RPD-41342
State of New Mexico - Taxation and Revenue Department
Int. 10/2007
Notice of Transfer of
Sustainable Building Tax Credit
Purpose of this Form. Form RPD-41342, Notice of Transfer of Sustainable Building Tax Credit, must be used to report
to the Taxation and Revenue Department (TRD) a transfer of approved sustainable building 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.
Mail to New Mexico Taxation and Revenue Department, ARSB, PO Box 630, Santa Fe, New Mexico 87504-0630. For as-
sistance completing this form, see the instructions for this tax credit or call (505) 476-3683.
Sustainable Building Tax Credit sold, exchanged or transferred:
Approval date of prior
Approved amount of sustainable building tax
Date of the transfer:
Credit number of prior
holder:
credit to be transferred:
holder:
Transferred from:
Name of holder
SSN or FEIN
E-mail address
Name of contact (if applicable)
Phone number
Transferred to:
Name of holder
SSN or FEIN
Mailing address
City, state and zip code
Name of contact (if applicable)
Phone number
E-mail address
Under penalty of perjury I declare 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
authorizing the transfer
Date
of the credit.
TO BE COMPLETED BY THE TAXATION AND REVENUE DEPARTMENT
New credit number:
Date of approval of the
Approved amount of sustainable building tax credit:
credit:
Sustainable building tax credit is approved as submitted.
Sustainable building tax credit is not approved. See the attached explanation.
Sustainable building 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: _____________________________