Form Pit-1 - New Mexico Personal Income Tax/form Pit-Adj - New Mexico Schedule Of Additions And Deductions/exemptions - 2011
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32011 PIT-1
NEW MEXICO PERSONAL INCOME TAX
*110180200*
For the year January 1 - December 31, 2011
or fiscal year beginning
ending
If amending use Form 2011 PIT-X.
Age 65
Check this box if address is new or changed.
Blind
or over Residency
1
. SoCIAL SECURITY NUMBER
Residency status: Complete
Print your name (first, middle, last)
for each taxpayer. Enter
"R" if RESIDENT;
"N" if NoN-RESIDENT;
Print your spouse's name (first, middle, last) Include spouse if married filing separately.
"F" if FIRST-YEAR RES.;
"P" if PART-YEAR RES..
Mailing Address
Taxpayer
Check if taxpayer or spouse
died before this return is filed.
Spouse
Enter date of death.
City, State and ZIP Code
If a deceased taxpayer's refund must be made payable to a person other than the taxpayer or spouse
named on this return, enter the name and SSN of that person. You must also attach Form RPD-41083.
EXEMPTIONS - Number of Qualified
2.
Exemptions. If you are a dependent
4. FILING STATUS - Check only one box below.
of another taxpayer, enter 00.
(1) Single
EXTENSION OF TIME TO FILE - Mark the
3.
box if you have a federal or state extension,
/
/
(2) Married filing jointly
and enter the extension date.
(3) Married filing separately
(Enter spouse's social
5. DEPENDENTS: As listed on your federal return
security number above)
(You must report the first 5 dependents in the table below and additional dependents on Schedule PIT-S.)
(4) Head of household
(Enter name of person
First name
Last name
Dependent's SSN
Date of birth (MM/DD/CCYY)
qualifying you as head of household if that person is not
counted as a qualified exemption on your federal return.)
(5) Qualifying widow(er) with dependent child
00
6
6.
FEDERAL ADJUSTED GROSS INCOME
....................................................................................................
(From federal Form 1040, line 38; Form 1040A, line 22; or Form 1040EZ, line 4.)
+
00
7.
If you itemized your federal deduction amount, enter the amount of state and local income or general
7
sales tax deduction claimed on line 5, federal Form 1040, Schedule A. (See worksheet in instructions) ....
+
00
8.
Additions for federal income (From line 5 of PIT-ADJ; attach PIT-ADJ.) ......................................................
8
9.
Federal standard or itemized deduction amount
-
00
(From federal Form 1040, line 40; Form 1040A, line 24; or Form 1040EZ, line 5.). ......................................
9
9a. Check the box if you itemized. You must also complete line
9a
7,
if applicable..................................
10. Federal exemption amount (From federal Form 1040, line 42; Form 1040A, line 26; or leave blank
-
00
if you filed Form 1040EZ.). .............................................................................................................................
10
-
00
11
11. New Mexico low- and middle-income tax exemption (See PIT-1 instructions.). ............................................
12. Deductions/Exemptions from federal income (Line 21 of PIT-ADJ; attach PIT-ADJ.). ................................
-
00
12
13. Medical care expense deduction (See PIT-1 instructions.)
-
. ...........................................................................
00
(You must complete both lines 13 and 13a or the deduction will be denied.)
13
00
13a
13a. Unreimbursed and uncompensated medical care expenses. .......
00
=
14.
NEW MEXICO TAXABLE INCOME
(Add lines 6, 7 and 8, then subtract lines 9, 10, 11, 12 and 13.) ..........
14
(Cannot be less than zero.)
15. Tax on amount on line 14 ................................................................................................................................
00
15
15a
15a. If from the Rate Table, enter "R", If from line 14 of PIT-B, enter "B".............................................
+
00
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
-
00
17
part of the year. (See PIT-1 instructions. Include a copy of the other state's return.) ..............................
-
18. Non-refundable credits from Schedule PIT-CR (Line 19 of PIT-CR; attach PIT-CR.) ..................................
00
18
=
00
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.
Electronic Filers: If you both file and pay your New Mexico Personal Income Tax Return electronically,
your due date is April 30, 2012. All others must file by April 17, 2012. See PIT-1 instructions for details.
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