Form Rpd-41371 - Application For Veteran Employment Tax Credit - State Of New Mexico Taxation And Revenue Department Page 2

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STATE OF NEW MEXICO
RPD-41371
Int. 09/04/2012
TAXATION AND REVENUE DEPARTMENT
APPLICATION FOR VETERAN EMPLOYMENT TAX CREDIT
Part II - Distribution of credit to owners, members or partners, if the employer files a partnership return.
An owner, member or partner (owners) may be allocated the right to claim a veteran employment tax credit in proportion to its
ownership interest if the taxpayer owns an interest in a business entity that is taxed for federal income tax purposes as a partner-
ship. To allocate the credit to the owners of the business entity qualifying for the credit, complete the following for each owner. The
total credit that may be claimed by all members of the partnership or other business entity shall not exceed the allowable credit
approved. If additional space is needed, continue the list on a copy of this page.
Distributed to:
Name of owner, member or partner
SSN
Percent of ownership
Amount
FEIN
Name of owner, member or partner
SSN
Percent of ownership
Amount
FEIN
Name of owner, member or partner
SSN
Percent of ownership
Amount
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN
Name of owner, member or partner
SSN
Percent of ownership
Amount
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN
Name of owner, member or partner
SSN
Amount
Percent of ownership
FEIN

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