Form Rpd-41333 - Advanced Energy Tax Credit Application Page 2
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6State of New Mexico - Taxation and Revenue Department
RPD-41333
Rev. 2/2/2012
ADVANCED ENERGY TAX CREDIT APPLICATION
Page 2 of 2
Section 3. - Required Attachments
Mark the box to indicate the documentation is attached:
F Copy of the certificate of eligibility issued by the New Mexico Environment Department;
F Schedule of eligible generation plant costs. Attach a detailed schedule describing each eligible expenditure and
showing the date of purchase and amount expended. Provide a depreciation schedule that can be reconciled to the
schedule of qualified expenditures. Include copies of invoices to support your purchases. You may be asked to provide
the Department with a copy of your federal Form 4562 at the time it is filed with the IRS.
F If completing the Notice of Allocation of the Right to Claim the Approved Credit, attach proof that the taxpayers named
on the notice are eligible for the credit as taxpayers holding an interest in the qualified generating facility.
Section 4. - Certifications
Check all that apply. You must be able to certify all of the following statements.
I CERTIFY THAT:
Expenditures included in this claim have not and will not be used for credits pursuant to the Investment Credit
Act or any other credit against personal or corporate income tax, compensating tax, gross receipts tax or
withholding tax.
The New Mexico Environment Department has not revoked the certification for the generating facility to which
this credit is claimed.
The generating facility continues to meet the criteria as a “qualified generating facility”.
The taxpayer (claimant) was eligible to claim the credit during the period in which the qualified expenditures
were incurred. Claimants holding less than 100% interest in the qualified generating facility, see Allocating the
Right to Claim the Credit.
I declare that I have examined this application including any accompanying schedules and attachments, and to the best
of my knowledge and belief, it is true, correct and complete.
Signature of taxpayer or agent
Title
Date
FOR DIVISION USE ONLY
This application for Advanced Energy Tax Credit was reviewed by the Taxation and Revenue Department and was:
$
Approved in the amount of
$
Adjusted and approved in the amount of
Disapproved
Reason for adjustment/disapproval______________________________________________________________
Approval number
Signature of Secretary or delegate
Date
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