Form Crs-1 - Reporting Gross Receipts, Withholding And Compensating Taxes - 2013 Page 9
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30Go Paperless!
File the CRS-1 Form online through the Department's web site:
https://efile.state.nm.us
A
Municipality / County
B
Special
C
Location
D
Gross Receipts
E
Total
F
Taxable Gross
G
Tax
H
Gross Receipts
Name
Code*
Code
(Excluding Tax)
Deductions
Receipts
Rate
Tax
TOTAL COLUMNS D, E and H.
$
TOTAL GROSS RECEIPTS TAX
$
1
*See instructions for column B.
Payment made by:
Automated Clearinghouse Deposit
Date _________________
COMPENSATING TAX
2
Federal Wire Transfer
Date _________________
WITHHOLDING TAX
3
Check if applicable: Amended Report
TOTAL TAX DUE
4
TAX PERIOD
PENALTY
5
through
INTEREST
6
Month
Day
Month
Day
Year
Year
TOTAL AMOUNT DUE
Print
NM CRS
Phone
7
Name ________________________ ID No. _____________________ No. _________________
Rev. 09/2010
I declare that I have examined this return including any accompanying schedules and statements, and to the best of my knowledge and belief, it
is true, correct and complete.
Signature of taxpayer or agent _______________________ Title _____________ Date ____________ E-mail address ___________________
A
Municipality / County
B
Special
C
Location
D
Gross Receipts
E
Total
Taxable Gross
Tax
H
Gross Receipts
F
G
Name
Code*
Code
(Excluding Tax)
Receipts
Rate
Tax
Deductions
TOTAL COLUMNS D, E and H.
TOTAL GROSS RECEIPTS TAX
$
$
1
*See instructions for column B.
Payment made by:
Automated Clearinghouse Deposit
Date _________________
2
COMPENSATING TAX
Federal Wire Transfer
Date _________________
WITHHOLDING TAX
3
Check if applicable: Amended Report
TOTAL TAX DUE
4
TAX PERIOD
PENALTY
5
through
6
INTEREST
Month
Day
Month
Day
Year
Year
TOTAL AMOUNT DUE
Print
NM CRS
Phone
7
Name ________________________ ID No. _____________________ No. _________________
Rev. 09/2010
I declare that I have examined this return including any accompanying schedules and statements, and to the best of my knowledge and belief, it
is true, correct and complete.
Signature of taxpayer or agent _______________________ Title _____________ Date ____________ E-mail address ___________________
9
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