Form Rpd-41327 - Sustainable Building Tax Credit Approval printable pdf download

State of New Mexico - Taxation and Revenue Department

RPD-41327

Rev. 10/18/2013

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. After approval, this form is returned to the owner or the holder who may begin claiming the credit.

Complete Section I and, if applicable, Section II. Mark the box to certify the statement, sign, date, and attach a copy of the certificate of eli-

gibility for the Sustainable Building Tax Credit issued by the New Mexico Energy, Minerals and Natural Resources Department (EMNRD).

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

this form, call (505) 476-3683.

Social security number or federal employer identification number

Name of owner of the qualifying sustainable building

Mailing address

City, state and ZIP code

Phone number

Email address

Name of contact

Certified statement of the building owner:

Mark the box to certify this statement and receive this credit.

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. I have also marked the box above to certify the statement and receive the credit.

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), 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, partners, shareholders, 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.

Social security number or federal employer identification number

Name of holder if other than building owner

Mailing address

City, state, and ZIP code

Phone number

Name of contact

Percentage of ownership interest in the

partnership or other business association

Certified statement of the holder, if other than building owner:

Mark the box to certify this statement and receive this credit.

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. I have also marked the box above to certify the statement and receive the credit.

Signature of holder, if other than building owner

Date

TO BE COMPLETED BY THE TAXATION AND REVENUE DEPARTMENT

Credit number:

Date of credit approval:

Approved amount of sustainable building tax 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-41327 - Sustainable Building Tax Credit Approval

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