Form Rpd-41243 - Rural Job Tax Credit Claim Form

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State of New Mexico - Taxation and Revenue Department
RPD-41243
Rev. 08/2010
RURAL JOB TAX CREDIT CLAIM FORM
Requesting application of approved Rural Job Tax Credit to the attached form.
INSTRUCTIONS FOR USING THIS FORM: When claiming an approved Rural Job Tax Credit, this form must accompany the CRS-1,
PIT-1, PTE or CIT-1 return to which the taxpayer wishes to apply the credit. The holder of the credit may apply all or a portion of the Rural
Job Tax Credit to gross receipts less any taxes collected with respect to local option gross receipts taxes (5.125% of taxable receipts),
compensating, and withholding taxes due, less the amount of any credit other than the Rural Job Tax Credit applied. The holder may also
apply the credit to his personal or corporate income tax liability. The credit claim can be carried forward for a period of three years from
the date the credit is issued. Complete the Rural Job Tax Credit Claim Form and mail to the address below along with the return and any
applicable payments.
Any amount of credit not claimed for a reporting period may be claimed in subsequent reporting periods.
The holder is the business to whom the credit has been approved. When the credit is transferred to a new holder, notification to the New
Mexico Taxation and Revenue Department must be made within ten days of the transfer.
Attach this form to the tax return to which the credit is to be claimed and mail to the address on the tax return. For assistance call 505-
476-3683.
TAXPAYER'S COPY
Name of Holder
NM CRS ID Number
REPORT PERIOD
AMOUNT OF RURAL JOB TAX CREDIT CLAIMED
,
,
.
$
through
Month
Day
Month
Day
Year
Year
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 _______________
RETURN BOTTOM PORTION WITH YOUR CRS-1 RETURN AND PAYMENT 
New Mexico Taxation and Revenue Department
RPD-41243
Rev. 08/2010
RURAL JOB TAX CREDIT CLAIM FORM
Name of Holder
NM CRS ID Number
REPORT PERIOD
AMOUNT OF RURAL JOB TAX CREDIT CLAIMED
,
.
,
$
through
Month
Day
Month
Day
Year
Year
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 _______________

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