Form RPD-41296 Report on Sales or Use of Fuel Specially Prepared and Sold for Use in Turboprop or Jet-Type Engines

AND SOLD FOR USE IN TURBOPROP OR JET TYPE ENGINES Enter tax period as shown on the CRS 1 return MM/DD/YYMM/DD/YY through Name and phone number of contact 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 INFORMATIONAL ATTACHMENT TO THE CRS 1 REPORT Line 1 Total amount of taxable gross receipts Enter the total amount of taxable gross receipts as reported in Column F of your CRS 1 report for the current month Line 2 Total amount of taxable gross receipts attributable to the sale of fuel specially prepared and sold for use in turboprop or jet type engines Enter only that portion of taxable gross receipts from Column F of your CRS 1 report for the current month which is attributable to sales of fuel specially prepared and sold for use in turboprop or jet type engines Do not include receipts from other sales Line 3 Total amount of compensating tax Enter the amount of compensating tax paid from Line 2 of your CRS 1 report Line 4 Total amount of compensating tax attributable to the sale of fuel specially prepared and sold for use in tur boprop or jet type engines Enter only the portion of the compensating tax reported on Line 2 of your CRS 1 report which is attributable to turboprop or jet type fuel received from out of state sources not purchased directly from a gasoline distributor or from consuming such fuel purchased through the use of nontaxable transation certificates 1 Mailing address City state and ZIP code Name of business New Mexico CRS identification number of nontaxable transaction certificates are required to report the dollar amount of such sales or purchases to the Department REPORT ON SALES OR USE OF FUEL SPECIALLY PREPARED Rev 02/2011 RPD 41296 Signature of taxpayer or agent Title Date E mail address: State of New Mexico Taxation & Revenue Department This information must be submitted to the Department as an attachment to the taxpayer s monthly CRS 1 report and is due by the 25th day of the month following the end of the period covered by the CRS 1 report Upon completion of this form sign date and enter your E mail address on the report Attach it to your current monthly CRS 1 report and mail it to: New Mexico Taxation and Revenue Department P O Box 25128 Santa Fe New Mexico 87504 25128 For assistance call (505) 827 0764 WHO MUST FILE THIS FORM: In order for the Department to be able to determine the correct amount to be distributed to the aviation fund the Department requires taxpayers who are in the business of selling fuel for use in turboprop and jet engines users who are direct purchasers of such fuel from out of state sources and users who purchase such fuel through the use