Form Rpd-41330 - Application For Alternative Energy Product Manufacturers Tax Credit

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State of New Mexico - Taxation and Revenue Department
RPD-41330
Rev. 2/2/2012
APPLICATION FOR
ALTERNATIVE ENERGY PRODUCT MANUFACTURERS TAX CREDIT
Name of business
Address
City
State
ZIP code
New Mexico CRS identification number
Name of contact person
Telephone number
(
)
I. QUALIFYING INFORMATION
1
Calendar year in which the qualified expenditures were made:
.
___________________________
(Purchase must be made after July 1, 2006 to qualify.)
2
Attach a detailed schedule showing the types of manufacturing equipment purchased, the date of purchase and the
.
amount expended.
3. Description of the alternative energy product that is being manufactured by the applicant:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
4. a. Number of new full-time employees hired: (Itemize on Form RPD-41330, Schedule A)
___________
b. Number of full-time employees employed one year prior to the date of this application:
___________
II. CALCULATION OF CREDIT CLAIMED
A. Total qualified expenditures on which credit is claimed:
$ _________________________
B.
Alternative Energy Product Manufacturers Tax Credit claimed: (Line A x 5%)
$ _________________________
III. I CERTIFY THAT:
The equipment on which credit is claimed on this application was used directly and exclusively in the taxpayer's
manufacturing operation and does not include a vehicle that leaves the site of a manufacturing operation.
The equipment on which credit is claimed on this application does not include any property for which the
taxpayer claims a credit against compensating tax pursuant to Section 7-9-79 NMSA 1978.
I declare I have examined this application, including accompanying invoices, schedules and/or statements, and to the best of my
knowledge and belief this application is true, correct and complete.
______________________________________
________________________________
__________________
Authorized signature
Title
Date
FOR DIVISION USE ONLY
This application for Alternative Energy Product Manufacturers Tax Credit was reviewed by the New Mexico Taxation
and Revenue Department and was:
$
Approved in the amount of
$
Adjusted and Approved in the amount of
Disapproved
Reason for Adjustment/ Disapproval_______________________________________________________________
Signature of Director or Delegate
Date
Approval Number

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