Form Rpd-41229 - Application For Film Production Tax Credit
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6STATE OF NEW MEXICO - TAXATION AND REVENUE DEPARTMENT
RPD-41229
Rev. 11/04/2013
APPLICATION FOR FILM PRODUCTION TAX CREDIT
The purpose of this form. This form may be used by a film production company, approved by the Film Division of the New Mexico Economic
Development Department, to apply for a film production tax credit. To contact the Film Division, call (505) 476-5600 or (800) 545-9871.
Submit this completed application with required documentation to the Taxation and Revenue Department. Submit one application for each
approved film project. The Department will notify you of the approved amount of credit. This refundable credit can be applied against per-
sonal or corporate income tax due the State of New Mexico. See the instructions that follow for a complete description of the requirements.
Taxpayer identification number
Name of eligible film production company
(SSN or FEIN)
Mailing address
City, state and ZIP code
E-mail address
Name of contact person
Telephone number
Enter the Project Title as indicated on the New Mexico Film Office Film Production Company Registration Form.
Col 1. Qualifying expenditures
Col 2. Credit amount claimed
1. Total qualifying direct production expenditures (25%) ............
2. Total direct production expenditures qualifying for an
additional 5% ..........................................................................
3. Total qualifying postproduction expenditures (25%) ...............
4. Total film production tax credit claimed.
Enter the sum of column
2, lines 1, 2, and 3. ..........................................................................................
5. Is the film production company receiving a credit pursuant to the federal new
Circle one:
Yes
No
markets tax credit program for expenditures attributable to this production?
Certifications
I certify that:
the total direct production and postproduction expenditures included above:
•
are made in New Mexico;
•
are directly attributable to the production of a film or commercial audiovisual product;
•
include only transactions which are subject to taxation by the State of New Mexico;
•
exclude expenditures for which another taxpayer claims the film production tax credit; and
•
exclude expenditures for which the film production company delivered a nontaxable transaction certificate
pursuant to 7-9-86 NMSA 1978.
the film contains an acknowledgement in the end screen credits that the production was filmed in New Mexico, and if a long-form narrative film a
New Mexico state logo is in the end screen edits. If you do not mark this box, attach a copy of the written agreement between the film production
company and the New Mexico Film Office.
I declare I have examined this application, including accompanying invoices, schedules and/or statements, and to the
best of my knowledge and belief this application is true, correct and complete.
Authorized Signature
Title
Date
FOR DEPARTMENT USE ONLY
This application for Film Production Tax Credit was reviewed by the Taxation and Revenue Department and was
Approved in the amount of
$
Adjusted and approved in the amount of
$
Disapproved
Reason for adjustment/disapproval
Signature of Director or Delegate
Date
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