Form Asd - 22244 - Application For Resident Veteran Contractor Certification

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STATE OF NEW MEXICO
ASD - 22244
REV - 06/16
Taxation and Revenue Department
APPLICATION FOR RESIDENT VETERAN CONTRACTOR CERTIFICATION
General Information
SECTION I
Name of Licensed Contractor
Doing Business As (DBA) if applicable
Mailing Address - City, State, Zip Code
Physical Address - City, State, Zip Code
Name of Business Owner or Officer
Phone Number of Business Owner or Officer
E-mail of Business Owner or Officer
Name of Business Contact
Phone Number of Business Contact
E-mail of Business Contact
NM(CRS) Number:
FEIN/SSN
Contractor License Number
VIN of Vehicle Registered by Contractor with New Mexico
Name of Vehicle Owner
Resident Veteran Contractor Status Information
SECTION II
Please choose the relevant business status category below and place a checkmark next to all statements that apply to the ap-
plicant’s business under the relevant category. If any statement under the relevant category is not appropriate to or does not
otherwise describe the applicant’s business, it will not qualify for certification.
Existing Contractor
The contractor has been in existence for at least five years; and
q
The contractor is licensed as a contractor in New Mexico; and
q
The contractor has paid property taxes or rent on real property in New Mexico in each of the preceding five years; and
q
The contractor has paid at least one other tax administered by the State of New Mexico in each of the preceding five years; and
q
The contractor has paid unemployment insurance on at least three full-time New Mexico resident employees in each of the preced-
q
ing five years or the contractor has been licensed as a contractor in New Mexico for ten consecutive years.
New Contractor
The contractor did not exist as a business in any form and has been in existence for less than five years; and
q
The contractor is currently licensed as a contractor in New Mexico; and
q
The owner or majority of owners of the business have paid property taxes or rent on real property in New Mexico in each of the
q
preceding five years; and
The owner or majority of owners of the business have paid at least one other tax administered by the State of New Mexico in each
q
of the preceding five years; and
This contractor has not applied for a Resident Business Certificate or Resident Contractor Certificate during the preceding five
q
years.
Relocated Contractor
The contractor moved at least eighty (80%) percent of its total domestic personnel from another state to New Mexico in the past five
q
years; and
The contractor is currently licensed as a contractor in New Mexico; and
q
Eighty (80%) percent or more of the total personnel of the business in the prior year were residents of New Mexico; and
q
The business has leased real property in New Mexico for ten years; or
q
The business has purchased real property in New Mexico valued in excess of $100,000.

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