Form Rpd-41322 - Blended Biodiesel Fuel Tax Credit Application
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2State of New Mexico - Taxation & Revenue Department
RPD-41322
Rev. 02/2011
BLENDED BIODIESEL FUEL TAX CREDIT APPLICATION
WHO MAY FILE THIS FORM. A rack operator or supplier who is required to pay the special fuel excise tax according to
Section 7-16A-2.1 NMSA 1978, and who files a New Mexico personal or corporate income tax return, may claim a credit
against the tax due on the return for each gallon of blended biodiesel fuel on which that person paid the special fuel excise
tax in the taxable year, or would have paid the special fuel excise tax in the tax year but for certain deductions allowed for
special fuel sold pursuant to Subsections B through F of Section 7-16A-10 NMSA 1978, (see the instructions) or the treaty
exemption for North Atlantic Treaty Organization use. To qualify, the taxpayer must be a registered New Mexico supplier
who files Form RPD-41306, Combined Fuel Tax Report, reporting qualifying biodiesel fuel receipts. Taxpayers use Form
RPD-41322, Blended Biodiesel Fuel Tax Credit Application, to establish eligiblity to claim the blended biodiesel fuel tax
credit. Approved credit can be applied to the tax liability for the year during which the special excise tax was paid or should
have been paid.
Mail to Taxation and Revenue Department, ATTN: Special Fuels, P.O. Box 25123, Santa Fe, New Mexico 87504-25123. For
assistance please call (505) 476-3683.
New Mexico CRS identification number
Name of business
Mailing address
Name and phone number of contact person
1. Application period. Enter the calendar year or portion of the
through
calendar year of this application period.
MM/DD/YY
MM/DD/YY
2. Gallons of biodiesel fuel. Enter the number of gallons of
2.
blended biodiesel fuel eligible for the credit during the applica-
tion period.
3. Rate of the credit for this application period. See the credit
3.
rate schedule in the instructions and enter the rate per gallon
applicable to the application period.
4. Multiply line 2 by line 3 and enter the total. This is the
4.
amount of blended biodiesel fuel tax credit applied for.
Division of the total credit.
If the credit for the eligible business is divided among two or more individuals, complete the following information for each
eligible owner, partner or associate below. Indentify all business owner(s), partner(s), or associate(s) eligible to claim a por-
tion of the credit on this application. Attach a supplemental report if additional space is needed. See ABOUT THIS CREDIT
in the instructions for this credit for further guidance regarding the division of the total credit amount.
Name and address
Amount allowed
FEIN or SSN
$
FEIN or SSN
Name and address
Amount allowed
$
Name and address
Amount allowed
FEIN or SSN
$
Name and address
Amount allowed
FEIN or SSN
$
I declare that I have examined this form, including any accompanying schedules and statements, and, to the best of
my knowledge and belief, it is true, correct and complete.
Signature of Taxpayer or Agent
Title
Date
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