Form PIT-1 Personal Income Tax Return

reported on your 2012 federal income tax return "R" if RESIDENT; (If filing jointly BOTH must sign even if only one had income ) *120180200* *120190200* 12a Check the box if you itemized You must also complete line 7 if applicable 12a 13 00 14 00 15 00 16 00 16a 00 16a Unreimbursed and uncompensated medical care expenses 17 00 18 00 18a If from the Rate Table enter "R" If from line 14 of PIT B enter "B" 18a 19 00 1d 1e 20 00 2012 estimated income tax payments (See PIT 1 instructions) 2012 PIT 1 (page 2) 2012 PIT 1 NEW MEXICO PERSONAL INCOME TAX 21 00 22 00 25a 00 25a The amount of Federal Earned Income Credit 26 29 28 27 00 00 00 00 2e 2f 30 other Payments 31 TOTAL PAYMENTS AND CREDITS (Add lines 24 through 30) = 32 31 30 00 00 00 33 00 4 If a deceased taxpayer's refund must be made payable to a person for each taxpayer Enter 3a 4a Name "P" if PART YEAR RES 4b SSN Additional amount for tax on lump sum distributions (See PIT 1 instructions) Blind over 65 status Check this box if Form RPD 41338 is on file for this Check this box if the address is new or changed other than the taxpayer or spouse named on this return enter the Continue on the next page Credit for taxes paid to another state You must have been a New Mexico resident during all or part of the year (See PIT 1 instructions Include a copy of other state's return ) Deductions/Exemptions from federal income (Line 21 of PIT ADJ; attach PIT ADJ) Do not submit a photocopy of this form to the Department Submit only original forms and retain a copy for your records Electronic Filers: If you both file and pay your New Mexico Personal Income Tax Return electronically your due date is April 30 2013 All others must file by April 15 2013 See PIT 1 instructions for details Enter date of death F 1 F 2 Federal exemption amount (From federal Form 1040 line 42; Form 1040A line 26; or leave blank if you filed Form 1040EZ) For the year January 1 December 31 2012 If submitting this return by mail send to: NM Taxation and Revenue Department Medical care expense deduction (See PIT 1 instructions) ( You must complete both lines 16 and 16a or the deduction will be denied ) name and SSN of that person NET NEW MEXICO INCOME TAX (Add lines 18 and 19 then subtract lines 20 and 21) (Cannot be less than zero ) New Mexico income tax withheld (Attach annual statements of income and withholding) + New Mexico income tax withheld from a pass through entity (Attach 1099 Misc or RPD 41359) + New Mexico income tax withheld from oil and gas proceeds (Attach 1099 Misc or RPD 41285) + New Mexico low and middle income tax exemption (See PIT 1 instructions) NEW MEXICO PERSONAL INCOME TAX RETURN NEW MEXICO TAXABLE INCOME (Add lines 9 10 and 11 then subtract lines 12 13 14 15 and 16) (Cannot be less than zero ) Non refundable credits from Schedule PIT CR (Line 21 of PIT CR; attach PIT CR) or fiscal year beginning ending If amending use Form 2012 PIT X P 5 Preparer's phone number P o Box 25122 Santa Fe New Mexico 87504 5122 Residency If taxpayer or spouse diedSoCIAL SECURITY NUMBER before this return is filed Residency status: Complete Tax on amount on line 17 taxpayer (See PIT 1 instructions ) Taxpayer's E mail address Taxpayer's phone number You must also attach Form RPD 41083 "N" if NoN RESIDENT; "F" if FIRST YEAR RES YOUR SOCIAL SECURITY NUMBER