RPD-41290                       State of New Mexico - Taxation and Revenue Department 
Rev. 11/30/2016
                                HIGH-WAGE JOBS TAX CREDIT CLAIM FORM
HOW TO USE THIS FORM. When claiming an approved high-wage jobs tax credit, this form must accompany the CRS-1, E911, or 
Telecommunications Relay Service Surcharge (TRS) return(s) in which the taxpayer wants to apply the credit. Indicate the full amount 
of tax liability. Do not reduce the tax liability shown on the return by the credit claimed. 
Complete the High-Wage Jobs Tax Credit Application Detail Report below to show how you want to apply an approved high-wage 
jobs tax credit and the amount, if any, to refund. 
NOTES: Please see the instructions to determine the correct amount to apply to any report. The Department refunds excess credit 
that does not appear on the report. Underpay the liability due on each return by the amount of the credit to apply. No interest will be 
paid on any high-wage jobs tax credit amount refunded (Section 7-1-68 NMSA 1978). For details about false, incorrect, or fraudulent 
certifications and penalties, see RPD-41288, Application for High-Wage Jobs Tax Credit, and Section 7-9G-1 NMSA 1978.
To claim the credit, attach a completed RPD-41290, High-Wage Jobs Credit Claim Form, to the return in which you want to apply the 
credit on or before the due date of the return. You may apply this credit when you file your return online. Log into Taxpayer Access Point 
(TAP) at https://tap.state.nm.us/TAP, and follow the prompts to attach this form. To send by mail, attach this form and any applicable 
payments to the tax return and mail to the address on the return. For assistance claiming your approved credit, call (505) 827-0792.
 Name of business                                                                   New Mexico CRS identification number

Name and phone number of contact

                                     High-Wage Jobs Tax Credit Application Detail Report
In the columns below, enter the type of tax return, the claimed qualifying period, and the amount of high-wage jobs tax 
credit to apply to each return. If you need additional space, attach a separate worksheet in the same format and enter in 
line 1 below the amount of high-wage jobs tax credit to apply from all pages. 

                  Column A            Column B                                            Column C
                  Type of Tax Return  Claimed Qualifying Period (year on return           Amount of High-Wage Jobs  
                  (CRS-1, E911, TRS)  of January 1 to December 31 tax period)             Tax Credit To Apply

                                     1.  Total high-wage jobs tax credit applied. May not 
                                      exceed the amount on line 2 below.                  1.

                                     2.  Total approved high-wage jobs tax credit.        2.
                                     3.  Subtract line 1 from line 2. 
                                      This is the refund amount.                          3.

I declare that I have examined this claim form including any accompanying schedules and statements, and to the 
best of my knowledge and belief it is true, correct ,and complete.

Signature of Taxpayer or Agent                       Title                                                   Date 

RPD-41290
Rev. 11/30/2016                State of New Mexico - Taxation and Revenue Department 
                HIGH-WAGE JOBS TAX CREDIT CLAIM FORM
                                                  INSTRUCTIONS

HOW TO COMPLETE THIS FORM
Enter the name of the business and the New Mexico combined report system (CRS) identification number. The name of 
the business and the New Mexico CRS identification number  must match those on the returns to which you want to apply 
the high-wage jobs tax credit. If the name or identification number is different, attach a letter of explanation. You may not 
transfer the high-wage jobs tax credit to another taxpayer. Complete Columns A through C to instruct the Department 
how to apply the approved high-wage jobs tax credit. If you need additional space, attach a separate worksheet in the 
same format. Using the steps below, compute the maximum amount of credit to apply to the tax liability indicated on the 
return(s).

1. Line 1. Enter the total amount of credit to apply (the sum of Column C). If a separate worksheet is attached, enter on 
   line 1 the amount of credit to apply from all pages. 
2.  Line 2. Enter the amount of approved high-wage jobs tax credit. If more than one high-wage jobs tax credit is 
   approved, enter the sum of all approved high-wage jobs tax credit amounts. Do not enter any approved high-wage 
   jobs tax credits previously claimed.  
3. Line 3. Subtract Line 1 from Line 3. This is the amount of high-wage jobs tax credit to refund. 
4. Sign and date the declaration at the bottom of the form.

HOW TO DETERMINE THE AMOUNT OF CREDIT YOU MAY APPLY 
You may subtract approved high-wage jobs tax credit from the modified combined tax liability* of the taxpayer. If the 
credit exceeds the modified combined tax liability of the taxpayer, the Department refunds the excess to the taxpayer. 
* Modified combined tax liability means the total liability for the reporting period for the gross receipts tax imposed 
by Section 7-9-4 NMSA 1978 together with any tax collected at the same time and in the same manner as the gross 
receipts tax, such as the compensating tax, the withholding tax, the interstate telecommunications gross receipts tax, the 
surcharge imposed by Section 63-9D-5 NMSA 1978, and the surcharge imposed by Section 63-9F-11 NMSA 1978, minus 
any credit other than the high-wage jobs tax credit applied against any or all of these taxes or surcharges, but  
“modified combined tax liability” excludes all amounts collected with respect to local option gross receipts taxes. 

To Compute the Maximum Amount of Approved Tax Credit You May Apply Against a CRS-1 Return 
Follow steps A through H below. Note that you may apply the high-wage jobs tax credit to penalty and interest.

A.  Enter the total of the taxable gross receipts, excluding the taxable interstate 
   telecommunication gross receipts reported. (Column F of the CRS-1)
B.  Multiply Line A by 5.125% and enter here.
C.  Enter the compensating tax reported. (Line 2 of CRS-1)
D.  Enter the withholding tax reported. (Line 3 of CRS-1)
E.  Enter the total of the interstate telecommunications gross receipts tax 
   reported. (Column H of CRS-1) 
F.  Enter the sum of Lines B through E.
G.  Enter the amount of any credit other than the high-wage jobs tax credit 
   applied against the CRS-1 return.
H.  Subtract Line G from F. This is the maximum amount of high-wage jobs tax 
   credit you may apply against this CRS-1 return.

NOTE: You may not apply the high-wage jobs tax credit against leased vehicle surcharges reported in Column H of the 
CRS-1 return. 

To Compute the Maximum Amount You May Apply Against an E911 or TRS Return
Calculate the maximum amount of approved high-wage jobs tax credit you may apply to an E911 or a TRS return by 
subtracting any credit other than the high-wage jobs tax credit applied to the return from 100% of the tax liability shown on 
the E911 or the TRS return. Note that you may apply the high-wage jobs tax credit to penalty and interest.