Form Pit-X - New Mexico Personal Income Tax Amended Return - 2013
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1
22013 PIT-X
*130160200*
NEW MEXICO PERSONAL INCOME TAX
For the year January 1 - December 31, 2013
AMENDED RETURN
or fiscal year beginning
ending
F.1
F.2
Age 65
Residency
Print your name (first, middle, last)
SOCIAL SECURITY NUMBER
Blind
or over
status
Taxpayer's date of birth
1b
1c
1f
1a
1d
1e
Print your spouse's name (first, middle, last) If married filing separately, include spouse.
Spouse's date of birth
2b
2c
2d
2e
2a
2f
Taxpayer's date of death
If a deceased taxpayer's refund must
If taxpayer or spouse
4.
died before this
be made payable to a person other
If the address is new or changed, mark this box.
3a
4c
return is filed, enter
than the taxpayer or spouse named
g
date of death.
3b
Mailing Address
on this return, enter below the name
Spouse's date of death
and social security number of that
4d
person. You must also attach Form
i
RPD-41083.
City, State, and ZIP Code
Residency status: For taxpayer
4a
and spouse (1e and 2e), enter:
Name
R if RESIDENT
EXEMPTIONS. Number of Qualified Exemptions.
N if NON-RESIDENT
5.
4b
If you are a dependent of another taxpayer, enter 00.
F if FIRST-YEAR RES.
SSN
P if PART-YEAR RES.
EXTENSION OF TIME TO FILE.
6a
6b
If you have a federal or state extension,
7. FILING STATUS. Mark only one box.
mark the box and enter the extension date.
(1) Single
8. DEPENDENTS. As listed on your federal return.
(You must report the first 5 dependents in this table and additional dependents on Schedule PIT-S.)
(2) Married filing jointly
Column 1
Column 2
Column 3
(3) Married filing separately
(Enter spouse's name
First name
Last name
Date of birth (MM/DD/CCYY)
Dependent's SSN
and social security number in 2a and 2b.)
/
/
(4) Head of household
(Enter name of person
/
/
qualifying you as head of household if that person is not
/
/
counted as a qualified exemption on your federal return.)
/
/
(5) Qualifying widow(er) with dependent child
/
/
AS PREVIOUSLY FILED
AS AMENDED
INCOME. (from federal Form 1040, line 38; Form 1040A,
9.
FEDERAL ADJUSTED GROSS
9
line 22; or Form 1040EZ, line 4.).................. .............................................................................
10. If you itemized your federal deduction amount, enter the amount of state and
10
local tax deduction claimed on federal Form 1040, Schedule A, line 5....................................
11. Total Additions to federal income (PIT-ADJ, line 5). Attach PIT-ADJ..........................................
11
12. Federal standard or itemized deduction amount (from federal Form 1040, line 40;
Form 1040A, line 24; or Form 1040EZ, line 5.) ........................................................................
12
12a. If you itemized, mark the box. If applicable, you must also complete line 10......
12a
13. Federal exemption amount (from federal Form 1040, line 42; Form 1040A, line 26;
or if you filed Form 1040EZ, leave blank) ....................................................................................
13
14. New Mexico low- and middle-income tax exemption. See PIT-1 instructions...........................
14
15. Total Deductions/Exemptions from federal income (PIT-ADJ, line 21). Attach PIT-ADJ...........
15
16. Medical care expense deduction. See PIT-1 instructions...........................................................
16
(You must complete both lines 16 and 16a or the deduction will be denied.)
16a
16a. Unreimbursed and uncompensated medical care expenses...
Add lines 9, 10, and 11, then subtract lines 12, 13, 14, 15, and 16.
17.
NEW MEXICO TAXABLE
INCOME.
Cannot be less than zero......................................................................................................................
17
18
18. Tax on amount on line 17 or from PIT-B, line 14.........................................................................
18a. If from the Rate Table, enter R. If from PIT-B, line 14, enter B.......................
18a
19
19. Additional amount for tax on lump-sum distributions. See PIT-1 instructions.............................
20. Credit for taxes paid to another state. You must have been a New Mexico resident during
20
all or part of the year. Include a copy of other state's return. See PIT-1 instuctions. ..............
21. Total Non-Refundable Credits from Schedule PIT-CR, line 21. Attach PIT-CR...........
21
TAX. Add lines 18 and 19, then subtract lines 20 and 21. ..........
22
22.
NET NEW MEXICO INCOME
Cannot be less than zero.
Continue on the next page
.
Amended returns may be electronically filed through the Department's web site.
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