Form RPD-41243 Rural Jobs Tax Credit Claim Form

RETURN BOTTOM PORTION WITH YOUR RETURN AND PAYMENT and belief it is true correct and complete Any amount of credit not claimed for a reporting period may be claimed in subsequent reporting periods CRS Number: Social Security Number: FEIN: REPORT PERIOD AMOUNT OF RURAL JOB TAX CREDIT CLAIMED For assistance call 505 476 3683 I declare that I have examined this return including any accompanying schedules and statements and to the best of my knowledge 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 INSTRUCTIONS FOR USING THIS FORM: When claiming an approved Rural Job Tax Credit this form must accompany the CRS 1 personal income tax or corporate income tax return to which the taxpayer wishes to apply the credit The holder of the credit may apply all or a portion of the Rural Job Tax Credit to gross receipts less any taxes collected with respect to local option gross receipts taxes (5 125% of taxable receipts) compensating and withholding taxes due less the amount of any credit other than the Rural Job Tax Credit applied The holder may also apply the credit to his personal or corporate income tax liability If a PTE is a holder of a credit the PTE may pass the credit to its owners so that the owners may claim the credit against their corporate or personal income tax liabilities Use Form RPD 41365 Notice of Transfer of Rural Job Tax Credit to report to TRD a distribution of approved rural job tax credit to the owners members or partners of a PTE The credit claim can be carried forward for a period of three years from the date the credit is issued Complete the Rural Job Tax Credit Claim Form attach it to the return that it is being claimed against and mail to the address on that return along with any applicable payment Name of Holder Approval Number RJ Requesting application of approved Rural Job Tax Credit to the attached form RPD 41243 New Mexico Taxation and Revenue Department Rev 12/12/2011 RPD 41243 State of New Mexico Taxation and Revenue Department Rev 12/12/2011 RURAL JOB TAX CREDIT CLAIM FORM Signature of Taxpayer or Agent Title Date Taxpayer Identification Number TAXPAYER'S COPY the New Mexico Taxation and Revenue Department must be made within ten days of the transfer The original holder is the business to whom the credit has been approved When the credit is transferred to a new holder notification to