Form Rpd-41363 - Notice Of Transfer Of /agricultural Biomass Tax Credit - State Of New Mexico Taxation And Revenue Department

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State of New Mexico - Taxation and Revenue Department
RPD-41363
Rev. 12/12/2011
NOTICE OF TRANSFER OF AGRICULTURAL BIOMASS TAX CREDIT
Purpose of this Form. Form RPD-41363, Notice of Transfer of Agricultural Biomass Tax Credit, must be used to report to
the Taxation and Revenue Department (TRD) a transfer of approved agricultural biomass tax credit to another taxpayer.
This notice must be signed by the holder or the authorized representative of the holder of an approved credit. Notice must
be mailed to TRD within 10 days of a sale, exchange or other transfer. The current holder must have a TRD approved Form
RPD-41362, Agricultural Biomass Tax Credit Approval, before using this Form RPD-41363 to report a transfer.
Mail to New Mexico Taxation and Revenue Department, Edit Error, P.O. Box 5418, Santa Fe, New Mexico 87502-5418. For
assistance completing this form, see the instructions for RPD-41362, for this tax credit or call (505) 476-3683.
Agricultural biomass tax credit sold, exchanged or transferred:
Approved amount of agricultural biomass
Credit number of holder:
Approval date of holder:
Date of the transfer:
tax credit to be transferred:
Transferred from:
Name of holder
SSN or FEIN
E-mail address
Name of contact (if applicable)
Phone number
Under penalty of perjury I certify that I have examined this form and attachments, and to the best of my knowledge and
belief, it is true, correct and complete.
Signature of the holder author-
Date
izing the transfer of the credit.
Transferred to:
Name of new holder
SSN or FEIN
Mailing address
City, state and ZIP code
Statement of the holder to whom the credit is transferred: (Mark the box to certify the statement below.)
I certify that I have not and will not claim the agricultural biomass tax credit pursuant to Section 7-2-18.26
NMSA 1978 and Section 7-2A-26 NMSA 1978, for transportation of the same agricultural biomass on which
the claim for that agricultural biomass tax credit is based.
Under penalty of perjury I certify that I have examined this form and attachments, and to the best of my knowledge and
belief, it is true, correct and complete.
Signature of the holder to
Date
whom the credit is transferred.
TO BE COMPLETED BY THE TAXATION AND REVENUE DEPARTMENT
New credit number:
Date of approval of the credit:
Approved amount of agricultural biomass tax credit:
Agricultural biomass tax credit is approved as submitted.
Agricultural biomass tax credit is not approved. See the attached explanation.
Agricultural biomass tax credit is approved, but the amount of the credit has been adjusted.
See the attached explanation.
Signature of Secretary or authorized delegate: __________________________________
Date: _____________________
Name (please print):_______________________________________
Title: ______________________________________

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