Information about http://www.tax.state.nm.us/forms/year99/acd31015f.pdf
…
Tags: 501 c 4, black ink, business government, business name, business tax, dba, government partnership, indian tribe, new mexico taxation and revenue, new mexico taxation and revenue department, non profit organization, proprietorship, s corporation, sole owner, state of new mexico, state of new mexico taxation, state of new mexico taxation and revenue, state of new mexico taxation and revenue department, tax identification number, taxation and revenue,Pages: 1
Language: english
Created: Wed Jan 2 13:55:21 2008
Display cached document
Page 1
STATE OF NEW MEXICO TAXATION AND REVENUE DEPARTMENT
ACD - 31015 APPLICATION FOR BUSINESS TAX IDENTIFICATION NUMBER
Rev 08/07 PLEASE TYPE OR PRINT IN BLACK INK Please read instructions on reverse
For office use only
DATE ISSUED NTTC ONLY
NM TRD ID# 0____-_____________-00-___
FLAG N
1. BUSINESS NAME
2. DBA
3. Federal ID No. 7. Type of Ownership (check one)
Required except for Individual / Proprietorship / Sole Owner Corporation Non Profit Organization
Estate Exempt 501 (c) ________
4. Telephone- Business ( ) Government Partnership
Indian Tribe General Limited
5. Other ( ) Fax ( ) Individual / Proprietorship / Sole Owner S Corporation
Limited Liability Company (LLC) Trust
6. Business E-mail Address
8. Mailing Address City State Zip Code
9. Principal Business Location City State Zip Code
10. Date business activity started or is anticipated to start in New Mexico 11. Date business will close (only if you check "Temporary" in box 12)
Month Day Year Month Day Year
12. Select CRS Filing status: 13 A. Will business pay wages to employees in New Mexico? Yes No
Monthly Quarterly Semiannual
13 B. Will business be required to obtain Worker's Compensation
Temporary Seasonal Insurance within 12 months? Yes No
If seasonal, indicate month(s) in which you will file: Effective date:
14. List Owners, Partners, Corporate Officers, Association Members, or Shareholders. If listing a business other than an individual, please see instructions.
(Attach additional pages if necessary.)
SSN / ITIN / FEIN __________________________________________________________________ SSN / ITIN / FEIN __________________________________________________________________
(required) (required)
Name & Title ____________________________________________________________________ Name & Title ____________________________________________________________________
Home Address ____________________________________________________________________ Home Address ____________________________________________________________________
Phone ____________________________________________________________________ Phone ____________________________________________________________________
E-Mail ____________________________________________________________________ E-Mail ____________________________________________________________________
15. Method of accounting 16. Liquor License Type and No. 17. Public Regulatory Commission No. 18. Contractor's License No.
Cash Accrual
19. Will business sell Gasoline? Yes No 23. Will business engage in Severing Natural Resources? Yes No
20. Will business sell Special Fuels? Yes No 24. Will business engage in Processing Natural Resources? Yes No
21. Will business sell Cigarettes? Yes No 25. Will business be a Water Producer? Yes No
22. Will business sell Tobacco Products? Yes No 26. Will business be involved in Gaming Activities? Yes No
NOTE: If you answered Yes to any of the above, except Gaming Activities, please complete a Special Tax Registration Form.
27. If applicable, provide former owner's 28. Are you operating any other business (es) in New Mexico? Yes No
NM TRD ID No. __________________________________________________ If yes, give: NM TRD ID No. _________________________________________
Business Name____________________________________________________ Business Name ____________________________________________________
29. Primary type of business in NM (Check all that apply) 30. Give a brief description of nature of
Accommodation, Food Services, and Drinking Places Manufacturing business
Administrative and Support Services and Mining and Oil and Gas Extraction
Waste Management and Remediation Services Professional, Scientific and Technical Services
Agriculture, Forestry, Fishing and Hunting Real Estate and Leasing of Real Property
Arts, Entertainment and Recreation Management Rental and Leasing of Tangible Personal
Construction Property
Educational Services Retail Trade
Finance and Insurance Transportation and Warehousing
Government Utilities
Health Care and Social Assistance Wholesale Trade
Information Other Services
31. I declare that the information reported on this form and any attached supplement(s) is true and correct.
______________________________________________________________________________________________________________________ ______________________________________ ____________________
Print Name Title Date
______________________________________________________________________________________________________________________
Signature