Form Pte - New Mexico Information Return For Pass-Through Entities - 2011
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1
22011 PTE
New Mexico Information Return
*117080200*
for Pass-Through Entities
Taxpayer's name
Mailing address
CHECK ONE:
City, state and ZIP code
Original Return
Amended
New Mexico CRS Identification No.
NAICS Code (Required)
Federal Employer Identification No. (Required)
Tax Year Beginning
Tax Year Ending
Extended Due Date
DEPARTMENT USE ONLY
11
A.
State in which organized ____________________________________
B.
Date of organization _______ / _____ / _________
C.
Date business began in New Mexico _____ / _____ / _________
D.
Date terminated in New Mexico _______ / ____ / _________
Section 1. Tax Withheld From the Pass-through Entities (PTE) Income
1. Tax withheld from oil and gas proceeds received
..........
00
1
(Attach 1099Misc or Form RPD-41285)
.
2
Tax withheld on PTE net income
....................................................
00
(Attach Form RPD-41359)
2
Section 2. Other Withholding Information Reporting
00
3. Amount from lines 1 and 2 passed to owners on Form 1099Misc or RPD-41359 ............
3
4. Tax withheld and paid by the PTE on owner's net income
..............
4
00
(From Form RPD-41367)
Section 3. Computation of Net Income Taxable to Owners
5. Ordinary income (loss) from Federal Form 1065, Schedule K ........................................
00
5
6. Other income (loss) from Federal Form 1065, Schedule K .............................................
00
6
7. Interest income from municipal bonds (Excluding New Mexico bonds) ..........................
00
7
8. Subtotal of lines 5 through 7 ............................................................................................
00
8
9. Interest from U.S. government obligations or federally taxed New Mexico bonds ...........
00
9
00
10. Allowable deductions from Schedule K ............................................................................
10
11. Allocated income (From PTE-B, column 1, line 8) ............................................................
00
11
12. Apportionable income (Add lines 9, 10 and 11, then subtract from line 8) .......................
12
00
%
13. Average New Mexico percentage (From PTE-A, line 5)................................................. ..
13
14. New Mexico apportionable income (Multiply line 12 by line 13) ......................................
00
14
15. New Mexico allocated income (From PTE-B, column 2, line 9) .......................................
00
15
16. New Mexico net income (Add lines 14 and 15) ................................................................
00
16
Paid preparer's use only:
I declare that I have examined this return, including accompanying schedules and statements, and
to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer
(other than taxpayer or an employee of the taxpayer) is based on all information of which preparer
has any knowledge.
Signature of preparer if other than employee of the taxpayer
Date
______________________________________________________________________________
Print preparer's name
Signature of officer, member or partner
Date
______________________________________________________
NM CRS Identification number
________________________________________________________________________
FEIN
Title
Contact phone number
__________________________________________________________________
SSN or PTIN
_____________________________________________
Preparer's phone number
Taxpayer's E-mail address
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