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RPD-41342

State of New Mexico - Taxation and Revenue Department

Rev. 06/2009

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. The current holder must have a TRD approved Form

RPD-41327, Sustainable Building Tax Credit Approval, before using this Form RPD-41342 to report a transfer.

Mail to New Mexico Taxation and Revenue Department, Edit Error, P.O. Box 5418, Santa Fe, New Mexico 87502-5418. For

assistance 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 holder:

Approved amount of sustainable building tax

Credit number of

Date of the transfer:

credit to be transferred:

holder:

Transferred from:

Name of holder

SSN or FEIN

Name of contact (if applicable)

E-mail address

Phone number

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 the holder author-

Date

izing the transfer of the credit.

Transferred to:

Name of new holder

SSN or FEIN

Mailing address

City, state and ZIP code

Statement of the holder to whom the credit is transferred: (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 the holder to

Date

whom the credit is transferred.

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: _____________________________

Form Rpd-41342 - Notice Of Transfer Of Sustainable Building Tax Credit - State Of New Mexico Taxation And Revenue Department

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