High Wage Job Tax Credit Rpd-41376, Employee Eligibility Detail Report - New Mexico Taxation And Revenue Department
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4State of New Mexico
Taxation and Revenue Department
High Wage Job Tax Credit
RPD-41376, Employee Eligibility Detail Report
Revised 12/11/2012
Employer is eligible
Employer has
because it made more
been involved in a
Name of the employee who is filling the position
than 50% of sales to
Employer was
merger or
persons out-side New
eligible for JTIP
acquisition
Date of Application
Mexico during the
assistance on or
between January
for the High-Wage
Employer's New
Employer's
most recent 12 months
before the date the
1, 2004 and the
Jobs Tax Credit
Mexico CRS
federal employer
prior to claiming the
position was
date of the
that included this
identification
identification
credit for this position.
created.
application.
position.
Name of eligible employer
number
number (FEIN)
(Enter Yes or No.)
(Enter Yes or No.)
(Enter Yes or No.)
(mm/dd/yyyy)
Last name
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