Form Rpd-41244 - Technology Jobs Tax Credit Claim Form - State Of New Mexico Taxation And Revenue Department

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RPD-41244
State of New Mexico - Taxation and Revenue Department
REV. 2/20/2012
TECHNOLOGY JOBS TAX CREDIT CLAIM FORM
Requesting application of approved Technology Jobs Tax Credit to the attached form.
INSTRUCTIONS FOR USING THIS FORM: When claiming an approved Technology Jobs Tax Credit, this form must ac-
company the CRS-1, PIT-1, CIT-1, S-Corp or FID-1 forms for the return to which the taxpayer wishes to apply the credit.
Complete the Technology Jobs Tax Credit Claim Form and mail to the address below along with the return and any applicable
payments.
The holder is the business to whom the credit has been approved.
The Basic Tax Credit - may be applied against the taxpayer's compensating tax, gross receipts tax, or withholding tax due to
the State of New Mexico. No taxpayer may claim an amount of approved basic credit for any reporting period that exceeds
the sum of the taxpayer's gross receipts, compensating tax, and withholding tax due for that reporting period.
The Additional Tax Credit - may be applied against the taxpayer's income tax or corporate income tax. No taxpayer may claim
an amount of additional credit for any reporting period that exceeds the amount of the taxpayer's income tax or corporate
income tax due for that reporting period. A husband and wife may each claim only one-half the additional credit.
Any amount of credit not claimed for a reporting period may be claimed in subsequent reporting periods.
Mail to: New Mexico Taxation and Revenue Department, ATTN: ARSB - CRS, P.O. Box 25128, Santa Fe, NM 87504-2512.
For assistance, call 505-476-3683.
Name of Holder _________________________________________________ Approval Number
T J-
Taxpayer Identification Number of Holder
-
-
-
0
0 0
Enter the Taxpayer Identification Number of the taxpayer claiming the credit, if different than the holder _____________________________________
Report Period*
Amount of Technology Jobs
Tax Credit to be Applied
Beginning
Ending
-
-
-
-
$
to
,
.
,
m
m
d
d
y
y
m
m
d
d
y
y
Check One
*Enter same report period as entered on your attached tax form.
Form CRS-1
Form PIT-1 & Schedule PIT-CR
Form S-Corp & Schedule S-Corp-CR
Form CIT-1 & Schedule CIT-CR
Form FID-1 & Schedule FID-CR
___________________________________________________________
________________________
____________________________
Signature of Taxpayer of Agent
Date
Phone Number
Attach to applicable New Mexico tax form.

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