Form Crs-1 - Combined Report Form Page 2
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1
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File the CRS-1 Form online through the Department's web site:
Under "Online Services" click on "Gross Receipts/Compensating/Withholding
Tax E-filing" then click on the "efile" button."
B
C
D
E
H
A
Municipality / County
Special
Location
Gross Receipts
Total
F
Taxable Gross
G
Tax
Gross Receipts
Name
Code*
Code
(Excluding Tax)
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 _________________
WITHHOLDING TAX
3
Check if applicable: Amended Report
4
TOTAL TAX DUE
TAX PERIOD
PENALTY
5
through
INTEREST
6
Month
Day
Month
Day
Year
Year
TOTAL AMOUNT DUE
7
Print
NM CRS
Phone
Name ________________________ ID No. _____________________ No. _________________
Rev. 09/2010
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 ___________________
B
D
E
H
C
A
Municipality / County
Special
Location
Gross Receipts
Total
F
Taxable Gross
Tax
Gross Receipts
G
Name
Code*
Code
(Excluding Tax)
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 _________________
WITHHOLDING TAX
3
Check if applicable: Amended Report
4
TOTAL TAX DUE
TAX PERIOD
PENALTY
5
through
INTEREST
6
Month
Day
Month
Day
Year
Year
TOTAL AMOUNT DUE
7
Print
NM CRS
Phone
Name ________________________ ID No. _____________________ No. _________________
Rev. 09/2010
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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