Form Rpd-41367 - Annual Withholding Of Net Income From A Pass-Through Entity Detail Report - 2013

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RPD-41367 (2013)
New Mexico Taxation and Revenue Department
*139080200*
Rev. 08/08/2013
2013 Annual Withholding of Net Income
From a Pass-Through Entity Detail Report
1
Page
of
Check if amended
Line 1. Total New Mexico net income
Pass-through entity’s name
PTE’s FEIN
Pass-through entity’s address, city, state, and ZIP code
Check the type of New Mexico income tax return that the pass-through entity files for the current tax year.
PTE
S-Corp
CIT-1
Other - ___________________________
PTE’s tax year if other than the full 2013 calendar year.
Due date of the PTE’s federal return.
Beginning of tax year
Last day of tax year
Original Due Date
Extended Due Date
MM
DD
CCYY
MM
DD
CCYY
Col. 5
Column 1
Column 2
Column 3
Column 4
RPD-41353
Owner’s SSN/FEIN
Owner’s share of
Owner’s share of
Owner’s name, street address,
on file
city, state, ZIP code
allocable net income
withholding tax
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
YES
Check one:
FEIN
SSN
Check if outside the U.S.
2.
Line 2. Total withholding this page
File this report on-line using the Department’s
3.
Line 3. Total withholding from all pages
website at https://efile.state.nm.us. If you cannot
electronically file, see the instructions.
4.
Line 4. Withholding tax passed to owners
For assistance completing this return
5.
Line 5. Withholding tax paid by the PTE
call (505) 827-0825.
Line 6. Subtotal Subtract the sum of lines 4
6.
If making payment with this report, also attach
and 5, from line 3. (May not be less than zero)
Form PTW-PV, Annual Withholding of Net
7.
Line 7. Penalty
Income From a Pass-Through Entity Detail
Report Payment Voucher.
8.
Line 8. Interest
9.
Line 9. Total due Add lines 6, 7 and 8.
I declare I have examined this form and to the best of my knowledge and belief it is true, correct and complete.
Authorized signature ___________________________________________________ Date ____________________
Phone number ________________________
E-mail address ____________________________________________________
PTW-D

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