

38.

OVERPAYMENT

(If line 23 is less than line 31, enter the difference here.).......................................................

39. Refund donations (Line 11 of PIT-D; attach PIT-D)...............................................................................................

40. Amount from line 38 you want applied to your 2013 Estimated Tax ................................................................

41.

AMOUNT TO BE REFUNDED TO YOU

(Line 38 minus lines 39 and 40)..........................................................

REQUIRED: WILL THIS REFUND GO TO OR

HAvE IT DIRECTLy DEPoSITED! SEE INSTRUCTIoNS AND FILL IN 1, 2 3 AND 4.

!! REFUND EXPRESS !!

RE.4

THROUGH AN ACCOUNT LOCATED OUTSIDE

Type: Checking

Savings

RE.3

THE UNITED STATES?

Routing number:

If yes, you may not use

RE.1

E n t e r " X "

this refund delivery option. See instructions.

You must answer

Account number:

RE.2

Y E S

N o

this question.

I declare I have examined this return, including accompanying

Paid preparer's use only:

schedules and statements, and to the best of my knowledge

_______________________________________ ___________

and belief it is true, correct and complete.

Signature of preparer

Date

Firm's name (or yours if self-employed)

P.1

Your signature

Date

NM CRS identification number_________________________

P.2

Preparer's PTIN_____________________________________

P.3

FEIN______________________________________________

P.4

Spouse's signature

Date

Preparer's phone number ______________________________

P.5

(If filing jointly, BOTH must sign even if only one had income.)

Check this box if Form RPD-41338 is on file for this

Taxpayer's phone number

P.6

taxpayer. (See PIT-1 instructions.)

Taxpayer's E-mail address

Form Pit-1 - New Mexico Personal Income Tax - 2012 Page 2

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