Form Rpd-41238 - Application For Rural Job Tax Credit
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1
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3STATE OF NEW MEXICO
RPD - 41238
Rev. 07/26/2013
TAXATION AND REVENUE DEPARTMENT
APPLICATION FOR RURAL JOB TAX CREDIT
A Rural Job Tax Credit is offered to employers who are eligible for Job Training Incentive Program assistance. It is based on the wages
earned in qualifying jobs occupied by an eligible employee for at least forty-eight (48) weeks during a qualifying period.
Mail to: New Mexico Taxation and Revenue Department (TRD), ATTN: Director's Office, P.O. Box 8485, Albuquerque, New Mexico 87198-
8485. For the status of the credit application call (505) 841-6478.
PLEASE PRINT OR TYPE
New Mexico CRS identification number
Name of business
Physical address
City, state and ZIP code
Mailing address
City, state and ZIP code
Name of contact person
Telephone number
Email address
Enter the information requested under the tier area column that describes the location of the job.
(Tier areas are defined on the back of this form.)
TIER ONE AREA
TIER TWO AREA
1. Number of eligible jobs claimed*
______________
______________
A certificate is required for each eligible job
2. Total Eligible Wages: ($16,000 maximum per job certificate)*
______________
______________
Pursuant to Paragraphs (1), (2), and (3), 26 U.S.C. Section 51(c).
3. Rural Job Tax Credit:
______________
______________
Multiply line 2 by .0625
* Attach Form RPD-41247, Certificate of Eligibility for the Rural Job Tax Credit, for each job for which credit is claimed in
an eligible period.
_________________________________________
_______________________________
Taxpayer's Signature
Title
_________________________________________
_______________________________
Telephone Number
Date
NEW MEXICO RURAL JOB TAX CREDIT
Rural Job Tax Credit - Authorized by the New Mexico Taxation and Revenue Department
Approval by the New Mexico Taxation and Revenue Department
Claim No. __________________
Department authorization: ____________________________________
Title: __________________________________
Date issued: ________________________________________
Credit sequence number: ______________________
Total amount approved: ________________________________
Use Form RPD-41365, Notice of Transfer of Rural Job Tax Credit, to
This credit may be sold, exchanged, or otherwise transferred.
report to TRD a transfer or distribution of approved rural job tax credits.
The parties to such a transaction shall notify TRD of the sale,
exchange or transfer within ten days of such transaction. The holder of this credit may apply all or a portion of the rural job tax credit to
gross receipts tax (excluding local option taxes imposed by a municipality or county), compensating or withholding tax, less the amounts
of any other credit applied. The holder also may apply the credit to personal or corporate income tax liability. The credit may be carried
forward for a period of three years from the date issued as referenced above.
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