Form Rpd-41327 - Sustainable Building Tax Credit Approval
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1RPD-41327
State of New Mexico - Taxation and Revenue Department
Rev. 06/2009
SUSTAINABLE BUILDING TAX CREDIT APPROVAL
Purpose of this Form. This form is required to be completed and submitted to the Taxation and Revenue Department to
obtain approval for the sustainable building tax credit. Once approved, this form will be returned to the owner or the holder
who may begin claiming the credit. Attach a copy of the certificate of eligibility for the sustainable building tax credit issued
by the New Mexico Energy, Minerals and Natural Resources Department (EMNRD). Mail to New Mexico Taxation and Rev-
enue Department, Edit Error, P.O. Box 5418, Santa Fe, New Mexico 87502-5418. For assistance completing this form, call
(505) 476-3683.
Name of owner of the qualifying sustainable building
Social security or federal employer identification number
Mailing address
City, state and ZIP code
E-mail address
Phone number
Name of contact
Statement of the building owner: (Mark the box to certify the statement below.)
I certify that I have not and will not claim the solar market development tax credit pursuant to Section 7-2-18.14
NMSA 1978, for any solar thermal system or photovoltaic system installed in the sustainable building that was
used as a component for qualification for the energy requirements or rating system certification level used
in determining eligibility for the sustainable building tax credit for which I have been approved.
Under penalty of perjury, I certify that I have examined this form and attachments, and to the best of my knowledge and
belief it is true, correct and complete.
Date
Signature of building owner
Holder if other than eligible building owner. If the qualifying sustainable building is owned by a partnership or other busi-
ness association the owner may pass the credit to its member(s), manager(s), partners(s), shareholder(s) or beneficiary(ies) by
completing Section II, and submitting a Form RPD-41327, Sustainable Building Tax Credit Approval, for each member, partner,
shareholder or beneficiary. Members, managers, partners and beneficiaries may claim a credit only in proportion to their interest
in the partnership or other business association, and will be issued an approval for their portion of the credit.
Name of holder if other than building owner
Social security or federal employer identification number
Mailing address
City, state and ZIP code
Phone number
Name of contact
Percentage of ownership interest in the
partnership or other business assoc.
Statement of the holder, if other than building owner: (Mark the box to certify the statement below.)
I certify that I have not and will not claim the solar market development tax credit pursuant to Section 7-2-18.14
NMSA 1978, for any solar thermal system or photovoltaic system installed in the sustainable building that was
used as a component for qualification for the energy requirements or rating system certification level used
in determining eligibility for the sustainable building tax credit for which I have been approved.
Under penalty of perjury, I certify 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 holder, if other than building owner
Date
TO BE COMPLETED BY THE TAXATION AND REVENUE DEPARTMENT
Date of approval of the
Approved amount of sustainable building tax credit:
Credit number:
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: _____________________________
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