Form Rpd-41285 - Annual Statement Of Withholding Of Oil And Gas Proceeds
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1New Mexico Taxation and Revenue Department
RPD-41285
Rev. 10/2010
Annual Statement of Withholding of Oil and Gas Proceeds
Payer’s federal identification number
Taxable Year
Check one:
FEIN
SSN
Payer’s CRS identification number
Payer’s name, street address, city, state, ZIP code
and telephone number
Recipient’s federal identification number
Check one:
FEIN
Check if
foreign address
SSN
Gross oil and gas proceeds
Recipient’s name, street address, city, state, ZIP code
New Mexico state tax withheld
Check if
foreign address
Recipients must attach this form to the New Mexico state income tax return to claim
the amount of tax withheld against personal income or corporate income tax due.
New Mexico Taxation and Revenue Department
RPD-41285
Rev. 10/2010
Annual Statement of Withholding of Oil and Gas Proceeds
Payer’s federal identification number
Taxable Year
Check one:
FEIN
SSN
Payer’s name, street address, city, state, ZIP code
Payer’s CRS identification number
and telephone number
Recipient’s federal identification number
Check one:
FEIN
Check if
foreign address
SSN
Gross oil and gas proceeds
Recipient’s name, street address, city, state, ZIP code
New Mexico state tax withheld
Check if
foreign address
Recipients must attach this form to the New Mexico state income tax return to claim
the amount of tax withheld against personal income or corporate income tax due.
New Mexico Taxation and Revenue Department
RPD-41285
Rev. 10/2010
Annual Statement of Withholding of Oil and Gas Proceeds
Payer’s federal identification number
Taxable Year
Check one:
FEIN
SSN
Payer’s CRS identification number
Payer’s name, street address, city, state, ZIP code
and telephone number
Recipient’s federal identification number
Check one:
FEIN
Check if
SSN
foreign address
Gross oil and gas proceeds
Recipient’s name, street address, city, state, ZIP code
New Mexico state tax withheld
Check if
foreign address
Recipients must attach this form to the New Mexico state income tax return to claim
the amount of tax withheld against personal income or corporate income tax due.
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Form Rpd-41285 - Annual Statement Of Withholding Of Oil And Gas Proceeds - New Mexico Taxation And Revenue Department
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Form Rpd-41285 - Annual Statement Of Withholding Of Oil And Gas Proceeds - New Mexico Taxation And Revenue Department
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