Form Pit-110 - Adjustments To New Mexico Income
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1
2State of New Mexico - Taxation and Revenue Department
Rev. 09/24/2013
PIT-110
ADJUSTMENTS TO NEW MEXICO INCOME
Form PIT-110, Adjustments to New Mexico Income, is for a non-resident whose job is located in this state but requires temporary
assignment outside of New Mexico. Form PIT-110 is to be used as a supporting document to the PIT-B Schedule to show any
difference between columns 1 and 2 on line 1 of the PIT-B Schedule. Prepare a separate PIT-110 for each W-2. See instruc-
tions on page 2.
PERSONAL INFORMATION
Name:
Social Security
Number:
Address:
City, State, ZIP Code:
1.
How many days did you work outside New Mexico, where you were
days
under a different supervisory and control authority?
2.
Total working days during the tax year
days
3.
Percentage of time worked outside New Mexico
%
(line 1 divided by line 2)
4.
Annual leave earned during taxable year
days
5.
Sick leave earned during taxable year
days
6.
Holiday leave earned during taxable year
days
7.
Administrative leave used during taxable year
days
8.
Jury duty leave used during taxable year
days
9.
Other (Specify)
days
10.
Total leave earned or used during taxable year (add lines 4 through 9)
days
11.
Leave earned on days worked outside New Mexico
(line 10 times line 3)
days
days
12.
Total days outside New Mexico (line 11 plus line 1)
13.
$
Total wages earned (box 1 of Form W-2)
14.
$
Rate per day (line 13 divided by line 2)
15.
Income earned outside New Mexico (line 14 times line 12)
$
16.
New Mexico Income (line 13 minus line 15) If negative, enter zero.
Add this amount to column 2, line 1, PIT-B Schedule.
$
NOTE: If more than one PIT-110 is used, add the amounts on line 16 and enter one total in column 2, line 1
of the PIT-B Schedule. Also, mark checkbox on line 1a on the PIT-B to indicate PIT-110 was used
in the calculation of wages on line 1, PIT-B.
THIS FORM MUST BE SUBMITTED TO THE DEPARTMENT WITH YOUR RETURN.
IF YOU E-FILE YOUR NM PIT-1 RETURN, SUBMIT FORM PIT-110 WITH FORM PIT-8453.
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