Form RPD-41365 Notice of Transfer of Rural Job Tax Credit

Credit number of holder: Approval date of holder: Date of the transfer: Amount of rural job tax credit transferred: Form RPD 41365 Notice of Transfer of Rural Job Tax Credit must be used to report to the New Mexico Taxation and Revenue Department (TRD) a transfer or distribution of approved rural job 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 41238 Application for Rural Job Tax Credit before using this Form RPD 41365 to report a transfer Mail to New Mexico Taxation and Revenue Department PIT Edit Error P O Box 5418 Santa Fe New Mexico 87502 5418 For assistance completing this form call (505) 476 3683 New credit number: Date of approval of the credit: Approved amount of rural job tax credit: Notice of Transfer of Rural Job Tax Credit Purpose of this Form Rural job tax credit is approved as submitted Rural job tax credit is approved but the amount of the credit has been adjusted See the attached explanation Rural job tax credit is not approved See the attached explanation Rural job tax credit sold exchanged transferred or distributed: Signature of Secretary or authorized delegate: Date: Name (please print): Title: State of New Mexico Taxation and Revenue Department TO BE COMPLETED BY THE NEW MEXICO TAXATION AND REVENUE DEPARTMENT Transferred from: Transferred to: