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RPD-41387 State of New Mexico - Taxation and Revenue Department
Rev. 12/30/2015
Notice of Distribution of Technology Jobs
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Purpose of this Form. and Research and Development Tax Credit
Form RPD-41387, Notice of Distribution of Technology Jobs and Research and Development Tax Credit, must be used to
report to the New Mexico Taxation and Revenue Department (TRD) a distribution of approved technology jobs and research
and development tax credit from a pass-through entity (PTE) to owners, members or partners of the PTE. This notice must
be signed by the authorized representative of a PTE that has been approved for the technology jobs and Research and
Development tax credit. Notice should be mailed to TRD within 10 days of the transfer. The PTE must have a TRD approved
Form RPD-41385, Application for Technology Jobs and Research and Development axTCredit, before using this Form
RPD-41387 to report a transfer.
Mail to New Mexico Taxation and Revenue Department, PIT Edit Error, P.O. Box 5418, Santa Fe, New Mexico 87502-5418.
For assistance completing this form, call (505) 827-0792.
Technology jobs and research and development tax credit transferred:
Credit number of PTE: Approval date of PTE: Date of the transfer: Amount of credit transferred:
Transferred from:
Name of PTE SSN or FEIN
Name of contact (if applicable) Phone number E-mail address
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 PTE’s
authorized representative Date
Transferred to:
Name of owner, member or partner SSN Amount
FEIN
Name of owner, member or partner SSN Amount
FEIN
Name of owner, member or partner SSN Amount
FEIN
Name of owner, member or partner SSN Amount
FEIN
Name of owner, member or partner SSN Amount
FEIN
Name of owner, member or partner SSN Amount
FEIN
Name of owner, member or partner SSN Amount
FEIN
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