Form Rpd-41228 - Film Production Tax Credit Claim Form

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RPD-41228
State of New Mexico - Taxation and Revenue Department
Rev. 11/04/2013
FILM PRODUCTION TAX CREDIT CLAIM FORM
WHO MAY USE THIS FORM:
Once the approved film production company has received approval from the Film Division and the Taxation and Revenue
Department, a completed Form RPD-41228, including Department approvals, must be attached to a New Mexico Form
PIT-1, CIT-1, S-Corp, PTE, or FID-1 return. Subject to certain limitations, the amount of the tax credit may be applied to the
tax due on the return, and if the amount of the film production tax credit exceeds the film production company's income tax
liability for the tax year, the excess may be refunded. See the instructions to this form for more details about the limitations
and how to complete the income tax return.
INSTRUCTIONS FOR COMPLETING THE FILM PRODUCTION TAX CREDIT CLAIM FORM:
Enter the name and taxpayer identification number of the approved film production company and the Taxation and
Revenue Department approval number from the approved Form RPD-41229, Application for Film Production Tax
Credit. Enter the report period of the New Mexico income tax return for which you wish to claim the credit. Enter the total film
production tax credit approved, the amount to be applied to tax due on the attached return and the amount of film production
tax credit to be refunded. Sign and date the return.
Attach this claim form to your income tax return and mail to: Taxation and Revenue Department, Attn: Film Production Tax
Credit, P.O. Box 5418, Santa Fe, New Mexico, 87502-5418. For assistance, call (505) 827-0929.
Name of Approved Film Production Company
Taxpayer Identification Number (SSN or FEIN)
REPORT PERIOD
Total Film Production Tax Credit Approved
,
.
,
$
through
Month
Day
Month
Day
Year
Year
Film Production Tax Credit - applied to tax due
*Enter same report period as entered on your attached tax form.
,
.
,
$
Approval Number
Refundable Portion of the Film Production Tax Credit
,
.
,
$
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 __________________
Refund Express
If you request the credit to be refunded to you and the credit will be paid out in future years, you may wish to have your
future payments deposited directly into your bank account through Refund Express. Complete the “Refund Express” portion
below when the credit claims authorized for payment may be distributed over multiple years. The Refund Express informa-
tion reported on the income tax return to which you apply the credit will determine where the refundable portion of the film
production tax credit that is paid. The Refund Express information below will determine where the refundable portion of
future payments is paid. See "Limitations on Claiming the Credit" in these instructions.
All fields are required. Complete the bank routing number, the account number, and you must mark the appropriate box
to indicate the type of account. Failure to complete all fields will cause your Refund Express request to be denied, and
the Department will mail you a paper check. Question 4 is required: A direct deposit of your refund, "Refund Express",
may not be made to a bank account located at a financial institution outside the territorial jurisdiction of the United States.
4. REQUIRED: WILL THIS REFUND GO TO OR
REFUND EXPRESS!!
HAvE YOUR REFUND DIRECTLY DEPOSITED. SEE INSTRUCTIONS AND FILL IN 1, 2, 3 AND 4.
THROUGH AN ACCOUNT LOCATED OUTSIDE
THE UNITED STATES?
3. Type: Checking
Savings
If yes, you may not use this
1. Routing number:
Enter "X"
Enter "X"
refund delivery option. See instructions.
You must answer
2. Account number:
N O
Y E S
this question.

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