Form RPD-41244 Technology Jobs Tax Credit Claim Form

Form CRS 1 Form PIT 1 & Schedule PIT CR Form S Corp & Schedule S Corp CR Form CIT 1 & Schedule CIT CR Form FID 1 & Schedule FID CR *Enter same report period as entered on your attached tax form Check One Amount of Technology Jobs Beginning Ending Tax Credit to be Applied Any amount of credit not claimed for a reporting period may be claimed in subsequent reporting periods Attach to applicable New Mexico tax form Enter the Taxpayer Identification Number of the taxpayer claiming the credit if different than the holder INSTRUCTIONS FOR USING THIS FORM: When claiming an approved Technology Jobs Tax Credit this form must ac company the CRS 1 PIT 1 CIT 1 S Corp or FID 1 forms for the return to which the taxpayer wishes to apply the credit Complete the Technology Jobs Tax Credit Claim Form and mail to the address below along with the return and any applicable payments m m d d y y m m d d y y Mail to: New Mexico Taxation and Revenue Department ATTN: ARSB CRS P O Box 25128 Santa Fe NM 87504 2512 For assistance call 505 476 3683 Name of Holder Approval Number T J Report Period* Requesting application of approved Technology Jobs Tax Credit to the attached form RPD 41244 REV 2/20/2012 State of New Mexico Taxation and Revenue Department Signature of Taxpayer of Agent Date Phone Number Taxpayer Identification Number of Holder TECHNOLOGY JOBS TAX CREDIT CLAIM FORM The Additional Tax Credit may be applied against the taxpayer's income tax or corporate income tax No taxpayer may claim an amount of additional credit for any reporting period that exceeds the amount of the taxpayer's income tax or corporate income tax due for that reporting period A husband and wife may each claim only one half the additional credit The Basic Tax Credit may be applied against the taxpayer's compensating tax gross receipts tax or withholding tax due to the State of New Mexico No taxpayer may claim an amount of approved basic credit for any reporting period that exceeds the sum of the taxpayer's gross receipts compensating tax and withholding tax due for that reporting period The holder is the business to whom the credit has been approved