*30300200*
TRD-41413
Rev. 07/01/2023
New Mexico Taxation and Revenue Department
GROSS RECEIPTS TAX RETURN
Signature of taxpayer or authorized agent Print Name Title Date
I declare that I have examined this return including any accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
correct and complete.
Column A Column B Column C Column D Column E Column F Column G Column H Column I
Municipality/
County Name
Location
Code
Special Rate
Code
Gross Receipts
(excluding Tax)
Deduction
Code
Deduction
Amount
Taxable
Gross
Receipts
Tax Rate
Gross Receipts
Tax Due
Enter the total amount of gross receipts (excluding tax) here:
A. Enter the total amount of gross
receipts tax due here:
+
If Schedule A pages are attached, enter total of columns D
and I: :
B. Enter the total amount of gross re-
ceipts tax from all Schedule A pages:
+
1. Total Gross Receipts Tax.
(Add line A and B, enter amount here) .................................... 1.
=
2. Business-Related tax credits applied, from Schedule CR, line A. Attach Sched-
ule CR.
(This line cannot be more than line 1) .................................................................... 2.
-
3. Net Tax.
(Subtract line 2 from line 1, enter amount here) ...................................................... 3.
=
4. Penalty.
....................................................................................................................... 4.
+
5. Interest. ....................................................................................................................... 5.
+
6. Total Amount Due.
(Add lines 3, 4, and 5, enter amount here) .......................................... 6.
=
7. Refundable business-related tax credits applied, from Schedule CR, line B. At-
tach Schedule CR. ...................................................................................................... 7.
-
8. Overpayment. Attach RPD-41071
(Subtract line 6 from line 7, enter amount here) ............ 8.
=
Fuel
Only
Total amount of taxable gross receipts attributable to the sale of fuel specially prepared and sold for use in
turboprop or jet-type engine. (This line replaces RPD-41296, which has been retired)
New Mexico Business Tax Identication Number (NMBTIN)
Federal Employer Identication Number (FEIN) Social Security Number (SSN)
Business Name (Print)
q If the address is new or changed, mark this box. If there are any additional changes to your NMBTIN
please complete and send in ACD-31015, Business Tax Registration Application and Update Form.
Mailing Address (Number and street)
City State Postal/ZIP Code
If foreign address, enter country Foreign Province or state
E-mail address Phone Number
Tax Period
Beginning (MM/DD/CCYY) Ending (MM/DD/CCYY)
Amended Return
q Amended Return
Check the box above only if you are amending over your original return. Be
sure to ll out this return as it should have been originally led for the specied
Tax Period. The amended return will override all information reported on your
original return. Reason for amending, see instructions for more information.
IMPORTANT: If your amended return will result in an overpayment or refund
due, you must attach RPD-41071, Application For Refund and supporting
documentation to justify your refund request. Incomplete requests can result in
a refund delay, request for information, or denial.
Reason for amending:
This report can be led online at https://tap.state.nm.us OR
Mail to: Taxation and Revenue Department,
P.O. Box 25128, Santa Fe, NM 87504-5128