Form Crs-1 - Reporting Gross Receipts, Withholding And Compensating Taxes - 2013 Page 26

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Request for Direct Deposit
If you are requesting a refund of tax, fees or surcharges paid to the New Mexico Taxation and Revenue Department for any
of the programs listed below and would like your refund deposited directly into your bank account, complete the following
information. Note: If the information below is incomplete or incorrect, your refund will be mailed.
Combined Report System Taxes (CRS), Personal Income Tax, Corporate Income and Franchise Tax, Oil and Gas Proceeds Withholding
Tax, Enhanced 911 Surcharge, Telecommunication Relay Service Surcharge, Water Conservation Fee, and Workers' Compensation Fee.
1.
Routing number:
3.
Type:
Checking
Savings
2.
Account number:
FOR DEPARTMENT USE ONLY
I have analyzed the records of the Taxation and Revenue Department on _______________________________ , 20 _______
and have verified the amount of tax overpayment. I hereby certify that a tax refund is due as claimed according to Section 7-1-26
NMSA 1978. The amount of overpayment is for the following taxes:
TAX PROGRAM
AMOUNT
1.
$
Claim number
2.
Serial number
3.
Warrant number
Total interest to be refunded
$
Total amount to be refunded
Analysis of reason for overpayment:
 YES
 NO
 Need additional information
Valid overpayment:
Credit amount $_______________
Amended returns on file:
 N / A
Credit key____________________
 YES
 NO
Date requested ______________________________________
Documents supporting this refund are on file:
GENERAL APPROVAL
I recommend refund:
Secretary or Delegate
Initiated by
IF REQUIRED
Section supervisor
Date
Attorney General's Office
Bureau chief
Date
26

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