Form Pit-D - New Mexico Voluntary Contributions Shedule - 2012
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1*120480200*
2012 PIT-D
NEW MEXICO VOLUNTARY CONTRIBUTIONS SCHEDULE
Print your name (first, middle, last)
PRIMARY SOCIAL SECURITY NUMBER
Use this schedule to contribute any of your tax refund to any of New Mexico’s voluntary contribution funds. Total
fund contributions may not exceed the amount on line 38 of Form PIT-1. If you are not due a refund but wish to
contribute to any of the funds, do not mail your contributions to the New Mexico Taxation and Revenue Department.
Send your contribution directly to the addresses listed in the instructions for Schedule PIT-D.
Please consider your contribution to any of the funds carefully because no part of your contribution is refundable
should you amend your return or change your mind. The Department will deduct your contribution from your refund
and transfer your contributions to the appropriate funds. If the contributions exceed the refund due, no contribu-
tions will be made or deducted from your refund.
1.
Overpayment amount from line 38 of Form PIT-1 ......................................................................................................
00
1
2.
SHARE WITH WILDLIFE Contribution ....................................................................................................................
00
2
This program is administered by the New Mexico Game and Fish Department, but is funded by donation only.
Its purpose is to assist non-game or endangered species. Of the collected contributions, 90% goes directly to
benefit wildlife through research, habitat protection, public education, and wildlife rehabilitation. A free newslet-
ter outlining projects is available.
3.
VETERANS' NATIONAL CEMETERY FUND Contribution .....................................................................................
00
3
This fund is administered by the New Mexico Department of Veterans' Services to increase the size of the
Santa Fe National Cemetery. The sum of total contributions received after January 1, 1988, in excess of
$1,070,000 is sent to the Substance Abuse Education Fund.
4.
NEW MEXICO SUBSTANCE ABUSE EDUCATION FUND Contribution................................................................
00
4
This fund is administered by the State Public Education Department to provide substance abuse education pro-
grams in New Mexico schools.
5.
NEW MEXICO FOREST RE-LEAF PROGRAM Contribution .................................................................................
00
5
This program provides grants to communities in New Mexico for planting trees. The program is administered
through the Conservation Planting Revolving Fund by the Forestry Division of the New Mexico Energy, Minerals
and Natural Resources Department.
00
6
6.
NATIONAL GUARD MEMBER AND FAMILY ASSISTANCE Contribution .............................................................
Contributions are distributed to the Department of Military Affairs for assistance to members of the New Mexico
National Guard activated for service in the "global war on terrorism" and to their families.
7.
00
KIDS IN PARKS EDUCATION PROGRAM Contribution...............................................................................
...........
7
Contributions are for expenditures for the kids in parks education program administered by the State Parks Division
of the Energy, Minerals and Natural Resources Department.
8.
AMYOTROPHIC LATERAL SCLEROSIS RESEARCH FUND Contribution ..........................................................
00
8
The fund is appropriated to the board of regents of the University of New Mexico for amyotrophic lateral sclerosis
(Lou Gehrig's disease) research. Money in the fund at the end of a fiscal year will revert to the general fund.
9
.
VIETNAM VETERANS' MEMORIAL STATE PARK Contribution ...........................................................................
00
9
Contributions are distributed to the State Parks Division of the New Mexico Energy, Minerals and Natural Re-
sources Department for the operation, maintenance and improvement of the Vietnam Veterans' Memorial State
Park near Angel Fire, New Mexico.
10.
NEW MEXICO POLITICAL PARTIES Contribution
To contribute enter the number of the state political party to which you choose to make a $2 donation. The
spouse’s contribution is allowed on a jointly filed return only.
ENTER NUMBER OF YOUR PARTY CHOICE.........................10a
1 for the Democratic Party of New Mexico
2 for the Republican Party of New Mexico
ENTER NUMBER OF YOUR SPOUSE'S PARTY CHOICE
(on jointly-filed returns only).. .....................................................10b
3 for the Libertarian Party of New Mexico
4 for the New Mexico Independent Party
Enter total political party contributions - (Allowable amounts are $0, $2 or $4)
...........................
00
10
11.
TOTAL OF VOLUNTARY FUND
CONTRIBUTIONS.
ADD lines 2 through 10.
Enter total here and on line 39 of Form PIT-1 ...........................................................................................................
00
11
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