Form Pit-X - New Mexico Personal Income Tax - 2009
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22009 PIT-X
NEW MEXICO PERSONAL INCOME TAX
*90160200*
Amended return for tax year January 1 - December 31, 2009
or other fiscal year beginning
ending
Attach schedules even if they did not
change from the previously filed return.
Check this box if address is new or changed.
1
Residency status: complete
Check if taxpayer or
. SOCIAL SECURITy NUMBER
spouse named on the
for each taxpayer. Enter
Print your name (first, middle, last)
return is deceased. Enter
"R" if RESIDENT;
date of death.
"N" if NON-RESIDENT;
"F" if FIRST-YEAR RES.;
Print your spouse's name (first, middle, last) If married, you must include spouse.
"P" if PART-YEAR RES..
Mailing Address
If a deceased taxpayer's refund must be made payable to a person other than the taxpayer or spouse
named on the return, enter the name and SSN of that person. You must also attach Form RPD-41083.
City, State and ZIP Code
5. FILING STATUS - Check only one box below.
2.
EXEMPTIONS - Number of Qualified Exemptions.
(1) Single
If you are a dependent of another taxpayer, enter 00.
(2) Married filing jointly
(3) Married filing separately
(Enter spouse's social security number above)
(4) Head of household
(Enter name of person qualifying you as head of household
if that person is not counted as a qualified exemption on your federal return.)
EXTENSION OF TIME TO FILE - Mark the box if
3.
you have a federal or state extension, and enter
(5) Qualifying widow(er) with dependent child
extension date.
6. DEPENDENTS: As listed on your federal return
/
/
(Report additional dependents on Schedule PIT-S)
First name
Last name
Dependent's SSN
Dependent's date of birth
/
/
/
/
Check this box if federal Form(s)
4.
/
/
8886, Reportable Transaction
Disclosure Statement, is required
/
/
to be attached.
/
/
AS PREVIOUSLy FILED
AS AMENDED
7.
FEDERAL ADJUSTED GROSS INCOME
.................................................................................
7
(From line 38 of federal Form 1040, line 22 of Form 1040A or line 4 of Form 1040EZ)
8
8.
Additions to federal income (From line 4 of PIT-ADJ; attach PIT-ADJ) ......................................
9.
Federal standard or itemized deduction amount (From line 40a of federal Form 1040,
9
line 24a of Form 1040A or line 5 of Form 1040EZ .......................................................................
9a. Check here if you itemized......................................................................................
9b. Check here if your standard deduction includes a federal net disaster loss, new
motor vehicle or real estate tax deduction amount claimed on federal Form 1040,
Schedule L...............................................................................................................
10. Federal exemption amount (From line 42 of federal Form 1040, line 26 of
Form 1040A, or leave blank if you filed Form 1040EZ.................................................................
10
10a. If you claimed an amount for providing housing to a Midwestern displaced
individual, enter the number of individuals you claimed.........................................
11. New Mexico low- and middle-income tax exemption (See PIT-1 instructions) ............................
11
12
12. Deductions/Exemptions from federal income (Line 20 of PIT-ADJ; attach PIT-ADJ) .................
13
13. Medical care expense deduction (See PIT-1 instructions) ...........................................................
(You must complete both lines 13 and 13a or the deduction will be denied.)
13a. Unreimbursed and uncompensated medical care expenses..
14
14.
NEW MEXICO TAXABLE INCOME
(Add lines 7 and 8, then subtract lines 9, 10, 11, 12 and 13) .......
15
15. Tax on amount on line 14 .............................................................................................................
If from the Rate Table, enter "R",
If from line 15 of PIT-B, enter "B"...............
16
16. Additional amount for tax on lump-sum distributions (See PIT-1 instructions).............................
17. Credit for taxes paid to another state. You must have been a New Mexico resident during
all or part of the year. (See PIT-1 instructions. Include a copy of other state's return.) ..........
17
18. Non-refundable credits from Schedule PIT-CR (Line 17 of PIT-CR; attach PIT-CR) ..................
18
19.
NET NEW MEXICO INCOME TAX
(Add lines 15 and 16, then subtract lines 17 and 18) ..........
19
(Cannot be less than zero.)
Continue on the next page
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