2012 Pit-1 New Mexico Personal Income Tax
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1
22012 PIT-1
*120180200*
NEW MEXICO PERSONAL INCOME TAX
For the year January 1 - December 31, 2012
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ending
F.1
F.2
If amending use Form 2012 PIT-X.
If taxpayer or spouse died
Residency
SOCIAL SECURITY NUMBER
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Blind
Over 65
status
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Enter date of death.
1a
1f
1b
1c
1d
1e
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2a
2b
2d
2e
2f
2c
Residency status: Complete
If a deceased taxpayer's refund must be made payable to a person
4.
for each taxpayer. Enter
3a
Check this box if the address is new or changed.
other than the taxpayer or spouse named on this return, enter the
"R" if RESIDENT;
name and SSN of that person.
3b
Mailing Address
"N" if NON-RESIDENT;
You must also attach Form RPD-41083.
"F" if FIRST-YEAR RES.,
4a Name
"P" if PART-YEAR RES..
City, State and ZIP Code
4b SSN
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5.
If you are a dependent of another taxpayer, enter 00.
(1) Single
EXTENSION OF TIME TO FILE -
6a
6b
If you have a federal or state extension,
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check the box and enter the extension date.
8. DEPENDENTS: As listed on your federal return
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(Enter spouse's social
Column 1.
Column 2.
Column 3.
security number above)
First name
Last name
Date of birth (MM/DD/YYYY)
Dependent's SSN
(4) Head of household
(Enter name of person
/
/
qualifying you as head of household if that person is not
/
/
counted as D TXDOL¿HG H[HPSWLRQ RQ RXU IHGHUDO UHWXUQ
/
/
/
/
(5) Qualifying widow(er) with dependent child
/
/
9
00
9.
FEDERAL ADJUSTED GROSS INCOME
....................................................................................................
(From federal Form 1040, line 38; Form 1040A, line 22; or Form 1040EZ, line 4)
+
10
00
10. If you itemized your federal deduction amount, enter the amount of state and local tax deduction .............
claimed on line 5, federal Form 1040, Schedule A. (See worksheet in instructions)
+
11
00
11.
Additions for federal income (From line 5 of PIT-ADJ; attach PIT-ADJ) ......................................................
12. Federal standard or itemized deduction amount
-
12
00
(From federal Form 1040, line 40; Form 1040A, line 24; or Form 1040EZ, line 5.) .......................................
12a. Check the box if you itemized. You must also complete line 7, if applicable...............................
12a
13. Federal exemption amount (From federal Form 1040, line 42; Form 1040A, line 26; or leave blank
00
-
13
LI RX ¿OHG )RUP (= ...............................................................................................................................
-
14
00
14. New Mexico low- and middle-income tax exemption (See PIT-1 instructions) ..............................................
15. Deductions/Exemptions from federal income (Line 21 of PIT-ADJ; attach PIT-ADJ) ..................................
-
00
15
16. Medical care expense deduction (See PIT-1 instructions)
-
00
(You must complete both lines 16 and 16a or the deduction will be denied.) .......................................................................................................
16
16a
00
16a. Unreimbursed and uncompensated medical care expenses.....
17
00
17.
NEW MEXICO TAXABLE INCOME
(Add lines 9, 10 and 11, then subtract lines 12, 13, 14, 15 and 16) .....
=
(Cannot be less than zero.)
18. Tax on amount on line 17 ................................................................................................................................
18
00
18a. If from the Rate Table, enter "R",
If from line 14 of PIT-B, enter "B".....................................
18a
19
+
00
19. Additional amount for tax on lump-sum distributions (See PIT-1 instructions) ..............................................
20.
Credit for taxes paid to another state. You must have been a New Mexico resident during all or
-
00
20
part of the year. (See PIT-1 instructions. Include a copy of other state's return.) ....................................
-
21. Non-refundable credits from Schedule PIT-CR (Line 21 of PIT-CR; attach PIT-CR) ...................................
00
21
22.
NET NEW MEXICO INCOME TAX
(Add lines 18 and 19, then subtract lines 20 and 21) ............................
00
=
22
(Cannot be less than zero.)
Continue on the next page.
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