Form Rpd-41071 - Application For Tax Refund - 1998
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2RPD-41071
REV. 5/98
STATE OF NEW MEXICO - TAXATION AND REVENUE DEPARTMENT
APPLICATION FOR TAX REFUND
This form is to be used to apply for a tax refund from the Taxation and Revenue Department. Do not use this form if you have overpaid income
tax, estate tax, special fuel supplier's tax or any oil and gas taxes. See the appropriate forms for instructions on filing an amended return.
If you are changing any information for prior reporting periods, you should submit an amended report for each period affected. NOTE: If you
have more than twelve months of amended returns to file, please contact the CRS Unit at (505) 827-0832 for the procedure to use.
Attach a letter of explanation if the space provided for basis for refund is insufficient.
The Taxation and Revenue Department has the right to offset all or part of an allowed tax refund against any tax liabilities you may owe.
This form must be signed by the taxpayer or the taxpayer's authorized agent.
If you are claiming a refund of gross receipts tax because you did not claim an allowable deduction, you must attach the following, if applicable:
1)
a copy of the nontaxable transaction certificate executed by the buyer so we can verify the NTTC was executed timely; or
2)
a copy of other substantiation or documentation necessary to support the deduction (e.g. farmer or rancher statement).
Do not take an overpayment as a credit on a subsequent report.
Firm Name
New Mexico CRS Identification Number
Mailing Address
City, State, Zip Code
I hereby certify that the State of New Mexico was overpaid the sum of ____________________________________________________
dollars ($ __________________) in ________________________ taxes, for the period _________________ to __________________
(type of tax)
Basis for refund:
I declare that the information reported on this form and any attached supplements is true and correct as to every material matter.
Signature of taxpayer or agent _____________________________________ Title _____________________ Date ______________
Type or print name _________________________________________________________________________________________
Return this form to the Taxation and Revenue Department, P.O. Box 630, Santa Fe, New Mexico 87504-0630.
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