Form Crs-1 - Combined Report Form Page 2
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File the CRS-1 Form online through the Department's web site:
under "resources" click on "E File" and choose "CRS-Webfile"
Municipality / County
Location
A
B
Special
C
D
Gross Receipts
E
Total
F
Taxable Gross
G
Tax
H
Gross Receipts
(Excluding Tax)
Name
Code*
Code
Deductions
Receipts
Rate
Tax
TOTAL COLUMNS D, E and H.
$
$
1
TOTAL GROSS RECEIPTS TAX
*See instructions for column B.
Payment made by:
Automated Clearinghouse Deposit
Date _________________
COMPENSATING TAX
2
Federal Wire Transfer
Date _________________
3
WITHHOLDING TAX
Check if applicable: Amended Report
4
TOTAL TAX DUE
TAX PERIOD
through
PENALTY
5
Month
Month
INTEREST
6
Day
Day
Year
Year
Print
NM CRS
Phone
TOTAL AMOUNT DUE
7
Name ________________________ ID No. _____________________ No. _________________
Rev. 06/2010
I declare that I have examined this return 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 ______________ E-mail address _________________
Municipality / County
Location
A
B
Special
C
D
Gross Receipts
E
Total
F
Taxable Gross
Tax
H
Gross Receipts
G
Name
(Excluding Tax)
Code*
Code
Receipts
Rate
Tax
Deductions
TOTAL COLUMNS D, E and H.
$
$
1
TOTAL GROSS RECEIPTS TAX
*See instructions for column B.
Payment made by:
Automated Clearinghouse Deposit
Date _________________
2
COMPENSATING TAX
Federal Wire Transfer
Date _________________
3
WITHHOLDING TAX
Check if applicable: Amended Report
4
TOTAL TAX DUE
TAX PERIOD
through
PENALTY
5
Month
Month
6
INTEREST
Day
Day
Year
Year
Print
NM CRS
Phone
7
TOTAL AMOUNT DUE
Name ________________________ ID No. _____________________ No. _________________
Rev. 06/2010
I declare that I have examined this return 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 ______________ E-mail address _________________
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Parent category: Financial