Form Rpd-41284 - Quarterly Oil And Gas Proceeds Withholding Tax Return
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5STATE OF NEW MEXICO
RPD-41284
Rev. 09/04/2012
TAXATION AND REVENUE DEPARTMENT
QUARTERLY OIL AND GAS PROCEEDS WITHHOLDING TAX RETURN
Who Must File: Remitters of oil and gas proceeds from oil and gas production from a well located in New Mexico who have
withheld tax from payments according to the Oil and Gas Proceeds and Pass-Through Entity Withholding Tax Act (7-3A-1)
NMSA 1978) must submit to the Department the tax withheld on this form, RPD-41284, Quarterly Oil and Gas Proceeds
Withholding Tax Return. For exceptions and adjustments to the requirement to withhold and important definitions, see the
instructions.
Remitters are also required to file annual information returns to the Department, and provide sufficient information to enable
the remittees to comply with the provisions of the Income Tax Act and the Corporate Income and Franchise Tax Act, with
respect to the remittee's share of the gross oil and gas proceeds. See "Other Reporting Requirements" on page 3 of these
instructions.
When to File: The oil and gas proceeds withholding tax is due on or before the 25th day of the month following the close of
the calendar quarter in which the oil and gas proceeds were paid. If the due date of the return falls on a Saturday, Sunday
or state or national legal holiday, the return is timely if the postmark bears the date of the next business day. If no payment
of oil and gas proceeds was made for a reporting period, no return is due.
Where to File: File and pay the tax due online using the Department’s web site at https://efile.state.nm.us. See also "File
and Pay" in these instructions. If you need additional information regarding forms or instructions, please visit
mexico.gov. If you cannot electronically file, see the instructions. For assistance completing this return call (505) 827-0825.
Quarterly report period:
Remitter FEIN or SSN:
Beginning (mm-dd-yy)
Ending (mm-dd-yy)
Check one:
FEIN
1. Gross oil and gas
SSN
1.
.00
proceeds
2. Exceptions and
Name:
2.
.00
adjustments
3. Oil and gas proceeds
3.
.00
subject to withholding
Street/box:
4.
.00
4. Amount withheld
5.
5. Penalty
City, state, ZIP:
6.
6. Interest
Check if address
7.
7. TOTAL
is outside the U.S.
PLEASE CUT AND RETURN BOTTOM PORTION WITH YOUR PAYMENT
QUARTERLY OIL AND GAS PROCEEDS WITHHOLDING TAX RETURN
Quarterly report period:
Remitter FEIN or SSN:
Check one:
FEIN
Beginning (mm-dd-yy)
Ending (mm-dd-yy)
SSN
1. Gross oil and gas
1.
.00
proceeds
Name:
2. Exceptions and
2.
.00
adjustments
3. Oil and gas proceeds
Street/box:
.00
3.
subject to withholding
4.
.00
4. Amount withheld
5.
5. Penalty
City, state, ZIP:
6.
6. Interest
Check if address
is outside the U.S.
7.
7. TOTAL
Check if amended
Signature _________________________________________ Date ______________ E-mail address _______________________________
OGP
File on-line at
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