Form RPD-41363 Notice of Transfer of Agricultural Biomass Tax Credit

Agricultural biomass tax credit sold exchanged or transferred: Credit number of holder: Approval date of holder: Date of the transfer: Approved amount of agricultural biomass tax credit to be transferred: Mail to New Mexico Taxation and Revenue Department Edit Error P O Box 5418 Santa Fe New Mexico 87502 5418 For assistance completing this form see the instructions for RPD 41362 for this tax credit or call (505) 476 3683 Mailing address City state and ZIP code Name of contact (if applicable) Phone number E mail address Name of holder SSN or FEIN Name of new holder SSN or FEIN NOTICE OF TRANSFER OF AGRICULTURAL BIOMASS TAX CREDIT Purpose of this Form Form RPD 41363 Notice of Transfer of Agricultural Biomass Tax Credit must be used to report to the Taxation and Revenue Department (TRD) a transfer of approved agricultural biomass tax credit to another taxpayer This notice must be signed by the holder or the authorized representative of the holder of an approved credit Notice must be mailed to TRD within 10 days of a sale exchange or other transfer The current holder must have a TRD approved Form RPD 41362 Agricultural Biomass Tax Credit Approval before using this Form RPD 41363 to report a transfer State of New Mexico Taxation and Revenue Department Statement of the holder to whom the credit is transferred: (Mark the box to certify the statement below ) I certify that I have not and will not claim the agricultural biomass tax credit pursuant to Section 7 2 18 26 NMSA 1978 and Section 7 2A 26 NMSA 1978 for transportation of the same agricultural biomass on which the claim for that agricultural biomass tax credit is based TO BE COMPLETED BY THE TAXATION AND REVENUE DEPARTMENT New credit number: Approved amount of agricultural biomass tax credit:Date of approval of the credit: Agricultural biomass tax credit is approved as submitted Agricultural biomass tax credit is not approved See the attached explanation Agricultural biomass tax credit is approved but the amount of the credit has been adjusted See the attached explanation Signature of Secretary or authorized delegate: Date: Name (please print): Title: Transferred from: Transferred to: Under penalty of perjury I certify that I have examined this form and attachments and to the best of my knowledge and belief it is true correct and complete Signature of the holder author izing the transfer of the credit Date Under penalty of perjury I certify that I have examined this form and attachments and to the best of my knowledge and belief it is true correct and complete Signature of the holder to whom the credit is transferred Date