Form Rpd-41244 - New Mexcico Technology Jobs Tax Credit Claim Form

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RPD-41244
Rev. 09/09/2014
State of New Mexico - Taxation and Revenue Department
TECHNOLOGY JOBS TAX CREDIT CLAIM FORM
PURPOSE OF THIS FORM: When claiming an approved Technology Jobs Tax Credit, this form must accompany the CRS-
1, PIT-1, CIT-1, S-Corp or FID-1 return to which the taxpayer wishes to apply the credit. Complete this Technology Jobs Tax
Credit Claim Form and mail to the address on the tax return that you wish to apply the credit.
The holder is the business to whom the credit has been approved.
The Basic Tax Credit - may be applied against the taxpayer's compensating tax, gross receipts tax, or withholding tax due to
the State of New Mexico. No taxpayer may claim an amount of approved basic credit for any reporting period that exceeds
the sum of the taxpayer's gross receipts tax, compensating tax, and withholding tax due for that reporting period.
The Additional Tax Credit - may be applied against the taxpayer's income tax or corporate income tax. No taxpayer may
claim an amount of additional credit for any reporting period that exceeds the amount of the taxpayer's income tax or cor-
porate income tax due for that reporting period. A husband and wife who file separate returns may each claim only one-half
the additional credit.
Any amount of credit not claimed for a reporting period may be claimed in subsequent reporting periods.
For more information about this credit, see the instructions to Form RPD-41239, Technology Jobs Tax Credit Application,
which must be completed and approved prior to submitting this form.
For assistance claiming your credit, call 505-476-3683.
Social security number (SSN) or federal employer
Name of holder
identification number (FEIN) of holder
Mark one:
FEIN
SSN
Mailing address
City, state and ZIP code
CRS identification number
E-mail address
Phone number
1. Enter the beginning and ending date of the tax year of this claim.
From
to
$
2.
2. Enter the tax due as shown on your return.
3. Enter the portion of total credit available (from Schedule A) claimed on your current
New Mexico CRS, PIT-1, CIT-1, S-Corp or FID-1 tax return. Do not enter more than the
$
3.
amount of tax due. The credit used may not exceed the amount of tax otherwise due.
NOTE: Failure to attach this form and other required attachments to your New Mexico tax return
will result in denial of the credit.
Under penalty of perjury I declare that I have examined this claim, and to the best of my knowledge and belief it is true,
correct and complete.
Signature of claimant_________________________________________ Date________________________________

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