Form Rpd-41071 - Application For Refund - State Of New Mexico Taxation And Revenue Department

ADVERTISEMENT

STATE OF NEW MEXICO - TAXATION AND REVENUE DEPARTMENT
RPD-41071
Rev. 8/2/2012
APPLICATION FOR REFUND
Who Must File this Form. This form may be used to apply for a refund of most tax, fees or surcharges paid to the New Mexico Taxation
and Revenue Department. To obtain a refund, you are generally required to complete this form or submit a letter with substantially the
same information. If your refund claim is the result of overstating the tax due on a previously filed income tax, estate tax or oil and gas
tax return and you are filing an amended return, you do not need to attach an application for tax refund. A complete amended return
is sufficient to support a valid claim for tax refund. Other exceptions to filing Form RPD-41071, Application for Refund, are listed in the
instructions.
How to File this Form. A valid claim for refund requires all information requested on this form. You must enter the primary taxpayer's
identification number required by the New Mexico form and indicated on the return or payment. "Basis for refund" means a brief statement
of the facts and the law on which the claim is based. The basis for refund must explain why the overpayment was made. Do not merely
enter the word "overpayment". Attach a letter of explanation if the space provided is insufficient. See Other Required Attachments in the
instructions. This Application for Refund must be signed by the taxpayer or the taxpayer's authorized agent. An incomplete or inaccurate
application may cause the Department to invalidate your refund claim and return the application to you without action. See also How to
Claim a Refund of CRS-1 Taxes When You Are Also Required to E-File Your Return.
To apply all or any part of your refund to another report period, liability or another tax or fee program, please state in detail the report
period, liability or other tax or fee program to which you wish to apply the refund.
Taxpayer identification no. (CRS ID or SSN)
Name of business or taxpayer if requesting a refund of income tax
Mailing address
City, state, ZIP code
Contact name, if applicable
Phone number
I hereby certify that the State of New Mexico was overpaid the sum of _________________________________________
dollars ($ _______________) in __________________ taxes, for the period(s) ______________ to _________________
(type of tax)
Basis for refund: ___________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Is an amended return submitted with this request?
Yes
No
Previously Mailed
Not Required
I declare that the information reported on this form and any attached supplements are true and correct.
Signature of taxpayer or agent _____________________________ Title _____________________ Date _________
Type or print name __________________________ Phone ____________ E-mail address _____________________
Return this form and attachments to the Taxation and Revenue Department,
P.O. Box 630, Santa Fe, New Mexico 87504-0630.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 3