Form Rpd-41327 - Sustainable Building Tax Credit Approval

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State of New Mexico - Taxation and Revenue Department
RPD-41327
Rev. 10/18/2013
SUSTAINABLE BUILDING TAX CREDIT APPROVAL
Purpose of This Form. This form is required to be completed and submitted to the Taxation and Revenue Department to obtain approval
for the sustainable building tax credit. After approval, this form is returned to the owner or the holder who may begin claiming the credit.
Complete Section I and, if applicable, Section II. Mark the box to certify the statement, sign, date, and attach a copy of the certificate of eli-
gibility for the Sustainable Building Tax Credit issued by the New Mexico Energy, Minerals and Natural Resources Department (EMNRD).
Mail to New Mexico Taxation and Revenue Department, Edit Error, P.O. Box 5418, Santa Fe, NM 87502-5418. For assistance completing
this form, call (505) 476-3683.
Social security number or federal employer identification number
Name of owner of the qualifying sustainable building
Mailing address
City, state and ZIP code
Phone number
Email address
Name of contact
Certified statement of the building owner:
Mark the box to certify this statement and receive this credit.
I certify that I have not and will not claim the solar market
development tax credit, pursuant to Section 7-2-18.14 NMSA 1978, for any solar thermal system or photovoltaic system installed in
the sustainable building that was used as a component for qualification for the energy requirements or rating system certification
level used in determining eligibility for the sustainable building tax credit for which I have been approved.
Under penalty of perjury, I certify that I have examined this form and attachments, and to the best of my knowledge and
belief it is true, correct, and complete. I have also marked the box above to certify the statement and receive the credit.
Date
Signature of building owner
Holder if other than eligible building owner. If the qualifying sustainable building is owned by a partnership or other busi-
ness association the owner may pass the credit to its member(s), partners(s), shareholder(s), or beneficiary(ies) by completing
Section II, and submitting a Form RPD-41327, Sustainable Building Tax Credit Approval, for each member, partner, shareholder,
or beneficiary. Members, partners, shareholders, and beneficiaries may claim a credit only in proportion to their interest in the
partnership or other business association, and will be issued an approval for their portion of the credit.
Social security number or federal employer identification number
Name of holder if other than building owner
Mailing address
City, state, and ZIP code
Phone number
Name of contact
Percentage of ownership interest in the
partnership or other business association
Certified statement of the holder, if other than building owner:
Mark the box to certify this statement and receive this credit.
I certify that I have not and will not claim the solar market
development tax credit pursuant to Section 7-2-18.14 NMSA 1978, for any solar thermal system or photovoltaic system installed in
the sustainable building that was used as a component for qualification for the energy requirements or rating system certification
level used in determining eligibility for the sustainable building tax credit for which I have been approved.
Under penalty of perjury, I certify that I have examined this form and attachments, and to the best of my knowledge and
belief it is true, correct and complete. I have also marked the box above to certify the statement and receive the credit.
Signature of holder, if other than building owner
Date
TO BE COMPLETED BY THE TAXATION AND REVENUE DEPARTMENT
Credit number:
Date of credit approval:
Approved amount of sustainable building tax credit:
Sustainable building tax credit is approved as submitted.
Sustainable building tax credit is not approved. See the attached explanation.
Sustainable building tax credit is approved, but the amount of the credit has been adjusted. See the attached
explanation.
Signature of Secretary or authorized delegate: __________________________
Date: ____________________
Name (please print):_____________________________________
Title: _______________________________

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