Pueblo Of Laguna Gross Receipts Tax Form
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1
2Tax Administration Division
P.O. Box 194 LAGUNA, NEW MEXICO 87026
(505) 552‐6654
GROSS RECEIPTS TAX RETURN
Any person engaging in business within the exterior boundaries of the Pueblo of Laguna whose
transactions result in Class I gross receipts shall utilize this form for reporting gross receipts taxes
to the Pueblo of Laguna Tax Administration Division pursuant to Section 6‐3‐9 P.O.L.C. All
transactions resulting in Class II gross receipts shall utilize New Mexico Taxation and Revenue
Department form CRS‐1.
Box 1
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Reporting Month: __________________, 20_______
Returns are due on or before the 25
of the month following the reporting month.
th
Box 2
Taxpayer Name: __________________________________________________________ TAD BRN: _______ ‐ ______________ ‐ __________________
Address: ______________________________________________ ________________________________________ _________ _______________________
City
State Zip Code
Telephone No.: (______) _________‐________________
NMTRD CRS ID No. _________________________________
Box 3
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Permit to Enter No.: ________‐__________ Date of Entry: _______ /_______ /________ Date of Exit: _______ /_______ /________
Please attach additional pages as needed to report multiple Permits to Enter that are active during the same reporting period.
Box 4
For all “Exempt Sales of Goods or Services” enter as a negative (‐) number
(A) Tax Due from Sales of Goods or Services in Sandoval County
$______________________ Amount of Sales or Services in Sandoval County
0.00
$______________________ Amount of Exempt Sales of Goods or Services*
6.2500%
= $______________________ Amount of Taxable Sales of Goods or Services
X _____________________ (Sandoval County Tax Rate)
+
0.00
= $______________________ Gross Receipts Tax Due to the Pueblo of Laguna
(B) Tax Due from Sales of Goods or Services in Bernalillo County
$______________________ Amount of Sales or Services in Bernalillo County
0.00
$______________________ Amount of Exempt Sales of Goods or Services*
6.0625%
= $______________________ Amount of Taxable Sales of Goods or Services
X _____________________ (Bernalillo County Tax Rate)
+
0.00
= $______________________ Gross Receipts Tax Due to the Pueblo of Laguna
Pueblo of Laguna Gross Receipts Tax Form
Rev. 10/2014
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